Frontiers in Immunology (Jan 2022)

SARS-CoV-2 Spike-Specific CD4+ T Cell Response Is Conserved Against Variants of Concern, Including Omicron

  • Alessio Mazzoni,
  • Anna Vanni,
  • Michele Spinicci,
  • Michele Spinicci,
  • Manuela Capone,
  • Giulia Lamacchia,
  • Lorenzo Salvati,
  • Marco Coppi,
  • Alberto Antonelli,
  • Alberto Carnasciali,
  • Parham Farahvachi,
  • Nicla Giovacchini,
  • Noemi Aiezza,
  • Francesca Malentacchi,
  • Lorenzo Zammarchi,
  • Lorenzo Zammarchi,
  • Francesco Liotta,
  • Francesco Liotta,
  • Francesco Liotta,
  • Gian Maria Rossolini,
  • Gian Maria Rossolini,
  • Alessandro Bartoloni,
  • Alessandro Bartoloni,
  • Lorenzo Cosmi,
  • Lorenzo Cosmi,
  • Laura Maggi,
  • Francesco Annunziato,
  • Francesco Annunziato

DOI
https://doi.org/10.3389/fimmu.2022.801431
Journal volume & issue
Vol. 13

Abstract

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Although accumulating data have investigated the effect of SARS-CoV-2 mutations on antibody neutralizing activity, less is known about T cell immunity. In this work, we found that the ancestral (Wuhan strain) Spike protein can efficaciously reactivate CD4+ T cell memory in subjects with previous Alpha variant infection. This finding has practical implications, as in many countries only one vaccine dose is currently administered to individuals with previous COVID-19, independently of which SARS-CoV-2 variant was responsible of the infection. We also found that only a minority of Spike-specific CD4+ T cells targets regions mutated in Alpha, Beta and Delta variants, both after natural infection and vaccination. Finally, we found that the vast majority of Spike-specific CD4+ T cell memory response induced by natural infection or mRNA vaccination is conserved also against Omicron variant. This is of importance, as this newly emerged strain is responsible for a sudden rise in COVID-19 cases worldwide due to its increased transmissibility and ability to evade antibody neutralization. Collectively, these observations suggest that most of the memory CD4+ T cell response is conserved against SARS-CoV-2 variants of concern, providing an efficacious line of defense that can protect from the development of severe forms of COVID-19.

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