Cross-reactive memory T cells associate with protection against SARS-CoV-2 infection in COVID-19 contacts
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Accepted version
Accepted version
Author(s)
Type
Journal Article
Abstract
Cross-reactive immune responses to SARS-CoV-2 have been observed in pre-pandemic cohorts and proposed to contribute to host protection. Here we assess 52 COVID-19 household contacts to capture immune responses at the earliest timepoints after SARS-CoV-2 exposure. Using a dual cytokine FLISpot assay on peripheral blood mononuclear cells, we enumerate the frequency of T cells specific for spike, nucleocapsid, membrane, envelope and ORF1 SARS-CoV-2 epitopes that cross-react with human endemic coronaviruses. We observe higher frequencies of cross-reactive (p=0.0139), and nucleocapsid-specific (p=0.0355) IL-2-secreting memory T cells in contacts who remained PCR-negative despite exposure (n=26), when compared with those who convert to PCR-positive (n=26); no significant difference in the frequency of responses to spike is observed, hinting at a limited protective function of spike-cross-reactive T cells. Our results are thus consistent with pre-existing non-spike cross-reactive memory T cells protecting SARS-CoV-2-naïve contacts from infection, thereby supporting the inclusion of non-spike antigens in second-generation vaccines.
Date Acceptance
2021-12-01
Citation
Nature Communications, 13
ISSN
2041-1723
Publisher
Nature Research
Journal / Book Title
Nature Communications
Volume
13
Copyright Statement
© The Author(s) 2022
Sponsor
Medical Research Council (MRC)
National Institute for Health Research
Identifier
https://www.nature.com/articles/s41467-021-27674-x
Grant Number
MR/R021643/1
NIHR200927
Publication Status
Published
Article Number
80