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Virus-Specific Memory CD8 T Cells Provide Substantial Protection from Lethal Severe Acute Respiratory Syndrome Coronavirus Infection
Open accessAbstract
UNLABELLED: Severe acute respiratory syndrome coronavirus (SARS-CoV) caused an acute human respiratory illness with high morbidity and mortality in 2002-2003. Several studies have demonstrated the role of neutralizing antibodies induced by the spike (S) glycoprotein in protecting susceptible hosts from lethal infection. However, the anti-SARS-CoV antibody response is short-lived in patients who have recovered from SARS, making it critical to develop additional vaccine strategies. SARS-CoV-specific memory CD8 T cells persisted for up to 6 years after SARS-CoV infection, a time at which memory B cells and antivirus antibodies were undetectable in individuals who had recovered from SARS. In this study, we assessed the ability of virus-specific memory CD8 T cells to mediate protection against infection in the absence of SARS-CoV-specific memory CD4 T or B cells. We demonstrate that memory CD8 T cells specific for a single immunodominant epitope (S436 or S525) substantially protected 8- to 10-month-old mice from lethal SARS-CoV infection. Intravenous immunization with peptide-loaded dendritic cells (DCs) followed by intranasal boosting with recombinant vaccinia virus (rVV) encoding S436 or S525 resulted in accumulation of virus-specific memory CD8 T cells in bronchoalveolar lavage fluid (BAL), lungs, and spleen. Upon challenge with a lethal dose of SARS-CoV, virus-specific memory CD8 T cells efficiently produced multiple effector cytokines (gamma interferon [IFN-γ], tumor necrosis factor alpha [TNF-α], and interleukin 2 [IL-2]) and cytolytic molecules (granzyme B) and reduced lung viral loads. Overall, our results show that SARS-CoV-specific memory CD8 T cells protect susceptible hosts from lethal SARS-CoV infection, but they also suggest that SARS-CoV-specific CD4 T cell and antibody responses are necessary for complete protection. IMPORTANCE: Virus-specific CD8 T cells are required for pathogen clearance following primary SARS-CoV infection. However, the role of SARS-CoV-specific memory CD8 T cells in mediating protection after SARS-CoV challenge has not been previously investigated. In this study, using a prime-boost immunization approach, we showed that virus-specific CD8 T cells protect susceptible 8- to 10-month-old mice from lethal SARS-CoV challenge. Thus, future vaccines against emerging coronaviruses should emphasize the generation of a memory CD8 T cell response for optimal protection.
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“anti-S T-cell responses to the related SARS- and MERS-CoVs contribute toward viral clearance in normal as well as aged mice infected with SARS- or MERS-CoV, respectively (43–45).”
From An Alphavirus -derived replicon RNA vaccine induces SARS-CoV-2 neutralizing antibody and T cell responses in mice and nonhuman primates (2020) · cites this paper as [45]
Experimental — accuracy not yet measuredIn the citing paper
“Memory T cells, particularly those residing at the upper airways might limit disease severity and shorten the duration of disease by rapidly eliminating infected cells and coordinating the production of antibodies [67]”
From The dawn of mRNA vaccines: the COVID-19 case (2021) · cites this paper as [67]
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“However, the importance of a memory T-cell response is intimated by evidence from the SARS-CoV-1 infection, whereby patients demonstrated relatively transient antibody responses with longer lasting T-cell immunity.(13) Further understanding of such is paramount for correct timing of immunosuppressive drugs in the dise…”
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“The pivotal role of virusspecific memory T cells in providing broad and long-term protection against severe SARS-CoV was reported (56).”
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“It is also reported [23, 24] that CD4 T cell depletion leads to a decrease in lymphocyte recruitment and cytokine production, leading to delayed immune-mediated SARS-CoV-2 clearance.”
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“CD8+ T cells play a crucial role in viral clearance by secreting effector molecules directly to infected cells (73,174,175).”
