1. Robust SARS-CoV-2 T cell responses with common TCRab motifs toward COVID-19 vaccines in patients with hematological malignancy impacting B cells
- Author
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Nguyen, THO, Rowntree, LC, Allen, LF, Chua, BY, Kedzierski, L, Lim, C, Lasica, M, Tennakoon, GS, Saunders, NR, Crane, M, Chee, L, Seymour, JF, Anderson, MA, Whitechurch, A, Clemens, EB, Zhang, W, Chang, SY, Habel, JR, Jia, X, McQuilten, HA, Minervina, AA, Pogorelyy, MV, Chaurasia, P, Petersen, J, Menon, T, Hensen, L, Neil, JA, Mordant, FL, Tan, H-X, Cabug, AF, Wheatley, AK, Kent, SJ, Subbarao, K, Karapanagiotidis, T, Huang, H, Vo, LK, Cain, NL, Nicholson, S, Krammer, F, Gibney, G, James, F, Trevillyan, JM, Trubiano, JA, Mitchell, J, Christensen, B, Bond, KA, Williamson, DA, Rossjohn, J, Crawford, JC, Thomas, PG, Thursky, KA, Slavin, MA, Tam, CS, Teh, BW, Kedzierska, K, Nguyen, THO, Rowntree, LC, Allen, LF, Chua, BY, Kedzierski, L, Lim, C, Lasica, M, Tennakoon, GS, Saunders, NR, Crane, M, Chee, L, Seymour, JF, Anderson, MA, Whitechurch, A, Clemens, EB, Zhang, W, Chang, SY, Habel, JR, Jia, X, McQuilten, HA, Minervina, AA, Pogorelyy, MV, Chaurasia, P, Petersen, J, Menon, T, Hensen, L, Neil, JA, Mordant, FL, Tan, H-X, Cabug, AF, Wheatley, AK, Kent, SJ, Subbarao, K, Karapanagiotidis, T, Huang, H, Vo, LK, Cain, NL, Nicholson, S, Krammer, F, Gibney, G, James, F, Trevillyan, JM, Trubiano, JA, Mitchell, J, Christensen, B, Bond, KA, Williamson, DA, Rossjohn, J, Crawford, JC, Thomas, PG, Thursky, KA, Slavin, MA, Tam, CS, Teh, BW, and Kedzierska, K
- Abstract
Immunocompromised hematology patients are vulnerable to severe COVID-19 and respond poorly to vaccination. Relative deficits in immunity are, however, unclear, especially after 3 vaccine doses. We evaluated immune responses in hematology patients across three COVID-19 vaccination doses. Seropositivity was low after a first dose of BNT162b2 and ChAdOx1 (∼26%), increased to 59%-75% after a second dose, and increased to 85% after a third dose. While prototypical antibody-secreting cells (ASCs) and T follicular helper (Tfh) cell responses were elicited in healthy participants, hematology patients showed prolonged ASCs and skewed Tfh2/17 responses. Importantly, vaccine-induced expansions of spike-specific and peptide-HLA tetramer-specific CD4+/CD8+ T cells, together with their T cell receptor (TCR) repertoires, were robust in hematology patients, irrespective of B cell numbers, and comparable to healthy participants. Vaccinated patients with breakthrough infections developed higher antibody responses, while T cell responses were comparable to healthy groups. COVID-19 vaccination induces robust T cell immunity in hematology patients of varying diseases and treatments irrespective of B cell numbers and antibody response.
- Published
- 2023