SARS-CoV-2-specific T cell immunity in cases of COVID-19 and SARS, and uninfected controls
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Abstract
Memory T cells induced by previous pathogens can shape susceptibility to, and the clinical severity of, subsequent infections 1. Little is known about the presence in humans of pre-existing memory T cells that have the potential to recognize severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Here we studied T cell responses against the structural (nucleocapsid (N) protein) and non-structural (NSP7 and NSP13 of ORF1) regions of SARS-CoV-2 in individuals convalescing from coronavirus disease 2019 (COVID-19) (n = 36). In all of these individuals, we found CD4 and CD8 T cells that recognized multiple regions of the N protein. Next, we showed that patients (n = 23) who recovered from SARS (the disease associated with SARS-CoV infection) possess long-lasting memory T cells that are reactive to the N protein of SARS-CoV 17 years after the outbreak of SARS in 2003; these T cells displayed robust cross-reactivity to the N protein of SARS-CoV-2. We also detected SARS-CoV-2-specific T cells in individuals with no history of SARS, COVID-19 or contact with individuals who had SARS and/or COVID-19 (n = 37). SARS-CoV-2-specific T cells in uninfected donors exhibited a different pattern of immunodominance, and frequently targeted NSP7 and NSP13 as well as the N protein. Epitope characterization of NSP7-specific T cells showed the recognition of protein fragments that are conserved among animal betacoronaviruses but have low homology to 'common cold' human-associated coronaviruses. Thus, infection with betacoronaviruses induces multi-specific and long-lasting T cell immunity against the structural N protein. Understanding how pre-existing N- and ORF1-specific T cells that are present in the general population affect the susceptibility to and pathogenesis of SARS-CoV-2 infection is important for the management of the current COVID-19 pandemic.
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Using HLA class I and II predicted peptide megapools, circulating SARS-CoV-2-specific CD8+ and CD4+ T cells were identified in COVID-19 acute, mild and convalescent patients.
“Using HLA class I and II predicted peptide “megapools,” circulating SARS-CoV-2-specific CD8+ and CD4+ T cells were identified in COVID-19 acute, mild and convalescent patients [110, 118-125].”
From Guidelines for the use of flow cytometry and cell sorting in immunological studies (third edition) (2021) · cites this paper as [122]
The paper reports circulating SARS-CoV-2-reactive CD4 and CD8 T cells in people who had recovered from COVID-19 (p. 1; Patient C-20, p. 12). But its Peptide pools section (p. 7) describes overlapping peptides spanning selected proteins, not HLA class I- and II-predicted megapools; the study examined recovered patients, not acute patients. (LLM, conf=0.90)
Experimental — accuracy not yet measuredSpike, M, and nucleocapsid are the most prominent targets of SARS-CoV-2-specific CD4+ T cells, with substantial responses also against ORF3a and nsp3.
“Spike, M, and nucleocapsid are the most prominent targets of SARS-CoV-2-specific CD4+ T cells (Grifoni et al., 2020), with substantial responses also against ORF3a and nsp3 (Le Bert et al., 2020; Grifoni et al., 2020; Nelde et al., 2021; Oja et al., 2020; Peng et al., 2020).”
From Adaptive immunity to SARS-CoV-2 and COVID-19 (2021) · cites this paper as Le Bert et al., 2020
Memory T cells have been detected 17 years after SARS infection.
“Memory T cells have been detected 17 years after SARS infection (Le Bert et al., 2020).”
From Adaptive immunity to SARS-CoV-2 and COVID-19 (2021) · cites this paper as Le Bert et al., 2020
Substantial cross-reactive T cell memory has been reported, measurable in approximately 28%-50% of people depending on the study.
“In contrast, substantial cross-reactive T cell memory has been reported, measurable in ∼28%–50% of people, depending on the study (Le Bert et al., 2020; Braun et al., 2020; Grifoni et al., 2020).”
From Adaptive immunity to SARS-CoV-2 and COVID-19 (2021) · cites this paper as Le Bert et al., 2020
Previous experience with SARS-CoV-1 showed that CD8+ and CD4+ memory T cells were detectable as late as 17 years post-infection, while neutralizing antibody titers had waned substantially by 1 year after infection.
“previous experience with the closely related SARS-CoV-1, showed that CD8+ and CD4+ memory T cells were detectable as late as 17 years post-infection, while neutralizing antibody titers had waned substantially by 1 year after infection [69,70]”
From The dawn of mRNA vaccines: the COVID-19 case (2021) · cites this paper as [70]
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- Authors
- Le Bert, N., Tan, A. T., Kunasegaran, K., Tham, C. Y. L., Hafezi, M., Chia, A., Chng, M. H. Y., Lin, M., Tan, N., Linster, M., Chia, W. N., Chen, M. I.-C., Wang, L.-F., Ooi, E. E., Kalimuddin, S., Tambyah, P. A., Low, J. G.-H., Tan, Y.-J., & Bertoletti, A.
- Affiliations
- Duke-NUS Medical School (SG)
- Agency for Science, Technology and Research (SG)
- National Centre for Infectious Diseases (SG)
- Singapore General Hospital (SG)
- National University of Singapore (SG)
- Corresponding author
- Bertoletti, Antonio
- ORCID
- Venue
- Nature
- Published
- 2020-07-15
- Volume
- 584
- Issue
- 7821
- Pages
- 457-462
- ISSN
- 0028-0836 (ISSN-L)
- 1476-4687
- OpenAlex
- W3042183476
- Cited by
- 1,887
- References
- 3
- Citations by year
- 2026: 40 · 2025: 69 · 2024: 148 · 2023: 275 · 2022: 467 · 2021: 648 · 2020: 238 · 2014: 1
- FWCI
- 51.79
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Nature (publishedVersion)
- bioRxiv (Cold Spring Harbor Laboratory) (acceptedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Funders
- Duke-NUS Medical School
- University College London
- National University Health System (NUHSRO/2020/052/RO5+5/NUHS-COVID/6)
- Topics
- Health Sciences › Medicine › Infectious Diseases › SARS-CoV-2 and COVID-19 Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › vaccines and immunoinformatics approaches
- Life Sciences › Immunology and Microbiology › Immunology › T-cell and B-cell Immunology
- Keywords
- SARS-CoV-2, COVID-19 pandemic, SARS, T cell immunity, memory T cells, nucleocapsid protein, nsp7, nsp13, ORF1, cross-reactivity, immunodominance, epitope characterization, betacoronaviruses, pre-existing immunity, CD4+ T cells, CD8+ T cells
- MeSH terms
- Betacoronavirus, COVID-19, SARS-CoV-2, Coronavirus Nucleocapsid Proteins, Cross Reactions, Humans, Phosphoproteins, Pneumonia, Viral, T-Lymphocytes, Case-Control Studies, Immunodominant Epitopes, Coronavirus Infections, Nucleocapsid Proteins, Severe Acute Respiratory Syndrome, Pandemics
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