Broad and strong memory CD4+ and CD8+ T cells induced by SARS-CoV-2 in UK convalescent individuals following COVID-19

  • Nat Immunol. 2020 Nov;21(11):1336-1345. doi: 10.1038/s41590-020-0782-6.
Yanchun Peng  #  1  2 Alexander J Mentzer  #  3  4  5 Guihai Liu  #  2  4  6 Xuan Yao  #  1  2  4 Zixi Yin  #  1  2 Danning Dong  #  2  4  7 Wanwisa Dejnirattisai  #  4 Timothy Rostron  8 Piyada Supasa  4 Chang Liu  2  4 César López-Camacho  3  4 Jose Slon-Campos  4 Yuguang Zhao  4 David I Stuart  2  3  4  9 Guido C Paesen  3 Jonathan M Grimes  3  4  9 Alfred A Antson  10 Oliver W Bayfield  10 Dorothy E D P Hawkins  10 De-Sheng Ker  10 Beibei Wang  2  4 Lance Turtle  11  12 Krishanthi Subramaniam  12 Paul Thomson  12 Ping Zhang  4 Christina Dold  13  14 Jeremy Ratcliff  4 Peter Simmonds  4 Thushan de Silva  15 Paul Sopp  8 Dannielle Wellington  1  2 Ushani Rajapaksa  2  4 Yi-Ling Chen  1 Mariolina Salio  1 Giorgio Napolitani  1 Wayne Paes  4 Persephone Borrow  4 Benedikt M Kessler  2  4 Jeremy W Fry  16 Nikolai F Schwabe  16 Malcolm G Semple  12  17 J Kenneth Baillie  18 Shona C Moore  12 Peter J M Openshaw  19 M Azim Ansari  4 Susanna Dunachie  4  5 Eleanor Barnes  4  5  20 John Frater  4  5 Georgina Kerr  4 Philip Goulder  4  5 Teresa Lockett  5 Robert Levin  21 Yonghong Zhang  2  6 Ronghua Jing  6 Ling-Pei Ho  1  2  4  20 Oxford Immunology Network Covid-19 Response T cell Consortium ISARIC4C Investigators Richard J Cornall  1  4  5 Christopher P Conlon  2  4  5 Paul Klenerman  4  5  20 Gavin R Screaton  4  5  20 Juthathip Mongkolsapaya  2  4  20  22 Andrew McMichael  2  4 Julian C Knight  2  3  4  5 Graham Ogg  1  2  5  20 Tao Dong  23  24  25
Affiliations
  • 1. MRC Human Immunology Unit, MRC Weatherall Institute of Molecular Medicine, Radcliffe Department of Medicine, University of Oxford, Oxford, UK.
  • 2. Chinese Academy of Medical Sciences (CAMS) Oxford Institute (COI), University of Oxford, Oxford, UK.
  • 3. Wellcome Centre for Human Genetics, University of Oxford, Oxford, UK.
  • 4. Nuffield Department of Medicine, University of Oxford, Oxford, UK.
  • 5. Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
  • 6. Beijing You'an Hospital, Capital Medical University, Beijing, China.
  • 7. CAMS Key Laboratory of Tumor Immunology and Radiation Therapy, Xinjiang Tumor Hospital, Xinjiang Medical University, Xinjiang, China.
  • 8. Sequencing and Flow Cytometry Facility, Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK.
  • 9. Diamond Light Source, Didcot, UK.
  • 10. York Structural Biology Laboratory, Department of Chemistry, University of York, York, UK.
  • 11. Tropical and Infectious Diseases Unit, Liverpool University Hospitals NHS Foundation Trust, Liverpool, UK.
  • 12. NIHR Health Protection Research Unit in Emerging and Zoonotic Infections, Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, UK.
  • 13. Oxford Vaccine Group, Department of Paediatrics, University of Oxford, Oxford, UK.
  • 14. NIHR Oxford Biomedical Research Centre, Centre for Clinical Vaccinology and Tropical Medicine, University of Oxford, Oxford, UK.
  • 15. The Florey Institute for Host-Pathogen Interactions, Department of Infection, Immunity and Cardiovascular Disease, University of Sheffield, Sheffield, UK.
  • 16. ProImmune, Oxford, UK.
  • 17. Respiratory Medicine, Institute in The Park, Alder Hey Children's Hospital, Liverpool, UK.
  • 18. Anaesthesia, Critical Care and Pain Medicine Division of Health Sciences, University of Edinburgh, Edinburgh, UK.
  • 19. National Heart and Lung Institute, Faculty of Medicine, Imperial College London, London, UK.
  • 20. NIHR Oxford Biomedical Research Centre, Oxford, UK.
  • 21. Worthing Hospital, Worthing, UK.
  • 22. Dengue Hemorrhagic Fever Research Unit, Office for Research and Development, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
  • 23. MRC Human Immunology Unit, MRC Weatherall Institute of Molecular Medicine, Radcliffe Department of Medicine, University of Oxford, Oxford, UK. [email protected].
  • 24. Chinese Academy of Medical Sciences (CAMS) Oxford Institute (COI), University of Oxford, Oxford, UK. [email protected].
  • 25. Nuffield Department of Medicine, University of Oxford, Oxford, UK. [email protected].
  • # Contributed equally.
Abstract

The development of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccines and therapeutics will depend on understanding viral immunity. We studied T cell memory in 42 patients following recovery from COVID-19 (28 with mild disease and 14 with severe disease) and 16 unexposed donors, using interferon-γ-based assays with Peptides spanning SARS-CoV-2 except ORF1. The breadth and magnitude of T cell responses were significantly higher in severe as compared with mild cases. Total and spike-specific T cell responses correlated with spike-specific antibody responses. We identified 41 Peptides containing CD4+ and/or CD8+ epitopes, including six immunodominant regions. Six optimized CD8+ epitopes were defined, with peptide-MHC pentamer-positive cells displaying the central and effector memory phenotype. In mild cases, higher proportions of SARS-CoV-2-specific CD8+ T cells were observed. The identification of T cell responses associated with milder disease will support an understanding of protective immunity and highlights the potential of including non-spike proteins within future COVID-19 vaccine design.