TY - JOUR
T1 - Cross-reactive memory T cells associate with protection against SARS-CoV-2 infection in COVID-19 contacts
AU - Kundu, Rhia
AU - Narean, Janakan Sam
AU - Wang, Lulu
AU - Fenn, Joseph
AU - Pillay, Timesh
AU - Fernandez, Nieves Derqui
AU - Conibear, Emily
AU - Koycheva, Aleksandra
AU - Davies, Megan
AU - Tolosa-Wright, Mica
AU - Hakki, Seran
AU - Varro, Robert
AU - McDermott, Eimear
AU - Hammett, Sarah
AU - Cutajar, Jessica
AU - Thwaites, Ryan S
AU - Parker, Eleanor
AU - Rosadas, Carolina
AU - McClure, Myra
AU - Tedder, Richard
AU - Taylor, Graham P
AU - Dunning, Jake
AU - Lalvani, Ajit
N1 - Funding Information:
We would like to thank all our participants for letting us into their homes during difficult times to contribute to this research. We would also like to acknowledge PHE data scientists for their assistance with identifying potential participants, and the team at base station for providing essential support to the research nurses. We thank Prof Peter Beverley, Dr Elma Tchilian, Prof Charles Bangham, and Dr John Tregoning for their feedback on the manuscript. This study is supported by the National Institute for Health Research (NIHR), Grant number NIHR 200927 (A.L.) and the Medical Research Council, grant number MR/R021643/1 (A.L.). The views expressed are those of the author(s) and not necessarily those of the NIHR, the Department of Health and Social Care or the Medical Research Council. This work was also supported by the Imperial COVID Fund (R.K.).
Publisher Copyright:
© 2022, The Author(s).
PY - 2022/1/10
Y1 - 2022/1/10
N2 - 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.
AB - 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.
KW - Adult
KW - Antibodies, Viral/immunology
KW - COVID-19/epidemiology
KW - Contact Tracing/methods
KW - Coronavirus/immunology
KW - Cross Reactions/immunology
KW - Epitopes, T-Lymphocyte/immunology
KW - Female
KW - Humans
KW - Male
KW - Memory T Cells/immunology
KW - Middle Aged
KW - Pandemics/prevention & control
KW - SARS-CoV-2/genetics
KW - Spike Glycoprotein, Coronavirus/genetics
KW - Viral Proteins/genetics
KW - Young Adult
UR - http://www.scopus.com/inward/record.url?scp=85122848519&partnerID=8YFLogxK
U2 - 10.1038/s41467-021-27674-x
DO - 10.1038/s41467-021-27674-x
M3 - Article
C2 - 35013199
SN - 2041-1723
VL - 13
SP - 80
JO - Nature Communications
JF - Nature Communications
IS - 1
M1 - 80
ER -