Eser, T.M.* ; Baranov, O.* ; Huth, M. ; Ahmed, M.I.M.* ; Deák, F.* ; Held, K.* ; Lin, L.* ; Pekayvaz, K.* ; Leunig, A.* ; Nicolai, L.* ; Pollakis, G.* ; Buggert, M.* ; Price, D.A.* ; Rubio-Acero, R.* ; Reich, J.* ; Falk, P.* ; Markgraf, A.* ; Puchinger, K.* ; Castelletti, N.* ; Olbrich, L.* ; Vanshylla, K.* ; Klein, F.* ; Wieser, A.* ; Hasenauer, J. ; Kroidl, I.* ; Hoelscher, M.* ; Geldmacher, C.*
Nucleocapsid-specific T cell responses associate with control of SARS-CoV-2 in the upper airways before seroconversion.
Nat. Commun. 14:2952 (2023)
Despite intensive research since the emergence of SARS-CoV-2, it has remained unclear precisely which components of the early immune response protect against the development of severe COVID-19. Here, we perform a comprehensive immunogenetic and virologic analysis of nasopharyngeal and peripheral blood samples obtained during the acute phase of infection with SARS-CoV-2. We find that soluble and transcriptional markers of systemic inflammation peak during the first week after symptom onset and correlate directly with upper airways viral loads (UA-VLs), whereas the contemporaneous frequencies of circulating viral nucleocapsid (NC)-specific CD4+ and CD8+ T cells correlate inversely with various inflammatory markers and UA-VLs. In addition, we show that high frequencies of activated CD4+ and CD8+ T cells are present in acutely infected nasopharyngeal tissue, many of which express genes encoding various effector molecules, such as cytotoxic proteins and IFN-γ. The presence of IFNG mRNA-expressing CD4+ and CD8+ T cells in the infected epithelium is further linked with common patterns of gene expression among virus-susceptible target cells and better local control of SARS-CoV-2. Collectively, these results identify an immune correlate of protection against SARS-CoV-2, which could inform the development of more effective vaccines to combat the acute and chronic illnesses attributable to COVID-19.
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Publication type
Article: Journal article
Document type
Scientific Article
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Keywords
Virus; Infection; Proteins; Immunity; Hiv
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Language
english
Publication Year
2023
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0
HGF-reported in Year
2023
ISSN (print) / ISBN
2041-1723
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2041-1723
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Volume: 14,
Issue: 1,
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Article Number: 2952
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Nature Publishing Group
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London
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Peer reviewed
POF-Topic(s)
30205 - Bioengineering and Digital Health
Research field(s)
Enabling and Novel Technologies
PSP Element(s)
G-503800-010
G-553800-001
Grants
National Institutes of Health Research (NIHR)
National Institute for Health Research
Ministry for Education and Research
Deutsche Forschungsgemeinschaft
Bavarian State Ministry of Science and the Arts
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Erfassungsdatum
2023-10-06