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Lung Immune Cell Niches and the Discovery of New Cell Subtypes
Shan, Q., Qiu, J., Dong, Z., Xu, X., Zhang, S., Ma, J., & Liu, S. (2024) · Advanced Science · doi:10.1002/advs.202405490 · Cited by 10
Larson, C., Oronsky, B. T., Goyal, S., Ray, C. M., Hedjran, F., Hammond, T., Kesari, S., Caroen, S. Z., Lybeck, M., Dobalian, V. E., et al. (2020) · Biochimica et Biophysica Acta (BBA) - Reviews on Cancer · doi:10.1016/j.bbcan.2020.188412 · Cited by 10
The Recent Updates on Approaches and Clinical Trials Status of Covid-19 Vaccines Developed Globally
Chaudhary, S., El‐Shorbagi, A., Gupta, R. K., & Kumar, A. (2021) · Biomedical & Pharmacology Journal · doi:10.13005/bpj/2214 · Cited by 11
Design and preclinical evaluation of a universal SARS-CoV-2 mRNA vaccine
Qin, J., Jeon, J. H., Xu, J., Langston, L. K., Marasini, R., Mou, S., Montoya, B., Melo‐Silva, C. R., Jeon, H. J., Zhu, T., et al. (2023) · Frontiers in Immunology · doi:10.3389/fimmu.2023.1126392 · Cited by 11
“In addition, some studies have shown that virus-specific T cells can be maintained for 6 years after SARS-CoV infection (37), and are sufficient to prevent reinfection (38, 39).”
BackgroundAbdelaziz, M. O., Raftery, M. J., Weihs, J., Bielawski, O., Edel, R., Köppke, J. K. C., Vladimirova, D., Adler, J. M., Firsching, T. C., Voß, A., et al. (2023) · Frontiers in Immunology · doi:10.3389/fimmu.2023.1166765 · Cited by 10
The role of the urologist, BCG vaccine administration, and SARS‐CoV‐2: An overview
Brooks, N. A., Narayan, V. M., Hegarty, P. K., Zafirakis, H., Han, X., & Kamat, A. M. (2020) · BJUI Compass · doi:10.1002/bco2.21 · Cited by 9
Brunk, F., Moritz, A., Nelde, A., Bilich, T., Casadei, N., Fraschka, S. A. K., Heitmann, J. S., Hörber, S., Peter, A., Rammensee, H., et al. (2021) · European Journal of Immunology · doi:10.1002/eji.202149290 · Cited by 10
Bliss, C. M., Hulin-Curtis, S. L., Williams, M., Marušková, M., Davies, J. A., Statkute, E., Baker, A. T., Stack, L., Kerstetter, L. J., Kerr-Jones, L. E., et al. (2024) · Molecular Therapy — Methods & Clinical Development · doi:10.1016/j.omtm.2024.101308 · Cited by 9
The Immunogenicity of Coxsackievirus A6 (D3a Sub‐Genotype) Virus‐Like Particle and mRNA Vaccines
Lu, H., Xiao, J., Song, J., Song, Y., Li, H., Ren, H., Li, J., Cong, R., Li, H., Fang, Y., et al. (2025) · Journal of Medical Virology · doi:10.1002/jmv.70201 · Cited by 9
Immunological aspects of coronavirus disease caused by SARS-CoV-2
Вячеславовна, А. Е. (2020) · Genes and Cells · doi:10.23868/202011002 · Cited by 9
Tian, W., Ren, X., Han, M., Zhang, Y., Gao, X., Chen, Z., & Zhang, W. (2022) · International Journal of Immunopathology and Pharmacology · doi:10.1177/03946320221141802 · Cited by 9
Patel, R. S., & Agrawal, B. (2023) · Frontiers in Immunology · doi:10.3389/fimmu.2023.1178523 · Cited by 9
General Characteristics of Adjuvants and Their Mechanism of Action (Part 1)
Александровна, А. Н., Авдеева, Ж. И., Lysikova, S. L., Golovinskaya, O. V., & Александровна, Г. Л. (2020) · Biological Products Prevention Diagnosis Treatment · doi:10.30895/2221-996x-2020-20-4-245-256 · Cited by 12
T-cell proliferation assay for the detection of SARS-CoV-2-specific T-cells
Chu, C., Schönbrunn, A., Elitok, S., Kern, F., Schnatbaum, K., Wenschuh, H., Klemm, K., von Baehr, V., Krämer, B. K., & Hocher, B. (2022) · Clinica Chimica Acta · doi:10.1016/j.cca.2022.05.025 · Cited by 9
“This may be due to the fact that antibody titers usually drop within a few months after infection or vaccination whereas T-cell response appears to be more persistent [29,30].”
