RT Journal Article SR Electronic T1 Broad and strong memory CD4+ and CD8+ T cells induced by SARS-CoV-2 in UK convalescent COVID-19 patients JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.06.05.134551 DO 10.1101/2020.06.05.134551 A1 Yanchun Peng A1 Alexander J. Mentzer A1 Guihai Liu A1 Xuan Yao A1 Zixi Yin A1 Danning Dong A1 Wanwisa Dejnirattisai A1 Timothy Rostron A1 Piyada Supasa A1 Chang Liu A1 Cesar Lopez-Camacho A1 Jose Slon-campos A1 Yuguang Zhao A1 Dave Stuart A1 Guido Paeson A1 Jonathan Grimes A1 Fred Antson A1 Oliver W. Bayfield A1 Dorothy EDP. Hawkins A1 De-Sheng Ker A1 Lance Turtle A1 Krishanthi Subramaniam A1 Paul Thomson A1 Ping Zhang A1 Christina Dold A1 Jeremy Ratcliff A1 Peter Simmonds A1 Thushan de Silva A1 Paul Sopp A1 Dannielle Wellington A1 Ushani Rajapaksa A1 Yi-Ling Chen A1 Mariolina Salio A1 Giorgio Napolitani A1 Wayne Paes A1 Persephone Borrow A1 Benedikt Kessler A1 Jeremy W. Fry A1 Nikolai F. Schwabe A1 Malcolm G Semple A1 Kenneth J. Baillie A1 Shona Moore A1 Peter JM Openshaw A1 Azim Ansari A1 Susanna Dunachie A1 Ellie Barnes A1 John Frater A1 Georgina Kerr A1 Philip Goulder A1 Teresa Lockett A1 Robert Levin A1 Oxford Immunology Network Covid-19 Response T cell Consortium A1 Richard J. Cornall A1 Chris Conlon A1 Paul Klenerman A1 Andrew McMichael A1 Gavin Screaton A1 Juthathip Mongkolsapaya A1 Julian C. Knight A1 Graham Ogg A1 Tao Dong YR 2020 UL http://biorxiv.org/content/early/2020/06/08/2020.06.05.134551.abstract AB COVID-19 is an ongoing global crisis in which the development of effective vaccines and therapeutics will depend critically on understanding the natural immunity to the virus, including the role of SARS-CoV-2-specific T cells. We have conducted a study of 42 patients following recovery from COVID-19, including 28 mild and 14 severe cases, comparing their T cell responses to those of 16 control donors. We assessed the immune memory of T cell responses using IFNγ based assays with overlapping peptides spanning SARS-CoV-2 apart from ORF1. We found the breadth, magnitude and frequency of memory T cell responses from COVID-19 were significantly higher in severe compared to mild COVID-19 cases, and this effect was most marked in response to spike, membrane, and ORF3a proteins. Total and spike-specific T cell responses correlated with the anti-Spike, anti-Receptor Binding Domain (RBD) as well as anti-Nucleoprotein (NP) endpoint antibody titre (p<0.001, <0.001 and =0.002). We identified 39 separate peptides containing CD4+ and/or CD8+ epitopes, which strikingly included six immunodominant epitope clusters targeted by T cells in many donors, including 3 clusters in spike (recognised by 29%, 24%, 18% donors), two in the membrane protein (M, 32%, 47%) and one in the nucleoprotein (Np, 35%). CD8+ responses were further defined for their HLA restriction, including B*4001-restricted T cells showing central memory and effector memory phenotype. In mild cases, higher frequencies of multi-cytokine producing M- and NP-specific CD8+ T cells than spike-specific CD8+ T cells were observed. They furthermore showed a higher ratio of SARS-CoV-2-specific CD8+ to CD4+ T cell responses. Immunodominant epitope clusters and peptides containing T cell epitopes identified in this study will provide critical tools to study the role of virus-specific T cells in control and resolution of SARS-CoV-2 infections. The identification of T cell specificity and functionality associated with milder disease, highlights the potential importance of including non-spike proteins within future COVID-19 vaccine design.Competing Interest StatementThe authors have declared no competing interest.