RT Journal Article SR Electronic T1 Robust and Functional Immunity up to 9 months after SARS-CoV-2 infection: a Southeast Asian longitudinal cohort JF bioRxiv FD Cold Spring Harbor Laboratory SP 2021.08.12.455901 DO 10.1101/2021.08.12.455901 A1 Vo Hoa Thi My A1 Maestri Alvino A1 Auerswald Heidi A1 Sorn Sopheak A1 Lay Sokchea A1 Heng Seng A1 Sann Sotheary A1 Ya Nisa A1 Pean Polidy A1 Dussart Philippe A1 Schwartz Olivier A1 Ly Sovann A1 Bruel Timothee A1 Ly Sowath A1 Duong Veasna A1 Karlsson Erik A A1 Cantaert Tineke YR 2021 UL http://biorxiv.org/content/early/2021/08/12/2021.08.12.455901.abstract AB Assessing the duration of humoral and cellular immunity remains key to overcome the current SARS-CoV-2 pandemic, especially in understudied populations in least developed countries. Sixty-four Cambodian individuals with laboratory-confirmed infection with asymptomatic or mild/moderate clinical presentation were evaluated for humoral immune response to the viral spike protein and antibody effector functions during acute phase of infection and at 6-9 months follow-up. Antigen-specific B cells, CD4+ and CD8+ T cells were characterized, and T cells were interrogated for functionality at late convalescence. Anti-spike (S) antibody titers decreased over time, but effector functions mediated by S-specific antibodies remained stable. S- and nucleocapsid (N)-specific B cells could be detected in late convalescence in the activated memory B cell compartment and are mostly IgG+. CD4+ and CD8+ T cell immunity was maintained to S and membrane (M) protein. Asymptomatic infection resulted in decreased ADCC and frequency of SARS-CoV-2-specific CD4+ T cells at late convalescence. Whereas anti-S antibodies correlated with S-specific B cells, there was no correlation between T cell response and humoral immunity. Hence, all aspects of a protective immune response are maintained up to nine months after SARS-CoV-2 infection in the absence of re-infection.One sentence summary Functional immune memory to SARS-CoV-2, consisting of polyfunctional antibodies, memory B cells and memory T cells are maintained up to nine months in a South-East Asian cohort in the absence of re-infection.Competing Interest StatementThe authors have declared no competing interest.