Feng, L., Lin, X., Fu, B., Xiong, Y., Zaky, M. Y., & Wu, H. (2023) · Life Sciences · doi:10.1016/j.lfs.2023.121374 · Cited by 12
Immune Response to COVID-19: Can We Benefit from the SARS-CoV and MERS-CoV Pandemic Experience?
Sinderewicz, E., Czelejewska, W., Jezierska‐Woźniak, K., Staszkiewicz‐Chodor, J., & Maksymowicz, W. (2020) · Pathogens · doi:10.3390/pathogens9090739 · Cited by 8
“The T cell responses against the S and N proteins were documented as the most long-term reaction in SARS-CoV-infection [52].”
BackgroundHuman Coronaviruses: Counteracting the Damage by Storm
Schoeman, D., & Fielding, B. C. (2021) · Viruses · doi:10.3390/v13081457 · Cited by 8
Corona Virus: An Immunological Perspective Review
Nimesh, S., Bharat, S., Abhay, M., Neeti, N. D., & Archna, P. (2020) · International Journal of Immunology and Immunotherapy · doi:10.23937/2378-3672/1410050 · Cited by 8
Role of the cellular immunity in the formation of the immune response in coronavirus infections
Ia, I., Omelchenko, N. D., Filippenko, A. V., Trufanova, A. A., & Носков, А. К. (2021) · Medical Immunology (Russia) · doi:10.15789/1563-0625-rot-2302 · Cited by 11
Insights into the immune responses of SARS-CoV-2 in relation to COVID-19 vaccines
Park, H., Park, M. S., Seok, J. H., You, J., Kim, J., Kim, J., & Park, M. (2022) · The Journal of Microbiology · doi:10.1007/s12275-022-1598-x · Cited by 8
“Indeed, generation of SARS-CoV S protein-specific CD8 T-cell memory alone was found to be primarily, although not completely, protective in SARSCoV-challenged mice (Channappanavar et al., 2014); however, this study did not show whether the viral titer reduction in the challenged mice at seven days post-infection was d…”
The Binary Model of Chronic Diseases Applied to COVID-19
Elkoshi, Z. (2021) · Frontiers in Immunology · doi:10.3389/fimmu.2021.716084 · Cited by 8
“The induction of virusspecific CTL in mice conferred substantial protection against lethal dose of SARS-CoV-2 challenge (65).”
BackgroundYazdanparast, S., Bakhtiyaridovvombaygi, M., Mikanik, F., Ahmadi, R., Ghorbani, M., Mansoorian, M. R., Mansoorian, M., Chegni, H., Moshari, J., & Gharehbaghian, A. (2023) · Life Sciences · doi:10.1016/j.lfs.2023.121907 · Cited by 7
Dennehy, K. M., Loell, E., Dhillon, C., Classen, J.-M., Warm, T. D., Schuierer, L., Hyhlik-Dürr, A., Römmele, C., Goßlau, Y., Kling, E., et al. (2021) · Vaccines · doi:10.3390/vaccines9121439 · Cited by 7
Ramos, F. F., Pereira, I. A. G., Cardoso, M. D. M., Bandeira, R. S., Lage, D. P., Scussel, R., Anastacio, R. S., Freire, V. G., Melo, M. F. N., Oliveira‐da‐Silva, J. A., et al. (2023) · Viruses · doi:10.3390/v15091877 · Cited by 8
Nonconserved epitopes dominate reverse preexisting T cell immunity in COVID-19 convalescents
Wang, X., Zhang, J., Liu, M., Guo, Y., Guo, P., Yang, X., Shang, B., Li, M., Tian, J., Zhang, T., et al. (2024) · Signal Transduction and Targeted Therapy · doi:10.1038/s41392-024-01876-3 · Cited by 7
“19 At present, there is no effective therapeutic drugs for seriously harmful HCoVs, and high vigilance should be maintained in preventing and controlling their infection Therefore, it is important to fi nd relatively conserved T cell epitopes for exploring cross-immunity between viruses.”
