Abstract
Adaptive Biotechnologies and Microsoft have recently partnered to release ImmuneCode, a database containing SARS-CoV-2 specific T-cell receptors derived through MIRA, a T-cell receptor (TCR) sequencing based sequencing approach to identify antigen-specific TCRs. Herein, we query the extent of cross reactivity between these derived SARS-CoV-2 specific TCRs and other known antigens present in McPas-TCR, a manually curated catalogue of pathology-associated TCRs. We reveal cross reactivity between SARS-CoV-2 specific TCRs and the immunodominant Influenza GILGFVFTL M1 epitope, suggesting the importance of further work in characterizing the implications of prior Influenza exposure or co-exposure to the pathology of SARS-CoV-2 illness.
In December 2019, SARS-CoV-2 or SARS-CoV-2, a novel coronavirus was first reported in Wuhan, China, and was later named a pandemic by the WHO in March 2020. In moderate to severe disease, the immune system is thought to play an important role in clinical presentation and course of illness (Qin et al. 2020; Zheng et al. 2020; Li et al. 2020; Shi et al. 2020). Given the extent of the morbidity and mortality that have been caused by SARS-CoV-2, there have been massive efforts across academia and industry to expedite our knowledge of the disease to develop better therapies and vaccines. In this effort, Adaptive Biotechnologies and Microsoft have partnered together to release ImmuneCode, a database of T-cell receptor sequences with derived specificities to SARS-CoV-2 epitopes through the use of the MIRA assay (Multiplex Identification of T cell Receptor Antigen Specificity) (Klinger et al. 2015). The assay exposes T-cells to antigens that span a significant portion of the viral genome and identifies antigen-specific TCR through the use of Next Generation Sequencing (NGS) TCR sequencing.
In this analysis, we wanted to query whether these SARS-CoV-2 specific TCRs were known to respond to other antigens. To do so, we collected known TCR-epitope pairs from McPas-TCR, a manually curated catalogue of pathology-associated T Cell Receptor Sequences and looked for SARS-CoV-2 specific TCRs within this database and further isolated the SARS-CoV-2 epitopes with cross-reactive TCRs to SARS-CoV-2 and other known antigens (Tickotsky et al. 2017). In our analysis, we reveal that there is notable cross-reactivity to the Influenza derived epitope M1 GILGFVFTL and these cross-reactive TCRs were present in both SARS-CoV-2 exposed and non-exposed individuals.
Results
We first examined the distribution of TCRs within the McPas database over the types of pathogens present in the database and cross-referenced the SARS-CoV-2 specific TCRs into the McPas database (Figure 1A), and we noted that there was a statistically significant enrichment (from 17.3% to 32.9%) of SARS-CoV-2 specific TCRs that had known specificity to the immunodominant M1 GILGFVFTL epitope We then examined the distribution of TCRs within the ImmuneCode database across the various open readings frames (orfs) and mapped the M1 specific TCRs within this database (Figure 1B). We further noted that there was a statistically significant enrichment (from 11.8% to 66.7%) of cross-reactive SARS-CoV-2 specific TCRs within the surface glycoprotein orf. To better characterize the SARS-CoV-2 epitopes these TCRs were responsive to, we visualized the number of unique TCRs per epitope in the ImmuneCode database and noted a high level of specificity to a stretch of overlapping epitopes within the surface glycoprotein orf (Figure 1C). We observed that these 16 highly homologous TCRs (visualized by seqlogo) mapped to a set of overlapping epitopes containing an SNVT motif, suggesting that this repertoire of T-cells is capable of recognizing both the M1 epitope and this SARS-CoV-2-derived epitope. Finally, we found that these cross-reactive TCRs were present in both individuals who were and were not exposed to SARS-CoV-2 (Figure 1D).
Discussion
In this brief analysis, we have identified a set of TCRs with known specificities to both a SARS-CoV-2 and Influenza antigen. The implications of these findings are relevant in understanding the nature of the immune response to SARS-CoV-2 as the clinical course is highly variable with patients presenting anywhere from being asymptomatic to requiring critical care (Goyal et al. 2020). Further insights into the evolution of the immune response could help guide early triage of individuals who are more likely to require more intensive support.
However, there are several limitations of this study. The number of individuals in this study was fairly small with 7 exposed and 5 non-exposed individuals. Given the lack of power in this analysis, it was difficult to assess for any differences in the extent of cross reactivity in exposed vs non-exposed individuals. Differences in cross reactivity may shed light on the role of Influenza specific antigen-experienced T-cells in the control of SARS-CoV-2 infection. Furthermore, given these results, future studies may want to consider comparing the clinical course in Influenza vaccinated vs unvaccinated individuals. Another significant limitation is assessing the certainty of antigen-specificity of a given TCR. Often, specificity of a TCR is determined in a high throughput fashion through methods such as tetramer sorting or T-cell expansion based assays, which can be inherently noisy and non-specific sources of data (Sidhom et al., n.d.). This problem is highlighted in Figure 1A when we compare the distribution of unique TCR sequences in the McPAS-TCR database vs the sampled distribution of SARS-CoV-2 specific TCRs. While there is clear enrichment in the M1 epitope, the NP 177 epitope, while demonstrating a large number of TCRs that are seemingly cross-reactive, the enrichment over the background distribution within McPas-TCR is not significant, suggesting that this may be nonspecific signal within the MIRA assay. In light of these limitations, T-cell recognition assays such as ELISPOT would be needed moving forward to validate these results, and confirm that truly, Influenza specific T-cells are capable also of recognizing SARS-CoV-2 specific epitopes. Finally, while these SARS-CoV-2 epitopes may elicit in-vitro responses, if they are not processed and presented in-vivo, Influenza specific T-cells would likely not have any ability to recognize SARS-CoV-2 infected cells. Thus, further work is required to not only confirm that these Influenza specific T-cells are cross-reactive to these SARS-CoV-2 epitopes but studies are needed to confirm their in-vivo processing and presentation.
In conclusion, while these results are preliminary in a small cohort of individuals, we have identified a set of TCRs that is known to both recognize an immunodominant epitope derived from Influenza and SARS-CoV-2, suggesting that immune control of one infection may play a role in the control of the other. These results justify further study into evolution of the immune response to SARS-CoV-2 in the setting of prior or coexisting Influenza infection.
Data Availability & Code
All data and code used to conduct this analysis are available at https://github.com/sidhomj/COVID19 with included jupyter notebook to reproduce all analyses and figures present in this manuscript.