1. Correlates of Protection Against SARS-CoV-2 in Rhesus Macaques
- Author
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Lisa H. Tostanoski, Alex Van Ry, Alex Lee Zhu, Elyse Teow, Abishek Chandrashekar, Shivani A. Patel, Jinyan Liu, Lauren Peter, Anthony L. Cook, Jake Yalley-Ogunro, Galit Alter, Dan H. Barouch, Mark G. Lewis, Carolin Loos, Gabriel Dagotto, Jingyou Yu, Makda S. Gebre, Mehtap Cabus, Felix Nampanya, Zhenfeng Li, Renita Brown, Douglas A. Lauffenburger, Catherine Jacob-Dolan, Esther A. Bondzie, Kelvin Blade, Laurent Pessaint, Noe B. Mercado, Hanne Andersen, Katherine McMahan, and Caroline Atyeo
- Subjects
0301 basic medicine ,Male ,Adoptive cell transfer ,Cellular immunity ,viruses ,Context (language use) ,CD8-Positive T-Lymphocytes ,Article ,03 medical and health sciences ,0302 clinical medicine ,Immune system ,Immunity ,Medicine ,Animals ,030212 general & internal medicine ,skin and connective tissue diseases ,COVID-19 Serotherapy ,Multidisciplinary ,Innate immune system ,biology ,business.industry ,SARS-CoV-2 ,fungi ,Immunization, Passive ,virus diseases ,COVID-19 ,biochemical phenomena, metabolism, and nutrition ,Viral Load ,Adoptive Transfer ,Macaca mulatta ,body regions ,Disease Models, Animal ,030104 developmental biology ,Immunization ,Immunoglobulin G ,Immunology ,biology.protein ,Regression Analysis ,Female ,Antibody ,business - Abstract
Recent studies have reported the protective efficacy of both natural1 and vaccine-induced2–7 immunity against challenge with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in rhesus macaques. However, the importance of humoral and cellular immunity for protection against infection with SARS-CoV-2 remains to be determined. Here we show that the adoptive transfer of purified IgG from convalescent rhesus macaques (Macaca mulatta) protects naive recipient macaques against challenge with SARS-CoV-2 in a dose-dependent fashion. Depletion of CD8+ T cells in convalescent macaques partially abrogated the protective efficacy of natural immunity against rechallenge with SARS-CoV-2, which suggests a role for cellular immunity in the context of waning or subprotective antibody titres. These data demonstrate that relatively low antibody titres are sufficient for protection against SARS-CoV-2 in rhesus macaques, and that cellular immune responses may contribute to protection if antibody responses are suboptimal. We also show that higher antibody titres are required for treatment of SARS-CoV-2 infection in macaques. These findings have implications for the development of SARS-CoV-2 vaccines and immune-based therapeutic agents. Adoptive transfer of purified IgG from convalescent macaques protects naive macaques against SARS-CoV-2 infection, and cellular immune responses contribute to protection against rechallenge with SARS-CoV-2.
- Published
- 2020