1. Immunological memory to SARS-CoV-2 in convalescent COVID-19 patients at one-year post-infection
- Author
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Hou, Hongyan, Zhang, Yandi, Tang, Guoxing, Luo, Ying, Liu, Wei, Cheng, Chang, Jiang, Yuhuan, Xiong, Zhigang, Wu, Shiji, Sun, Ziyong, Xu, Shabei, Fan, Xionglin, and Wang, Feng
- Subjects
Adult ,Male ,ORF, opening reading frame ,nucleocapsid, Nsp: non-structural protein ,Antibodies, Viral ,immune memory ,SARS-CoV-2, severe acute respiratory syndrome coronavirus 2 ,spike, M ,Article ,SFCs, spot-forming cells ,membrane, N ,nAbs: neutralizing antibodies, RBD ,COI, cut-off index ,NT50, half-maximal neutralizing titre ,Humans ,neutralizing antibodies ,MFI, mean fluorescence intensity ,IQR, median with interquartile range ,Pandemics ,COVID-19, coronavirus disease 2019 ,PBMCs, peripheral blood mononuclear cells ,SARS-CoV-2 ,COVID-19 ,receptor binding domain, S ,Convalescence ,Middle Aged ,Antibodies, Neutralizing ,CD4+ T cell responses ,PHA, phytohaemagglutinin ,FVS, fixable viability stain ,Female ,SD, standard deviation ,Immunologic Memory - Abstract
Background Understanding the complexities of immune memory to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is key to gain insights into the durability of protective immunity against reinfection. Objective To evaluate the immune memory to SARS-CoV-2 in convalescent patients with longer follow-up time. Methods SARS-CoV-2-specific humoral and cellular responses were assessed in convalescent coronavirus disease 2019 (COVID-19) patients at one-year post-infection. Results A total of 78 convalescent COVID-19 patients (26 moderate, 43 severe, and 9 critical) were recruited after one year of recovery. The positive rates of both anti-RBD and anti-N antibodies were 100%, whereas we did not observe a statistical difference in antibody levels among different severity groups. Accordingly, the prevalence of neutralizing antibodies (nAbs) reached 93.59% in convalescent patients. Although nAb titres displayed an increasing trend in convalescent patients with increased severity, the difference failed to achieve statistical significance. Notably, there was a significant correlation between nAb titres and anti-RBD levels. Interestingly, SARS-CoV-2-specific T cells could be robustly maintained in convalescent patients, and the number of them was positively correlated with both nAb titres and anti-RBD levels. Amplified SARS-CoV-2-specific CD4+ T cells mainly produced a single cytokine, accompanying with increased expression of exhaustion markers including PD-1, Tim-3, TIGIT, CTLA-4 and CD39, while the proportion of multifunctional cells was low. Conclusions Robust SARS-CoV-2-specific humoral and cellular responses are maintained in convalescent COVID-19 patients at one-year post-infection. However, the dysfunction of SARS-CoV-2-specific CD4+ T cells supports the notion that vaccination is needed in convalescent patients for preventing reinfection.
- Published
- 2021