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Robust T cell immunity in convalescent individuals with asymptomatic or mild COVID-19

Takuya Sekine, View ORCID ProfileAndré Perez-Potti, Olga Rivera-Ballesteros, Kristoffer Strålin, Jean-Baptiste Gorin, Annika Olsson, Sian Llewellyn-Lacey, Habiba Kamal, Gordana Bogdanovic, Sandra Muschiol, David J. Wullimann, View ORCID ProfileTobias Kammann, Johanna Emgård, Tiphaine Parrot, Elin Folkesson, Olav Rooyackers, Lars I. Eriksson, Anders Sönnerborg, Tobias Allander, Jan Albert, View ORCID ProfileMorten Nielsen, Jonas Klingström, Sara Gredmark-Russ, Niklas K. Björkström, View ORCID ProfileJohan K. Sandberg, David A. Price, Hans-Gustaf Ljunggren, Soo Aleman, View ORCID ProfileMarcus Buggert, Karolinska COVID-19 Study Group
doi: https://doi.org/10.1101/2020.06.29.174888
Takuya Sekine
1Center for Infectious Medicine, Department of Medicine Huddinge, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden
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André Perez-Potti
1Center for Infectious Medicine, Department of Medicine Huddinge, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden
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Olga Rivera-Ballesteros
1Center for Infectious Medicine, Department of Medicine Huddinge, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden
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Kristoffer Strålin
2Division of Infectious Diseases, Karolinska University Hospital and Department of Medicine Huddinge, Karolinska Institutet, Stockholm, Sweden
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Jean-Baptiste Gorin
1Center for Infectious Medicine, Department of Medicine Huddinge, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden
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Annika Olsson
2Division of Infectious Diseases, Karolinska University Hospital and Department of Medicine Huddinge, Karolinska Institutet, Stockholm, Sweden
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Sian Llewellyn-Lacey
3Division of Infection and Immunity, Cardiff University School of Medicine, University Hospital of Wales, Cardiff, UK
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Habiba Kamal
2Division of Infectious Diseases, Karolinska University Hospital and Department of Medicine Huddinge, Karolinska Institutet, Stockholm, Sweden
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Gordana Bogdanovic
4Department of Clinical Microbiology, Karolinska University Hospital, Stockholm, Sweden
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Sandra Muschiol
4Department of Clinical Microbiology, Karolinska University Hospital, Stockholm, Sweden
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David J. Wullimann
1Center for Infectious Medicine, Department of Medicine Huddinge, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden
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Tobias Kammann
1Center for Infectious Medicine, Department of Medicine Huddinge, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden
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Johanna Emgård
1Center for Infectious Medicine, Department of Medicine Huddinge, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden
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Tiphaine Parrot
1Center for Infectious Medicine, Department of Medicine Huddinge, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden
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Elin Folkesson
2Division of Infectious Diseases, Karolinska University Hospital and Department of Medicine Huddinge, Karolinska Institutet, Stockholm, Sweden
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Olav Rooyackers
5Department of Clinical Interventions and Technology, Karolinska Institutet, Stockholm, Sweden
6Function Perioperative Medicine and Intensive Care, Karolinska University Hospital, Stockholm, Sweden
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Lars I. Eriksson
6Function Perioperative Medicine and Intensive Care, Karolinska University Hospital, Stockholm, Sweden
7Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden
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Anders Sönnerborg
2Division of Infectious Diseases, Karolinska University Hospital and Department of Medicine Huddinge, Karolinska Institutet, Stockholm, Sweden
8Division of Clinical Microbiology, Department of Laboratory Medicine, Karolinska Institute, Karolinska University Hospital, Stockholm, Sweden
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Tobias Allander
4Department of Clinical Microbiology, Karolinska University Hospital, Stockholm, Sweden
9Department of Microbiology, Tumor and Cell Biology, Karolinska Institutet, Stockholm, Sweden
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Jan Albert
4Department of Clinical Microbiology, Karolinska University Hospital, Stockholm, Sweden
9Department of Microbiology, Tumor and Cell Biology, Karolinska Institutet, Stockholm, Sweden
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Morten Nielsen
10Department of Health Technology, Technical University of Denmark, DK-2800 Lyngby, Denmark
11Instituto de Investigaciones Biotecnológicas, Universidad Nacional de San Martín, San Martín, Argentina
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Jonas Klingström
1Center for Infectious Medicine, Department of Medicine Huddinge, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden
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Sara Gredmark-Russ
1Center for Infectious Medicine, Department of Medicine Huddinge, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden
2Division of Infectious Diseases, Karolinska University Hospital and Department of Medicine Huddinge, Karolinska Institutet, Stockholm, Sweden
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Niklas K. Björkström
1Center for Infectious Medicine, Department of Medicine Huddinge, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden
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Johan K. Sandberg
1Center for Infectious Medicine, Department of Medicine Huddinge, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden
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David A. Price
3Division of Infection and Immunity, Cardiff University School of Medicine, University Hospital of Wales, Cardiff, UK
12Systems Immunity Research Institute, Cardiff University School of Medicine, University Hospital of Wales, Cardiff, UK
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Hans-Gustaf Ljunggren
1Center for Infectious Medicine, Department of Medicine Huddinge, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden
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Soo Aleman
2Division of Infectious Diseases, Karolinska University Hospital and Department of Medicine Huddinge, Karolinska Institutet, Stockholm, Sweden
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Marcus Buggert
1Center for Infectious Medicine, Department of Medicine Huddinge, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden
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  • For correspondence: marcus.buggert@ki.se
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ABSTRACT