BackgroundROLE OF TOLL-LIKE RECEPTORS IN CORONAVIRUS INFECTION AND IMMUNE RESPONSE
Iqbal, M. S., Sardar, N., Akmal, W., Sultan, R., Abdullah, H., Qindeel, M., Dhama, K., & Bilal, M. (2020) · Journal of Experimental Biology and Agricultural Sciences · doi:10.18006/2020.8(spl-1-sars-cov-2).s66.s78 · Cited by 7
Immunopathogenesis and perspectives for immunotherapy of coronavirus infection
Симбирцев, А. С. (2021) · HIV Infection and Immunosuppressive Disorders · doi:10.22328/2077-9828-2020-12-4-7-22 · Cited by 7
Thakur, A. (2023) · Life · doi:10.3390/life13030840 · Cited by 7
Antunes, R. D. S., Grifoni, A., Frazier, A., Weiskopf, D., & Sette, A. (2023) · International Immunology · doi:10.1093/intimm/dxad014 · Cited by 8
Georgakilas, G. K., Galanopoulos, A. P., Tsinaris, Z., Kyritsi, M. A., Mouchtouri, V. Α., Speletas, M. G., & Hadjichristodoulou, C. S. (2022) · Biology · doi:10.3390/biology11101531 · Cited by 5
“Furthermore, previous studies associated with other viruses such as Middle East Respiratory Syndrome (MERS) and SARS-CoV-1 indicate that coronavirus-specific T cells appear to have long term persistence [17,18].”
Severe acute respiratory syndrome (SARS)
Beltz, L. A. (2022) · Elsevier eBooks · doi:10.1016/b978-0-323-98809-4.00004-8 · Cited by 7
Custommune: a web tool to design personalized and population-targeted vaccine epitopesPreprint
Tarek, M., ElHefnawi, M., Maricato, J. T., Diaz, R. S., Shytaj, I. L., & Savarino, A. (2020) · medRxiv · doi:10.1101/2020.04.25.20079426 · Cited by 5
“Moreover, the expected population coverage of each of the vaccines designed in the present study is theoretically sufficient to achieve herd immunity based on the estimated reproductive number of SARS-CoV-2 34,65 .”
BackgroundSieling, P. A., Zakin, L., Shin, A., Morimoto, B., Adisetiyo, H., Garbán, H., Liu, P., Rice, A., Taft, J. D., Patel, R. S., et al. (2020) · medRxiv · doi:10.1101/2020.11.04.20225417 · Cited by 7
In Silico T Cell Epitope Identification for SARS-CoV-2: Progress and PerspectivesPreprint
Sohail, M. S., Ahmed, S. F., Quadeer, A. A., & McKay, M. R. (2020) · SSRN Electronic Journal · doi:10.2139/ssrn.3720371 · Cited by 7
Multiscale PHATE Exploration of SARS-CoV-2 Data Reveals Multimodal Signatures of DiseasePreprint
Kuchroo, M. R., Huang, J., Wong, P., Grenier, J., Shung, D. L., Tong, A., Lucas, C. G. D. O., Klein, J., Burkhardt, D. B., Gigante, S., et al. (2020) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2020.11.15.383661 · Cited by 8
“In acute viral infections, CD8+ T lymphocytes play a critical role in the clearance of virus [63].”
BackgroundSARS-CoV-2 virus lacking the envelope and membrane open-reading frames as a vaccine platform
Kuroda, M., Halfmann, P., Uraki, R., Yamayoshi, S., Kim, T., Armbrust, T. A., Spyra, S., Dahn, R., Babujee, L., & Kawaoka, Y. (2025) · Nature Communications · doi:10.1038/s41467-025-59533-4 · Cited by 6
“Virus-reactive CD8 + T cells in the respiratory tract are thought to play an important role in viral clearance 14,42 .”
