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Robust SARS-CoV-2-specific T cell immunity is maintained at 6 months following primary infection
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Abstract
The immune response to SARS-CoV-2 is critical in controlling disease, but there is concern that waning immunity may predispose to reinfection. We analyzed the magnitude and phenotype of the SARS-CoV-2-specific T cell response in 100 donors at 6 months following infection. T cell responses were present by ELISPOT and/or intracellular cytokine staining analysis in all donors and characterized by predominant CD4+ T cell responses with strong interleukin (IL)-2 cytokine expression. Median T cell responses were 50% higher in donors who had experienced a symptomatic infection, indicating that the severity of primary infection establishes a 'set point' for cellular immunity. T cell responses to spike and nucleoprotein/membrane proteins were correlated with peak antibody levels. Furthermore, higher levels of nucleoprotein-specific T cells were associated with preservation of nucleoprotein-specific antibody level although no such correlation was observed in relation to spike-specific responses. In conclusion, our data are reassuring that functional SARS-CoV-2-specific T cell responses are retained at 6 months following infection.
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“Cellular responses to infection seem to be generally more stable3,8,10 (Fig. 1) but their role in immune protection is not yet clear”
From Prospects for durable immune control of SARS-CoV-2 and prevention of reinfection (2021) · cites this paper as [10]
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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 [110, 118-125].”
From Guidelines for the use of flow cytometry and cell sorting in immunological studies (third edition) (2021) · cites this paper as [124]
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“documented examples of SARS-CoV-2 reinfection as well as evidence of short-lived immunity to endemic human coronavirus (hCoV) infections raise the prospect that protective immunity after SARS-CoV-2 infection may last for months instead of years.”
From Prospects for durable immune control of SARS-CoV-2 and prevention of reinfection (2021) · cites this paper as [10]
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Metadata
- Authors
- Zuo, J., Dowell, A. C., Pearce, H., Verma, K., Long, H. M., Begum, J., Aiano, F., Amin-Chowdhury, Z., Hoschler, K., Brooks, T., Taylor, S., Hewson, J., Hallis, B., Stapley, L., Borrow, R., Linley, E., Ahmad, S., Parker, B., Horsley, A., Amirthalingam, G., Brown, K., Ramsay, M. E., Ladhani, S., & Moss, P.
- Affiliations
- University of Birmingham (GB)
- Manchester Royal Infirmary (GB)
- Manchester Academic Health Science Centre (GB)
- Manchester University NHS Foundation Trust (GB)
- University of Manchester (GB)
- St George's, University of London (GB)
- Corresponding author
- Ladhani, Shamez
- Moss, Paul
- ORCID
- Venue
- Nature Immunology
- Published
- 2021-03-05
- Volume
- 22
- Issue
- 5
- Pages
- 620-626
- ISSN
- 1529-2908 (ISSN-L)
- 1529-2916
- PMC
- PMC7610739
- OpenAlex
- W3134099704
- Cited by
- 392
- References
- 39
- Citations by year
- 2026: 10 · 2025: 31 · 2024: 37 · 2023: 56 · 2022: 115 · 2021: 137
- FWCI
- 27.48
- Type
- journal article
- Language
- en
- Update notices
- correction (2021-05-20)
- Open access
- bronze
- doi.org
- Locations
- Nature Immunology (publishedVersion)
- bioRxiv (Cold Spring Harbor Laboratory) (acceptedVersion, cc-by-nd)
- Research Square (acceptedVersion, cc-by)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- University of Birmingham Research Portal (University of Birmingham) (submittedVersion, other-oa)
- Research Explorer (The University of Manchester) (submittedVersion, cc-by-nd)
- Research Explorer (The University of Manchester) (submittedVersion, other-oa)
- Funders
- RCUK | Medical Research Council (MR/R011230/1)
- Bloodwise (17009)
- Topics
- Health Sciences › Medicine › Infectious Diseases › SARS-CoV-2 and COVID-19 Research
- Health Sciences › Medicine › Infectious Diseases › COVID-19 Clinical Research Studies
- Life Sciences › Immunology and Microbiology › Immunology › T-cell and B-cell Immunology
- Keywords
- SARS-CoV-2, COVID-19 pandemic, T cell immunity, CD4+ T cells, waning immunity, reinfection, interleukin-2, spike protein, nucleocapsid protein, membrane proteins, antibody kinetics, symptomatic infection, set point
- MeSH terms
- COVID-19, SARS-CoV-2, Adult, Aged, Antibodies, Viral, Antigens, Viral, Female, Humans, Immunity, Cellular, Interleukin-2, Male, Middle Aged, Phenotype, Time Factors, CD4-Positive T-Lymphocytes, CD8-Positive T-Lymphocytes, Host-Pathogen Interactions, Young Adult
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