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Braun, J., Loyal, L., Frentsch, M., Wendisch, D., Georg, P., & Kurth, F., et al. (2020). SARS-CoV-2-reactive T cells in healthy donors and patients with COVID-19. Nature, 1–5. 
Added by: Dr. Enrique Feoli (17/10/2020, 19:11)   Last edited by: Dr. Enrique Feoli (17/10/2020, 19:11)
Resource type: Journal Article
DOI: 10.1038/s41586-020-2598-9
ID no. (ISBN etc.): 1476-4687
BibTeX citation key: Braun2020
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Categories: BioAcyl Corp
Subcategories: Cross immunity
Creators: Baysal, Beyer, Braun, Corman, Demuth, Dingeldey, Drosten, Fauchere, Frentsch, Georg, Giesecke-Thiel, Henze, Hippenstiel, Hocke, Kern, Kruse, Kurth, Lauster, Loyal, Mall, Mangold, Miltenyi, Müller, Reimer, Röhmel, Sander, Schmitz, Suttorp, Thiel, Voigt, Wendisch, Wenschuh, Witzenrath
Collection: Nature
Views: 1/324
Abstract
{Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has caused the rapidly unfolding coronavirus disease 2019 (COVID-19) pandemic1,2. Clinical manifestations of COVID-19 vary, ranging from asymptomatic infection to respiratory failure. The mechanisms that determine such variable outcomes remain unresolved. Here we investigated CD4+ T cells that are reactive against the spike glycoprotein of SARS-CoV-2 in the peripheral blood of patients with COVID-19 and SARS-CoV-2-unexposed healthy donors. We detected spike-reactive CD4+ T cells not only in 83% of patients with COVID-19 but also in 35% of healthy donors. Spike-reactive CD4+ T cells in healthy donors were primarily active against C-terminal epitopes in the spike protein, which show a higher homology to spike glycoproteins of human endemic coronaviruses, compared with N-terminal epitopes. Spike-protein-reactive T cell lines generated from SARS-CoV-2-naive healthy donors responded similarly to the C-terminal region of the spike proteins of the human endemic coronaviruses 229E and OC43, as well as that of SARS-CoV-2. This results indicate that spike-protein cross-reactive T cells are present, which were probably generated during previous encounters with endemic coronaviruses. The effect of pre-existing SARS-CoV-2 cross-reactive T cells on clinical outcomes remains to be determined in larger cohorts. However, the presence of spike-protein cross-reactive T cells in a considerable fraction of the general population may affect the dynamics of the current pandemic, and has important implications for the design and analysis of upcoming trials investigating COVID-19 vaccines.}
  
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