Perturbations of the T-cell receptor repertoire in response to SARS-CoV-2 in immunocompetent and immunocompromised individuals

被引:5
作者
Delmonte, Ottavia M. [1 ]
Oguz, Cihan [2 ]
Dobbs, Kerry [1 ]
Myint-Hpu, Katherine [1 ]
Palterer, Boaz [1 ]
Abers, Michael S. [1 ]
Draper, Deborah [1 ]
Truong, Meng [1 ]
Kaplan, Ian M. [3 ]
Gittelman, Rachel M. [3 ]
Zhang, Yu [1 ]
Rosen, Lindsey B. [1 ]
Snow, Andrew L. [1 ,4 ]
Dalgard, Clifton L. [5 ,6 ]
Burbelo, Peter D. [7 ]
Imberti, Luisa [8 ]
Sottini, Alessandra [8 ]
Quiros-Roldan, Eugenia [9 ]
Castelli, Francesco [9 ]
Rossi, Camillo [10 ]
Brugnoni, Duilio [11 ]
Biondi, Andrea [12 ,13 ,14 ]
Bettini, Laura Rachele [12 ,13 ,14 ]
D'Angio, Mariella [12 ,13 ,14 ]
Bonfanti, Paolo [15 ]
Anderson, Megan, V [16 ]
Saracino, Annalisa [17 ]
Chironna, Maria [18 ]
Di Stefano, Mariantonietta [19 ]
Fiore, Jose Ramon [19 ]
Santantonio, Teresa [19 ]
Castagnoli, Riccardo [20 ,21 ]
Marseglia, Gian Luigi [20 ,21 ]
Magliocco, Mary [22 ]
Bosticardo, Marita [1 ]
Pala, Francesca [1 ]
Shaw, Elana [1 ]
Matthews, Helen [22 ]
Weber, Sarah E. [22 ]
Xirasagar, Sandhya [23 ]
Barnett, Jason [23 ]
Oler, Andrew J. [23 ]
Dimitrova, Dimana [24 ]
Bergerson, Jenna R. E. [1 ]
Mcdermott, David H. [25 ]
Rao, V. Koneti [1 ]
Murphy, Philip M. [25 ]
Holland, Steven M. [1 ]
Lisco, Andrea [16 ]
Su, Helen C. [1 ]
机构
[1] Natl Inst Allergyand Infect Dis, NIH, Res Technol Branch, Lab Clin Immunol & Microbiol, Bethesda, MD USA
[2] Natl Inst Allergyand Infect Dis, NIH, Res Technol Branch, Integrated Data Sci Sect, Bethesda, MD USA
[3] Adapt Biotechnol, Seattle, WA USA
[4] Uniformed Serv Univ Hlth Sci, Dept Pharmacol & Mol Therapeut, Bethesda, MD USA
[5] Uniformed Serv Univ Hlth Sci, