2022
DOI: 10.1073/pnas.2118312119
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Vaccine-induced systemic and mucosal T cell immunity to SARS-CoV-2 viral variants

Abstract: Significance Immunity induced by the first-generation COVID-19 vaccines may not provide effective and durable protection, either due to waning immunity or due to poor antibody cross-reactivity to new variants. Typically, T cells recognize conserved nonmutable viral epitopes and development of T cell–based vaccines might provide broad immunity to SARS-CoV-2 variants. In this study, we show that adjuvanted spike protein–based experimental vaccines elicited potent respiratory or systemic CD4 and CD8 T c… Show more

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Cited by 90 publications
(83 citation statements)
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“…However, this is yet to be tested directly and the role of lung T-cells and systemic nAbs in mediating protection against SARS-CoV-2 in isolation needs to be further validated. Recent studies have shown the ability of vaccine-induced mucosal T-cells in mediating protection against SARS-CoV-2 variants even in the absence of complementing nAbs, similar to our studies, underscoring their importance for SARS-CoV-2 control [48]. In line with our clinical and viral load data, reduced viral pneumonia in the lungs of pQAC-CoV IM-vaccinated mice were observed.…”
Section: Discussionsupporting
confidence: 92%
“…However, this is yet to be tested directly and the role of lung T-cells and systemic nAbs in mediating protection against SARS-CoV-2 in isolation needs to be further validated. Recent studies have shown the ability of vaccine-induced mucosal T-cells in mediating protection against SARS-CoV-2 variants even in the absence of complementing nAbs, similar to our studies, underscoring their importance for SARS-CoV-2 control [48]. In line with our clinical and viral load data, reduced viral pneumonia in the lungs of pQAC-CoV IM-vaccinated mice were observed.…”
Section: Discussionsupporting
confidence: 92%
“…Interestingly, although the recombinant virus was not effective in significant reduction of viral loads in the lungs of challenged Syrian hamsters, the animals were protected against lung immunopathology. These data are in line with other studies which found that virus-neutralizing antibodies are more effective in virus control than the T cells, but CD4 and CD8 T cells can effectively protect hamsters against antibody-resistant SARS-CoV-2 variants, without inducing lung immunopathology [75].…”
Section: Discussionsupporting
confidence: 91%
“…Antibody responses are crucial to mediate neutralization and antibody-dependent cellular functions against viruses and most important for clearance of extracellular pathogens. While strong humoral responses are indicators of protection from infection and transmission, T cells mediate or “help” such antibody responses (CD4 T helper cells) as well as protect from severe disease by clearing all infected cells (CD8 cytotoxic T cells) ( 68 , 69 ).…”
Section: Discussionmentioning
confidence: 99%
“…Nevertheless, further decline of the cross-reactivity of T cell responses to other VoCs could translate into lower protection from severe disease over time. It is important to continue to monitor the duration and cross-reactivity of T cell responses induced by different vaccine platforms, to determine if a T-cell inducing vaccination/booster would be beneficial to make both cellular and humoral responses long-lasting and eliminate the need for regular vaccination ( 68 ). In particular, combination of different vaccination strategies may elicit strong tissue-resident T cell responses in the mucosa, as well as mucosal antibodies, that could confer long-lasting protection from immune-evasive VoCs ( 73 ), also highlighting the importance of mucosal responses to protect from respiratory viral pathogens ( 74 ).…”
Section: Discussionmentioning
confidence: 99%