iScience (Jan 2024)

Distinct T cell polyfunctional profile in SARS-CoV-2 seronegative children associated with endemic human coronavirus cross-reactivity

  • Ntombi Benede,
  • Marius B. Tincho,
  • Avril Walters,
  • Vennesa Subbiah,
  • Amkele Ngomti,
  • Richard Baguma,
  • Claire Butters,
  • Lina Hahnle,
  • Mathilda Mennen,
  • Sango Skelem,
  • Marguerite Adriaanse,
  • Heidi Facey-Thomas,
  • Christiaan Scott,
  • Jonathan Day,
  • Timothy F. Spracklen,
  • Strauss van Graan,
  • Sashkia R. Balla,
  • Thandeka Moyo-Gwete,
  • Penny L. Moore,
  • Rae MacGinty,
  • Maresa Botha,
  • Lesley Workman,
  • Marina Johnson,
  • David Goldblatt,
  • Heather J. Zar,
  • Ntobeko A.B. Ntusi,
  • Liesl Zühlke,
  • Kate Webb,
  • Catherine Riou,
  • Wendy A. Burgers,
  • Roanne S. Keeton

Journal volume & issue
Vol. 27, no. 1
p. 108728

Abstract

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Summary: SARS-CoV-2 infection in children typically results in asymptomatic or mild disease. There is a paucity of studies on SARS-CoV-2 antiviral immunity in African children. We investigated SARS-CoV-2-specific T cell responses in 71 unvaccinated asymptomatic South African children who were seropositive or seronegative for SARS-CoV-2. SARS-CoV-2-specific CD4+ T cell responses were detectable in 83% of seropositive and 60% of seronegative children. Although the magnitude of the CD4+ T cell response did not differ significantly between the two groups, their functional profiles were distinct, with SARS-CoV-2 seropositive children exhibiting a higher proportion of polyfunctional T cells compared to their seronegative counterparts. The frequency of SARS-CoV-2-specific CD4+ T cells in seronegative children was associated with the endemic human coronavirus (HCoV) HKU1 IgG response. Overall, the presence of SARS-CoV-2-responding T cells in seronegative children may result from cross-reactivity to endemic coronaviruses and could contribute to the relative protection from disease observed in SARS-CoV-2-infected children.

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