SARS-CoV-2-specific memory T cells will likely prove critical for long-term immune protection against COVID-19. We systematically mapped the functional and phenotypic landscape of SARS-CoV-2-specific T cell responses in a large cohort of unexposed individuals as well as exposed family members and individuals with acute or convalescent COVID-19. Acute phase SARS-CoV-2-specific T cells displayed a highly activated cytotoxic phenotype that correlated with various clinical markers of disease severity, whereas convalescent phase SARS-CoV-2-specific T cells were polyfunctional and displayed a stem-like memory phenotype. Importantly, SARS-CoV-2-specific T cells were detectable in antibody-seronegative family members and individuals with a history of asymptomatic or mild COVID-19. Our collective dataset shows that SARS-CoV-2 elicits robust memory T cell responses akin to those observed in the context of successful vaccines, suggesting that natural exposure or infection may prevent recurrent episodes of severe COVID-19 also in seronegative individuals.

Competing Interest Statement

The authors have declared no competing interest.

Footnotes

  • One sentence summary SARS-CoV-2 induces robust memory T cell responses in antibody-seronegative and antibody-seropositive individuals with asymptomatic or mild COVID-19.

Copyright 
The copyright holder for this preprint is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. All rights reserved. No reuse allowed without permission.
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Robust T cell immunity in convalescent individuals with asymptomatic or mild COVID-19
Takuya Sekine, André Perez-Potti, Olga Rivera-Ballesteros, Kristoffer Strålin, Jean-Baptiste Gorin, Annika Olsson, Sian Llewellyn-Lacey, Habiba Kamal, Gordana Bogdanovic, Sandra Muschiol, David J. Wullimann, Tobias Kammann, Johanna Emgård, Tiphaine Parrot, Elin Folkesson, Olav Rooyackers, Lars I. Eriksson, Anders Sönnerborg, Tobias Allander, Jan Albert, Morten Nielsen, Jonas Klingström, Sara Gredmark-Russ, Niklas K. Björkström, Johan K. Sandberg, David A. Price, Hans-Gustaf Ljunggren, Soo Aleman, Marcus Buggert, Karolinska COVID-19 Study Group
bioRxiv 2020.06.29.174888; doi: https://doi.org/10.1101/2020.06.29.174888
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Robust T cell immunity in convalescent individuals with asymptomatic or mild COVID-19
Takuya Sekine, André Perez-Potti, Olga Rivera-Ballesteros, Kristoffer Strålin, Jean-Baptiste Gorin, Annika Olsson, Sian Llewellyn-Lacey, Habiba Kamal, Gordana Bogdanovic, Sandra Muschiol, David J. Wullimann, Tobias Kammann, Johanna Emgård, Tiphaine Parrot, Elin Folkesson, Olav Rooyackers, Lars I. Eriksson, Anders Sönnerborg, Tobias Allander, Jan Albert, Morten Nielsen, Jonas Klingström, Sara Gredmark-Russ, Niklas K. Björkström, Johan K. Sandberg, David A. Price, Hans-Gustaf Ljunggren, Soo Aleman, Marcus Buggert, Karolinska COVID-19 Study Group
bioRxiv 2020.06.29.174888; doi: https://doi.org/10.1101/2020.06.29.174888

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