Sharma, P., Mondal, H., Mondal, S., & Majumder, R. (2021) · Biomedical and Biotechnology Research Journal (BBRJ) · doi:10.4103/bbrj.bbrj_185_21 · Cited by 7
MHC class I links with severe pathogenicity in C57BL/6N mice infected with SARS-CoV-2/BMA8
Qin, T., Shen, B., Li, E., Jin, S., Luo, R., Zhang, Y., Qi, J., Deng, X., Shi, Z., Wang, T., et al. (2023) · Virology Journal · doi:10.1186/s12985-023-02031-0 · Cited by 7
“In the process of virus infection, CD8+ T cell-mediated immune responses are responsible for the clearance of viruses, such as influenza virus [36], respiratory syncytial virus [37] and severe acute respiratory syndrome coronavirus [38], and can even provide protection against secondary infections [39, 40].”
BackgroundYang, J., Kim, E., Lee, J., & Poo, H. (2021) · Vaccines · doi:10.3390/vaccines9060641 · Cited by 6
“Several studies have reported that SARS-CoV-specific CD8 CTLs substantially protected against SARS-CoV infection in mice [25] and were increased in mice that were vaccinated with SARS-CoV S DNA as the vaccine antigen [26].”
BackgroundThe potential of developing a protective peptide‐based vaccines against SARS‐CoV‐2
Shalash, A. O., Tóth, I., & Skwarczyński, M. (2022) · Drug Development Research · doi:10.1002/ddr.21969 · Cited by 6
“Drug Development Research published by Wiley Periodicals LLC. (~103 folds) (Channappanavar et al., 2014).”
BackgroundT cell responses to adenoviral vectors expressing the SARS-CoV-2 nucleoprotein.
Hasanpourghadi, M., Novikov, M., Ambrose, R., Chekaoui, A., Newman, D., Zhou, X., & Ertl, H. C. J. (2021) · PubMed · Cited by 6
Algu, P., Hameed, N., DeAngelis, T. M., Stern, J. N. H., & Harel, A. (2023) · Multiple Sclerosis and Related Disorders · doi:10.1016/j.msard.2023.104965 · Cited by 5
Metadata
- Authors
- Channappanavar, R., Fett, C., Zhao, J., Meyerholz, D. K., & Perlman, S.
- Affiliations
- University of Iowa (US)
- Venue
- Journal of Virology
- Publisher
- American Society for Microbiology
- Published
- 2014-10
- Volume
- 88
- Issue
- 19
- Pages
- 11034-11044
- ISSN
- 0022-538X (ISSN-L)
- 1098-5514
- PMC
- PMC4178831
- OpenAlex
- W2004583429
- Cited by
- 411
- References
- 53
- Citations by year
- 2026: 8 · 2025: 14 · 2024: 14 · 2023: 39 · 2022: 51 · 2021: 117 · 2020: 142 · 2019: 3 · 2018: 6 · 2017: 4 · 2016: 6 · 2015: 3 · 2014: 3
- FWCI
- 3.75
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Virology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (AI060699)
- National Institute of Allergy and Infectious Diseases (AI091322, R01AI091322, AI060699, P01AI060699)
- National Institute of Diabetes and Digestive and Kidney Diseases (P30DK054759)
- Topics
- Health Sciences › Medicine › Infectious Diseases › SARS-CoV-2 and COVID-19 Research
- Life Sciences › Immunology and Microbiology › Immunology › Immune responses and vaccinations
- Life Sciences › Immunology and Microbiology › Immunology › T-cell and B-cell Immunology
- Keywords
- SARS-CoV, memory CD8+ T cells, T cell immunity, immunodominant epitopes, spike protein, prime-boost vaccination, peptide-loaded dendritic cells, vaccinia virus vector, lung viral load, cytokine production, granzyme B
- MeSH terms
- Animals, Antibodies, Viral, Antigens, Viral, Dendritic Cells, Female, Humans, Immunity, Active, Immunity, Cellular, Immunization, Immunologic Memory, Peptides, CD4-Positive T-Lymphocytes, Gene Expression, Survival Analysis, CD8-Positive T-Lymphocytes, Epitopes, T-Lymphocyte, Severe Acute Respiratory Syndrome, Severe acute respiratory syndrome-related coronavirus, Mice, Immunity, Humoral
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