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SARS-CoV-2 responsive T cell numbers are associated with protection from COVID-19: A prospective cohort study in keyworkers
David H Wyllie; Ranya Mulchandani; Hayley E Jones; Sian Taylor-Phillips; Tim Brooks; Andre Charlett; AE Ades; - EDSAB-HOME Investigators; Andrew Makin; Isabel Oliver.
Afiliación
  • David H Wyllie; Public Health England
  • Ranya Mulchandani; Public Health England
  • Hayley E Jones; University of Bristol
  • Sian Taylor-Phillips; University of Warwick
  • Tim Brooks; Public Health England
  • Andre Charlett; Public Health England
  • AE Ades; University of Bristol
  • - EDSAB-HOME Investigators;
  • Andrew Makin; Oxford ImmunoTech
  • Isabel Oliver; Public Health England
Preprint en En | PREPRINT-MEDRXIV | ID: ppmedrxiv-20222778
ABSTRACT
Immune correlates of protection from COVID-19 are incompletely understood. 2,826 keyworkers had T-SPOT(R) Discovery SARS-CoV-2 tests (measuring interferon-{gamma} secreting, SARS-CoV-2 responsive T cells, Oxford Immunotec Ltd), and anti-Spike S1 domain IgG antibody levels (EuroImmun AG) performed on recruitment into a cohort study. 285/2,826 (10.1%) of participants had positive SARS-CoV-2 RT-PCR tests, predominantly associated with symptomatic illness, during 200 days followup. T cell responses to Spike, Nucleoprotein and Matrix proteins (SNM responses) were detected in some participants at recruitment, as were anti-Spike S1 IgG antibodies; higher levels of both were associated with protection from subsequent SARS-CoV-2 test positivity. In volunteers with moderate antibody responses, who represented 39% (252/654) of those with detectable anti-Spike IgG, protection was partial, and higher with higher circulating T cell SNM responses. SARS-CoV-2 responsive T cell numbers predict protection in individuals with low anti-Spike IgG responses; serology alone underestimates the proportion of the population protected after infection.
Licencia
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Texto completo: 1 Colección: 09-preprints Base de datos: PREPRINT-MEDRXIV Tipo de estudio: Cohort_studies / Observational_studies / Prognostic_studies Idioma: En Año: 2020 Tipo del documento: Preprint
Texto completo: 1 Colección: 09-preprints Base de datos: PREPRINT-MEDRXIV Tipo de estudio: Cohort_studies / Observational_studies / Prognostic_studies Idioma: En Año: 2020 Tipo del documento: Preprint