The emergence of SARS-CoV-2 variants harboring mutations in the spike (S) protein has raised concern about potential immune escape. Here, we studied humoral and cellular immune responses to wild type SARS-CoV-2 and the B.1.1.7 and B.1.351 variants of concern in a cohort of 121 BNT162b2 mRNA-vaccinated health care workers (HCW). Twenty-three HCW recovered from mild COVID-19 disease and exhibited a recall response with high levels of SARS-CoV-2-specific functional antibodies and virus-specific T cells after a single vaccination. Specific immune responses were also detected in seronegative HCW after one vaccination, but a second dose was required to reach high levels of functional antibodies and cellular immune responses in all individuals. Vaccination-induced antibodies cross-neutralized the variants B.1.1.7 and B.1.351, but the neutralizing capacity and Fc-mediated functionality against B.1.351 was consistently 2- to 4-fold lower than to the homologous virus. In addition, peripheral blood mononuclear cells were stimulated with peptide pools spanning the mutated S regions of B.1.1.7 and B.1.351 to detect cross-reactivity of SARS-CoV-2-specific T cells with variants. Importantly, we observed no differences in CD4+ T-cell activation in response to variant antigens, indicating that the B.1.1.7 and B.1.351 S proteins do not escape T-cell-mediated immunity elicited by the wild type S protein. In conclusion, this study shows that some variants can partially escape humoral immunity induced by SARS-CoV-2 infection or BNT162b2 vaccination, but S-specific CD4+ T-cell activation is not affected by the mutations in the B.1.1.7 and B.1.351 variants.

MHC class I molecules usually present peptides derived from endogenous antigens that are bound in the endoplasmic reticulum. Loading of exogenous antigens on class I molecules, e.g., in cross-priming, sometimes occurs, but the intracellular location where interaction between the antigenic fragment and class I takes place is unclear. Here we show that measles virus F protein can be presented by class I in transporters associated with antigen processing-independent, NH 4 Clsensitive manner, suggesting that class I molecules are able to interact and bind antigen in acidic compartments, like class II molecules. Studies on intracellular transport of green fluorescent protein-tagged class I molecules in living cells confirmed that a small fraction of class I molecules indeed enters classical MHC class II compartments (MIICs) and is transported in MIICs back to the plasma membrane. Fractionation studies show that class I complexes in MIICs contain peptides. The pH in MIIC (around 5.0) is such that efficient peptide exchange can occur. We thus present evidence for a pathway for class I loading that is shared with class II molecules.MHC molecules display antigenic peptides on the cell surface for surveillance by T lymphocytes. MHC class I molecules present peptides to CD8 ϩ cytotoxic T cells, whereas MHC class II molecules present peptides to CD4 ϩ Th cells. The current dogma is that antigens from the extracellular fluid enter the exogenous processing pathway by endocytosis and are partially degraded in acidic endosomal or lysosomal structures to yield peptides that bind MHC class II molecules. This type of processing is inhibited by reagents that prevent endosomal acidification (chloroquine, NH 4 Cl) (1). In the endogenous processing pathway intracellular proteins are degraded in the cytosol by the proteasome complex, generating peptides that are transported from the cytoplasm into the lumen of the endoplasmic reticulum (ER) by the transporters associated with antigen processing (TAP), where they bind to nascent MHC class I heavy chain-␤ 2 -microglobulin (␤ 2 m) heterodimers. Fully assembled class I͞peptide complexes exit the ER and are transported through the Golgi to the cell surface by the constitutive secretory route. This processing pathway can be blocked by proteasome inhibitors or Brefeldin A (BFA), an inhibitor of anterograde ER-Golgi transport, but not by lysosomotropic agents. Thus, in general endogenous antigens are presented by MHC class I molecules, and exogenous antigens are displayed at the cell surface by MHC class II molecules. However accumulating evidence has shown that this dichotomy in presentation of antigen from endogenous and exogenous origin is not absolute. It was demonstrated that cytotoxic T lymphocyte (CTL) responses can be primed in vitro and in vivo with exogenous antigen (reviewed in refs. 2 and 3). At least two fundamentally different pathways for presentation of exogenous antigens by MHC class I molecules in vitro have been described: one involving access of exogenous antigen to...

Background The COVID-19 pandemic necessitates a better understanding of the kinetics of antibody production induced by infection with SARS-CoV-2. We aimed to develop a high throughput multiplex assay to detect antibodies to SARS-CoV-2 to assess immunity to the virus in the general population. Methods Spike protein subunits S1 and RBD, and Nucleoprotein were coupled to distinct microspheres. Sera collected before the emergence of SARS-CoV-2 (N=224), and of non-SARS-CoV-2 influenza-like illness (N=184), and laboratory-confirmed cases of SARS-CoV-2 infection (N=115) with various severity of COVID-19 were tested for SARS-CoV-2-specific concentrations of IgG. Results Our assay discriminated SARS-CoV-2-induced antibodies and those induced by other viruses. The assay obtained a specificity between 95.1 and 99.0% with a sensitivity ranging from 83.6-95.7%. By merging the test results for all 3 antigens a specificity of 100% was achieved with a sensitivity of at least 90%. Hospitalized COVID-19 patients developed higher IgG concentrations and the rate of IgG production increased faster compared to non-hospitalized cases. Conclusions The bead-based serological assay for quantitation of SARS-CoV-2-specific antibodies proved to be robust and can be conducted in many laboratories. Finally, we demonstrated that testing of antibodies against different antigens increases sensitivity and specificity compared to single antigen-specific IgG determination.

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