Low-Avidity CD4(+) T Cell Responses to SARS-CoV-2 in Unexposed Individuals and Humans with Severe COVID-19.

Low-Avidity CD4(+) T Cell Responses to SARS-CoV-2 in Unexposed Individuals and Humans with Severe COVID-19.
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DOI:
10.1016/j.immuni.2020.11.016
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发表时间:
2020-12-15
期刊:
影响因子:
32.4
通讯作者:
Scheffold A
Scheffold A
中科院分区:
医学1区
文献类型:
--
作者:
Bacher P;Rosati E;Esser D;Martini GR;Saggau C;Schiminsky E;Dargvainiene J;Schröder I;Wieters I;Khodamoradi Y;Eberhardt F;Vehreschild MJGT;Neb H;Sonntagbauer M;Conrad C;Tran F;Rosenstiel P;Markewitz R;Wandinger KP;Augustin M;Rybniker J;Kochanek M;Leypoldt F;Cornely OA;Koehler P;Franke A;Scheffold A

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在未接触SARS-CoV-2的个体中可以发现对SARS-CoV-2有反应的CD4+T细胞,这些细胞被认为是对普通感冒冠状病毒(CCCoV)感染的反应。在这里,我们利用SARS-CoV-2反应性CD4+T细胞的浓缩来检测这些细胞的抗原亲和力和克隆性,以及CCCoV交叉反应的相对贡献。几乎所有接受检查的未暴露者中都存在SARS-CoV-2反应性CD4+记忆T细胞,表现出低功能亲和力和多种高度可变的交叉反应,这些反应并不局限于CCCoV。来自新冠肺炎患者的反应性CD+T细胞对CCCoV缺乏交叉反应,无论在所有被分析的捐赠者中对CCCoV有强烈的记忆T细胞反应。在重度但不轻微的新冠肺炎中,SARS-CoV-2特异性T细胞显示出低功能亲和力和克隆性,尽管频率增加。我们的发现将低亲和力的CD_4+T细胞反应确定为严重新冠肺炎的特征,并反对CCCoV反应性T细胞在SARS-CoV-2感染中的保护作用。Bacher等人。将T细胞对SARS-CoV-2过度但低亲和力的反应确定为严重但不轻微的新冠肺炎的标志。未暴露的捐赠者对SARS-CoV-2的先前记忆也表现出低亲和力,并包含多种高度可变的交叉反应,这些反应并不局限于普通感冒冠状病毒。
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 coronavirus (CCCoV) 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 analyzed. 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. 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.
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