Cited by 1,887SARS-CoV-2 and COVID-19 Researchvaccines and immunoinformatics approachesT-cell and B-cell Immunology

SARS-CoV-2-specific T cell immunity in cases of COVID-19 and SARS, and uninfected controls

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Le Bert, Nina, Tan, Anthony T., Kunasegaran, Kamini, Tham, Christine Y. L., Hafezi, Morteza, Chia, Adeline, Chng, Melissa Hui Yen, Lin, Meiyin +11 more·2020·Nature

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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 measured
  • Spike, 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
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
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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