RT Journal Article SR Electronic T1 Leveraging T-cell receptor – epitope recognition models to disentangle unique and cross-reactive T-cell response to SARS-CoV-2 during COVID-19 progression/resolution JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.09.09.289355 DO 10.1101/2020.09.09.289355 A1 Anna Postovskaya A1 Alexandra Vujkovic A1 Tessa de Block A1 Lida van Petersen A1 Maartje van Frankenhuijsen A1 Isabel Brosius A1 Emmanuel Bottieau A1 Christophe Van Dijck A1 Caroline Theunissen A1 Sabrina H. van Ierssel A1 Erika Vlieghe A1 Esther Bartholomeus A1 Wim Adriaensen A1 Guido Vanham A1 Benson Ogunjimi A1 Kris Laukens A1 Koen Vercauteren A1 Pieter Meysman YR 2023 UL http://biorxiv.org/content/early/2023/01/09/2020.09.09.289355.abstract AB Despite the general agreement on the importance of T cells during SARS-CoV-2 infection, the clinical impact of specific and cross-reactive T-cell responses remains uncertain, while this knowledge may indicate how to adjust vaccines and maintain robust long-term protection against continuously emerging variants. To characterize CD8+ T-cell response to epitopes unique to SARS-CoV-2 (SC-unique) or shared with other coronaviruses (CoV-common), we trained a large number of TCR-epitope recognition models for MHC-I-presented SARS-CoV-2 epitopes from publicly available data. Applying those models to longitudinal COVID-19 TCR repertoires of critical and non-critical COVID-19 patients, we discovered that notwithstanding comparable CD8+ T-cell depletion and the sizes of putative CoV-common CD8+ TCR repertoires in all symptomatic patients at the initial stage of the disease, the temporal dynamics of putative SC2-unique TCRs differed depending on the disease severity. Only non-critical patients had developed large and diverse SC2-unique CD8+ T-cell response by the second week of the disease. Additionally, only this patient group demonstrated redundancy in CD8+ TCRs putatively recognizing unique and common SARS-CoV-2 epitopes. Our findings thus emphasize the role of the de novo CD8+ T-cell response and support the argument against the clinical benefit of pre-existing cross-reactive CD8+ T cells. Now, the analytical framework of this study can not only be employed to track specific and cross-reactive SARS-CoV-2 CD8+ T cells in any TCR repertoire but also be generalized to more epitopes and be employed for adaptive immune response assessment and monitoring to inform public health decisions.Competing Interest StatementPM, KL, BO hold shares of ImmuneWatch BV, an immunoinformatics company.