Cross-reactive memory T cells associate with protection against SARS-CoV-2 infection in COVID-19 contacts

Rhia Kundu, Janakan Sam Narean, Lulu Wang, Joseph Fenn, Timesh Pillay, Nieves Derqui Fernandez, Emily Conibear, Aleksandra Koycheva, Megan Davies, Mica Tolosa-Wright, Seran Hakki, Robert Varro, Eimear McDermott, Sarah Hammett, Jessica Cutajar, Ryan S Thwaites, Eleanor Parker, Carolina Rosadas, Myra McClure, Richard TedderGraham P Taylor, Jake Dunning, Ajit Lalvani

Research output: Contribution to journalArticlepeer-review

202 Citations (Scopus)

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.

Original languageEnglish
Article number80
Pages (from-to)80
JournalNature Communications
Volume13
Issue number1
DOIs
Publication statusPublished - 10 Jan 2022

Keywords

  • Adult
  • Antibodies, Viral/immunology
  • COVID-19/epidemiology
  • Contact Tracing/methods
  • Coronavirus/immunology
  • Cross Reactions/immunology
  • Epitopes, T-Lymphocyte/immunology
  • Female
  • Humans
  • Male
  • Memory T Cells/immunology
  • Middle Aged
  • Pandemics/prevention & control
  • SARS-CoV-2/genetics
  • Spike Glycoprotein, Coronavirus/genetics
  • Viral Proteins/genetics
  • Young Adult

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