Abstract:Understanding the hallmarks of the immune response to SARS-CoV-2 is critical for fighting the COVID-19 pandemic. We assessed antibody and T cell reactivity in convalescent COVID-19 patients and healthy donors sampled both prior to and during the pandemic. Healthy donors examined during the pandemic exhibited increased numbers of SARS-CoV-2-specific T cells, but no humoral response. Their probable exposure to the virus resulted in either asymptomatic infection without antibody secretion, or activation of pre-ex… Show more
“…This data has started to emerge from immunological assays that analyze immune responses in COVID-19 patients. As of 8 September 2020, we found eight experimental studies [ 8 , 9 , 115 , [176] , [177] , [178] , [179] , [180] ], reviewed in [ 181 ], as well as an additional study [ 182 ], that reported positive T cell immune responses from blood samples of convalescent COVID-19 patients against epitopes derived from SARS-CoV-2 proteins. Compiling data from these nine studies yielded a total of 324 (unique) epitopes.…”
Section: Correspondence Between Predicted and Experimentally-determinmentioning
confidence: 99%
“…Of these, some studies obtained a set of peptides to synthesize using one or more of the in silico epitope prediction methods, which were then used to stimulate the PBMCs. Three such studies [ 8 , 9 , 180 ] used NetMHCpan-4.0, two studies [ 177 , 182 ] used NetMHC4.0, while one study [ 115 ] used HLAThena and NeonMHC2 to select the set of peptides to synthesize. Two of these studies [ 8 , 182 ] also investigated a few epitopes that were predicted in [ 20 , 22 ] using SARS-CoV immunological data.…”
Section: Correspondence Between Predicted and Experimentally-determinmentioning
confidence: 99%
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Section: Correspondence Between Predicted and Experimentally-determinmentioning
“…Immunodominant SARS-CoV-2 antigen specificities have been identified with unprecedented speed for an emerging pathogen, and phenotypic characterization of antigen-reactive T cells has quickly been performed by a plethora of studies 6,7,16,[8][9][10][11][12][13][14][15] . While there is general agreement that SARS-CoV-2-reactive T cells are activated and differentiate during the course of the immune response, the extents of activation and differentiation are controversial 4,5 .…”
The in vivo phenotypic profile of T cells reactive to severe acute respiratory syndrome (SARS)-CoV-2 antigens remains poorly understood. Conventional methods to detect antigen-reactive T cells require in vitro antigenic re-stimulation or highly individualized peptide-human leukocyte antigen (pHLA) multimers. Here, we used single-cell RNA sequencing to identify and profile SARS-CoV-2-reactive T cells from Coronavirus Disease 2019 (COVID-19) patients. To do so, we induced transcriptional shifts by antigenic stimulation in vitro and took advantage of natural T cell receptor (TCR) sequences of clonally expanded T cells as barcodes for ‘reverse phenotyping’. This allowed identification of SARS-CoV-2-reactive TCRs and revealed phenotypic effects introduced by antigen-specific stimulation. We characterized transcriptional signatures of currently and previously activated SARS-CoV-2-reactive T cells, and showed correspondence with phenotypes of T cells from the respiratory tract of patients with severe disease in the presence or absence of virus in independent cohorts. Reverse phenotyping is a powerful tool to provide an integrated insight into cellular states of SARS-CoV-2-reactive T cells across tissues and activation states.
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