T cell immune memory after covid-19 and vaccination.

T cell immune memory after covid-19 and vaccination.
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DOI:
10.1136/bmjmed-2022-000468
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发表时间:
2023
期刊:
BMJ medicine
影响因子:
--
通讯作者:
Payne, Rebecca P.
Payne, Rebecca P.
中科院分区:
其他
文献类型:
--
作者:
Wang, Lulu;Nicols, Alex;Turtle, Lance;Richter, Alex;Duncan, Christopher J. A.;Dunachie, Susanna J.;Klenerman, Paul;Payne, Rebecca P.

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T细胞记忆反应是适应性免疫的重要组成部分,负责限制或预防病毒再感染。感染SARS-CoV-2病毒或接种疫苗后的T细胞记忆是广泛的,并且跨越多种病毒蛋白和表位,每个个体中约有20个。到目前为止,T细胞记忆反应是持久的,并提供了高水平的交叉反应性,因此对SARS-CoV-2病毒变体(如omicron变体)的病毒逃逸具有抗性。所有目前测试的疫苗方案产生强大的T细胞记忆应答,异源方案可能会通过增加广度来增强保护性应答。T细胞记忆可能通过快速清除病毒和早期呈递表位,在预防严重的COVID-19疾病方面发挥重要作用,交叉反应性T细胞的存在可能会增强这种保护作用。T细胞记忆可能会提供持续的保护,防止入院和死亡,而泛冠状病毒疫苗的开发可能会在未来证明对新的大流行毒株。
The T cell memory response is a crucial component of adaptive immunity responsible for limiting or preventing viral reinfection. T cell memory after infection with the SARS-CoV-2 virus or vaccination is broad, and spans multiple viral proteins and epitopes, about 20 in each individual. So far the T cell memory response is long lasting and provides a high level of cross reactivity and hence resistance to viral escape by variants of the SARS-CoV-2 virus, such as the omicron variant. All current vaccine regimens tested produce robust T cell memory responses, and heterologous regimens will probably enhance protective responses through increased breadth. T cell memory could have a major role in protecting against severe covid-19 disease through rapid viral clearance and early presentation of epitopes, and the presence of cross reactive T cells might enhance this protection. T cell memory is likely to provide ongoing protection against admission to hospital and death, and the development of a pan-coronovirus vaccine might future proof against new pandemic strains.
既往 SARS-CoV-2 感染和混合免疫对 omicron 变异和严重疾病的保护有效性:系统评价和荟萃回归。
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