Pre-existing polymerase-specific T cells expand in abortive seronegative SARS-CoV-2
File(s)s41586-021-04186-8.pdf (16.97 MB)
Published version
OA Location
Author(s)
Type
Journal Article
Abstract
Individuals with potential exposure to SARS-CoV-2 do not necessarily develop PCR or antibody positivity, suggesting some may clear sub-clinical infection before seroconversion. T-cells can contribute to the rapid clearance of SARS-CoV-2 and other coronavirus infections1-3. We hypothesised that pre-existing memory T-cell responses, with cross-protective potential against SARS-CoV-24-11, would expand in vivo to support rapid viral control, aborting infection. We measured SARS-CoV-2-reactive T-cells, including those against the early transcribed replication transcription complex (RTC)12,13, in intensively monitored healthcare workers (HCW) remaining repeatedly negative by PCR, antibody binding, and neutralisation (seronegative HCW, SN-HCW). SN-HCW had stronger, more multispecific memory T-cells than an unexposed pre-pandemic cohort, and more frequently directed against the RTC than the structural protein-dominated responses seen post-detectable infection (matched concurrent cohort). SN-HCW with the strongest RTC-specific T-cells had an increase in IFI27, a robust early innate signature of SARS-CoV-214, suggesting abortive infection. RNA-polymerase within RTC was the largest region of high sequence conservation across human seasonal coronaviruses (HCoV) and SARS-CoV-2 clades. RNA-polymerase was preferentially targeted (amongst regions tested) by T-cells from pre-pandemic cohorts and SN-HCW. RTC epitope-specific T-cells cross-recognising HCoV variants were identified in SN-HCW. Enriched pre-existing RNA-polymerase-specific T-cells expanded in vivo to preferentially accumulate in the memory response after putative abortive compared to overt SARS-CoV-2 infection. Our data highlight RTC-specific T-cells as targets for vaccines against endemic and emerging Coronaviridae.
Date Issued
2021-11-10
Date Acceptance
2021-10-27
Citation
Nature, 2021, 601, pp.110-117
ISSN
0028-0836
Publisher
Nature Research
Start Page
110
End Page
117
Journal / Book Title
Nature
Volume
601
Copyright Statement
© The Author(s) 2021. This article is licensed under a Creative Commons Attribution
4.0 International License, which permits use, sharing, adaptation, distribution
and reproduction in any medium or format, as long as you give appropriate
credit to the original author(s) and the source, provide a link to the Creative Commons license,
and indicate if changes were made. The images or other third party material in this article are
included in the article’s Creative Commons license, unless indicated otherwise in a credit line
to the material. If material is not included in the article’s Creative Commons license and your
intended use is not permitted by statutory regulation or exceeds the permitted use, you will
need to obtain permission directly from the copyright holder. To view a copy of this license,
visit http://creativecommons.org/licenses/by/4.0/.
4.0 International License, which permits use, sharing, adaptation, distribution
and reproduction in any medium or format, as long as you give appropriate
credit to the original author(s) and the source, provide a link to the Creative Commons license,
and indicate if changes were made. The images or other third party material in this article are
included in the article’s Creative Commons license, unless indicated otherwise in a credit line
to the material. If material is not included in the article’s Creative Commons license and your
intended use is not permitted by statutory regulation or exceeds the permitted use, you will
need to obtain permission directly from the copyright holder. To view a copy of this license,
visit http://creativecommons.org/licenses/by/4.0/.
License URL
Sponsor
Medical Research Council (MRC)
Multiple Sclerosis Society
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/34758478
PII: 10.1038/s41586-021-04186-8
Grant Number
MR/W020610/1
15
Subjects
Science & Technology
Multidisciplinary Sciences
Science & Technology - Other Topics
HEALTH-CARE WORKERS
ANTIBODY-RESPONSES
INFECTION
VIRUS
CORONAVIRUSES
PATHOGENS
EXPOSURE
IMMUNITY
DISEASE
MEMORY
Asymptomatic Infections
COVID-19
Cell Proliferation
Cohort Studies
DNA-Directed RNA Polymerases
Evolution, Molecular
Female
Health Personnel
Humans
Male
Membrane Proteins
Memory T Cells
Multienzyme Complexes
SARS-CoV-2
Seroconversion
Transcription, Genetic
COVIDsortium Investigators
Humans
Multienzyme Complexes
DNA-Directed RNA Polymerases
Membrane Proteins
Cohort Studies
Evolution, Molecular
Cell Proliferation
Transcription, Genetic
Health Personnel
Female
Male
Asymptomatic Infections
Seroconversion
COVID-19
SARS-CoV-2
Memory T Cells
General Science & Technology
Publication Status
Published
Coverage Spatial
England
Date Publish Online
2021-11-10