SARS-CoV-2 infection induces germinal center responses with robust stimulation of CD4 T follicular helper cells in rhesus macaques

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Abstract

CD4 T follicular helper (T fh ) cells are important for the generation of long-lasting and specific humoral protection against viral infections. The degree to which SARS-CoV-2 infection generates T fh cells and stimulates the germinal center response is an important question as we investigate vaccine options for the current pandemic. Here we report that, following infection with SARS-CoV-2, adult rhesus macaques exhibited transient accumulation of activated, proliferating T fh cells in their peripheral blood on a transitory basis. The CD4 helper cell responses were skewed predominantly toward a T h 1 response in blood, lung, and lymph nodes, reflective of the interferon-rich cytokine environment following infection. We also observed the generation of germinal center T fh cells specific for the SARS-CoV-2 spike (S) and nucleocapsid (N) proteins, and a corresponding early appearance of antiviral serum IgG antibodies but delayed or absent IgA antibodies. Our data suggest that a vaccine promoting Th1-type Tfh responses that target the S protein may lead to protective immunity.

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  1. SciScore for 10.1101/2020.07.07.191007: (What is this?)

    Please note, not all rigor criteria are appropriate for all manuscripts.

    Table 1: Rigor

    Institutional Review Board StatementIACUC: Rhesus Macaques: Eight colony-bred Indian origin rhesus macaques (Macaca mulatta) were housed at the California National Primate Research Center and maintained in accordance with American Association for Accreditation of Laboratory Animal Care guidelines and Animal Welfare Act/Guide.
    Randomizationnot detected.
    Blindingnot detected.
    Power Analysisnot detected.
    Sex as a biological variableSex distribution within experimental groups was as follows; Infected (n=3 females, n=1 male); Infected + Convalescent Plasma (n=2 males); Infected + Normal Plasma (n=2 males).
    Cell Line Authenticationnot detected.

    Table 2: Resources

    Antibodies
    SentencesResources
    Pooled plasma had a nAb titer of 1:1149, binding antibody titers for SARS-CoV-2 antigen were as follows; anti-S1-IgG, 24.5
    anti-S1-IgG
    suggested: None
    Normal plasma was collected prior to the COVID-19 pandemic and was negative for SARS-Cov2 antibody.
    SARS-Cov2
    suggested: None
    BAMA for IgG and IgM antibodies to S1, S2 and N proteins: A customized BAMA was developed to simultaneously measure antibodies to the following recombinant SARS CoV-2 proteins (all from SinoBiologicals, Wayne, PA): S1 (#40591-V08H), S2 extracellular domain (#40590-V08B) and nucleocapsid (N; #40588-V08B).
    IgM
    suggested: None
    S1
    suggested: None
    #40591-V08H
    suggested: None
    #40590-V08B
    suggested: None
    The following humanized (IgG1) monoclonal antibodies were used to estimate concentrations of IgG, IgM, and IgA antibodies in the rhesus serum standard: anti-S1 RBD (Genscript #HC2001), anti-S2 (SinoBiologicals #40590-D001) and anti-NC (Genscript #HC2003).
    IgG1
    suggested: (Sino Biological Cat# 40590-D001, RRID:AB_2857932)
    anti-S1 RBD
    suggested: None
    anti-S2
    suggested: None
    anti-NC
    suggested: None
    Human and rhesus IgG antibodies were both detected in these calibration assays using biotinylated affinity-purified goat anti-human IgG γ chain polyclonal antibody (SBA #2048-08).
    rhesus IgG
    suggested: None
    anti-human IgG
    suggested: (SouthernBiotech Cat# 2048-08, RRID:AB_2795689)
    In subsequent BAMA assays for SARS CoV-2-specific rhesus macaque IgG antibodies, biotinylated mouse anti-monkey IgG γ chain monoclonal antibody (SBA cat#4700-08) was used as the secondary antibody.
    anti-monkey IgG
    suggested: (SouthernBiotech Cat# 4700-08, RRID:AB_2796070)
    IgM antibodies were detected using biotinylated affinity-purified goat anti-human IgM µ chain polyclonal antibody (SBA#2020-08) which cross-reacts well with macaque IgM.
    anti-human IgM
    suggested: (SouthernBiotech Cat# 2020-08, RRID:AB_2795605)
    SBA#2020-08
    suggested: None
    Macaque IgA antibodies were detected with the antibodies described below. IgG, IgM or IgA antibodies had to be increased 3-fold over the day 0 value to be considered significant ELISA for SARS-specific IgA and antibodies to RBD: These assays were done using methods similar to those described (52) and Immulon 4 microtiter plates (VWR, Radnor, PA) coated with 100ng per well of S1, S2, N or RBD protein (SinoBiological #40592-VNAH).
    IgA
    suggested: None
    5) anti-rhesus IgA monoclonal antibodies, which do not cross-react with human IgA and, when combined, appear to recognize all allotypes of rhesus macaque IgA (Kozlowski, personal observation).
    anti-rhesus IgA
    suggested: None
    Experimental Models: Cell Lines
    SentencesResources
    Vero cells (ATCC CCL-81) were used for viral isolation and stock expansion.
    Vero
    suggested: None
    Software and Algorithms
    SentencesResources
    Fluorescence was measured using a BD Biosciences FACSymphony™ with FACSDiva™ version 8.0.1 software.
    FACSDiva™
    suggested: (BD FACSDiva Software, RRID:SCR_001456)
    Compensation, gating and analysis were performed using FlowJo (Version 10)
    FlowJo
    suggested: (FlowJo, RRID:SCR_008520)
    Polyfunctionality plots were generated using SPICE (v 6) (51).
    SPICE
    suggested: (SPICE, RRID:SCR_016603)
    A BioRad Bioplex 200 and BioManager software were used to measure fluorescent intensity and construct standard curves for interpolation of antibody concentrations in test samples.
    BioManager
    suggested: None
    Statistics: Statistical analyses were performed using GraphPad Prism 8.4.2.
    GraphPad Prism
    suggested: (GraphPad Prism, RRID:SCR_002798)

    Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).


    Results from LimitationRecognizer: An explicit section about the limitations of the techniques employed in this study was not found. We encourage authors to address study limitations.

    Results from TrialIdentifier: No clinical trial numbers were referenced.


    Results from Barzooka: We did not find any issues relating to the usage of bar graphs.


    Results from JetFighter: We did not find any issues relating to colormaps.


    Results from rtransparent:
    • Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
    • Thank you for including a funding statement. Authors are encouraged to include this statement when submitting to a journal.
    • No protocol registration statement was detected.

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