Early induction of SARS-CoV-2 specific T cells associates with rapid viral clearance and mild disease in COVID-19 patients
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Abstract
Virus-specific humoral and cellular immunity act synergistically to protect the host from viral infection. We interrogated the dynamic changes of virological and immunological parameters in 12 patients with symptomatic acute SARS-CoV-2 infection from disease onset to convalescence or death. We quantified SARS-CoV-2 viral RNA in the respiratory tract in parallel with antibodies and circulating T cells specific for various structural (NP, M, ORF3a and spike) and non-structural proteins (ORF7/8, NSP7 and NSP13). We observed that while rapid induction and quantity of humoral responses were associated with increased disease severity, an early induction of SARS-CoV-2 specific T cells was present in patients with mild disease and accelerated viral clearance. These findings provide further support for a protective role of SARS-CoV-2 specific T cells over antibodies during SARS-CoV-2 infection with important implications in vaccine design and immune-monitoring.
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SciScore for 10.1101/2020.10.15.341958: (What is this?)
Please note, not all rigor criteria are appropriate for all manuscripts.
Table 1: Rigor
Institutional Review Board Statement Consent: All participants provided written informed consent. Randomization not detected. Blinding not detected. Power Analysis not detected. Sex as a biological variable Six patients were male, six were female, their median age at time of admission was 52.5 years, ranging from 27 to 78 years. Table 2: Resources
Antibodies Sentences Resources Luminex analysis: SARS-CoV-2 RBD, S1 and N proteins (Genscript) were conjugated onto MagPlex microsphere (Luminex) using xMAP antibody coupling kit (Luminex). xMAPsuggested: NoneSARS-CoV-2 spike and N proteins specific antibodies were detected by pre-incubation of 100-fold diluted serum (in 1% BSA PBS) with conjugated microspheres (1250 … SciScore for 10.1101/2020.10.15.341958: (What is this?)
Please note, not all rigor criteria are appropriate for all manuscripts.
Table 1: Rigor
Institutional Review Board Statement Consent: All participants provided written informed consent. Randomization not detected. Blinding not detected. Power Analysis not detected. Sex as a biological variable Six patients were male, six were female, their median age at time of admission was 52.5 years, ranging from 27 to 78 years. Table 2: Resources
Antibodies Sentences Resources Luminex analysis: SARS-CoV-2 RBD, S1 and N proteins (Genscript) were conjugated onto MagPlex microsphere (Luminex) using xMAP antibody coupling kit (Luminex). xMAPsuggested: NoneSARS-CoV-2 spike and N proteins specific antibodies were detected by pre-incubation of 100-fold diluted serum (in 1% BSA PBS) with conjugated microspheres (1250 beads/antigen) for 1h at room temperature, followed by 1:1000 diluted PE-conjugated anti-human IgG polyclonal antibody (eBioscience) or PE-conjugated anti-human IgM antibody for 1h at room temperature. anti-human IgGsuggested: Noneanti-human IgMsuggested: NoneIFN-γ ELISPOT assay: 15-mer peptides that spanned the entire ORF of genes eight SARS-CoV-2 proteins (NP, M, ORF7, ORF8, ORF3, S, NSP7, NSP13) and antibody responses to two SARS-CoV-2 proteins (NP, S) were synthesised with 10 amino acids overlap and were grouped into pools of approximately 40 peptides (Table S1). NSP7suggested: (Abcam Cat# ab21660, RRID:AB_874019)NSP13suggested: NoneBiotinylated anti-IFN-γ antibody (MabTech) at a 1:2000 dilution in PBS/0.5% FCS was incubated at RT for two hours, followed by six wash steps with PBS and incubation of Streptavidin-AP (MabTech) at a 1:2000 dilution in PBS/0.5% FCS at RT for one hour. anti-IFN-γsuggested: NoneCells were stained with the yellow LIVE/DEAD fixable dead cell stain kit (Invitrogen) and anti-CD3 (clone SK7; 3:50), anti-CD4 (clone SK3; 3:50), and anti-CD8 (clone SK1; 3:50) antibodies.. anti-CD3suggested: Noneanti-CD4suggested: Noneanti-CD8suggested: NoneCells were subsequently fixed and permeabilised using the Cytofix/Cytoperm kit (BD Biosciences-Pharmingen) and stained with anti-IFN-γ (clone 25723, R&D Systems; 1:25) and anti-TNF-α (clone MAb11; 1:25) antibodies and analysed on a BD-LSR II FACS Scan. anti-TNF-αsuggested: NoneSoftware and Algorithms Sentences Resources Study design: Patients (n=12) were enrolled in this study after being admitted to the hospital and confirmed to be infected with SARS-CoV-2 based on a positive SARS-CoV-2 RT-PCR test as part of the PROTECT (National Healthcare Group Domain Specific Review Board reference number 2012/00917) and Novel Pathogens (CIRB ref. National Healthcaresuggested: NoneStatistical analysis: Regression analyses were performed using GraphPad Prism v7 software. GraphPad Prismsuggested: (GraphPad Prism, RRID:SCR_002798)Figures were prepared in Adobe Illustrator Creative Cloud. Adobe Illustratorsuggested: (Adobe Illustrator, RRID:SCR_010279)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.
- No funding statement was detected.
- No protocol registration statement was detected.
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