1. Low-Avidity CD4
- Author
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Carina Saggau, Frank Leypoldt, Claudio Conrad, Ina Schröder, Yascha Khodamoradi, Justina Dargvainiene, Oliver A. Cornely, Petra Bacher, Robert Markewitz, Elisa Rosati, Alexander Scheffold, Daniela Esser, Philip Rosenstiel, Esther Schiminsky, Maria J G T Vehreschild, Klaus Peter Wandinger, Matthias Kochanek, Fabian J. Eberhardt, Holger Neb, Andre Franke, Jan Rybniker, Michael Sonntagbauer, Imke Wieters, Gabriela Rios Martini, Florian Tran, Max Augustin, and Philipp Koehler
- Subjects
0301 basic medicine ,CD4-Positive T-Lymphocytes ,Coronavirus disease 2019 (COVID-19) ,Rhinovirus ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,Immunology ,Receptors, Antigen, T-Cell ,T-Cell Antigen Receptor Specificity ,Biology ,Cross Reactions ,medicine.disease_cause ,Lymphocyte Activation ,Severity of Illness Index ,Article ,03 medical and health sciences ,0302 clinical medicine ,Antigen ,medicine ,Immunology and Allergy ,Humans ,Avidity ,Antigens, Viral ,Cells, Cultured ,Coronavirus ,SARS-CoV-2 ,fungi ,COVID-19 ,Environmental exposure ,Environmental Exposure ,030104 developmental biology ,Infectious Diseases ,030220 oncology & carcinogenesis ,Disease Progression ,Immunologic Memory ,Protein Binding - Abstract
CD4+ T cells reactive against SARS-CoV-2 can be found in unexposed individuals and these are suggested to arise in response to common cold corona viruses (CCCoVs) infection. Here, we utilized SARS-CoV-2-reactive CD4+ T cell enrichment to examine the antigen-avidity and clonality of these cells, as well as the relative contribution of CCCoV cross-reactivity. SARS-CoV-2-reactive CD4+ memory T-cells were present in virtually all unexposed individuals examined, displaying low functional avidity and multiple, highly variable cross-reactivities that were not restricted to CCCoVs. SARS-CoV-2 reactive CD4+ T cells from COVID-19 patients lacked cross-reactivity to CCCoVs, irrespective of strong memory T-cell responses against CCCoV in all donors analysed. In severe but not mild COVID-19, SARS-CoV-2-specific T-cells displayed low functional avidity and clonality, despite increased frequencies. Our findings identify low avidity CD4+T cell responses as a hallmark of severe COVID-19, and argue against a protective role for CCCoV reactive T cells in SARS-CoV-2 infection., Graphical Abstract, Highlights - Low avidity and broad cross-reactivities of pre-existing SARS-CoV-2 memory T cells - Strong CCCoV-specific memory CD4+ T cell responses in all analyzed individuals - SARS-CoV-2-specific CD4+ T cells in COVID-19 patients lack cross-reactivity to CCCoVs - Low avidity and clonality of SARS-CoV-2-specific T cell responses in severe COVID-19, Bacher et al. identify excessive but low avidity T cell responses to SARS-CoV-2 as a hallmark of severe but not mild COVID-19. Pre-existing memory to SARS-CoV-2 in unexposed donors also displayed low avidity and harbored multiple, highly variable cross-reactivities that were not restricted to common cold coronaviruses.
- Published
- 2020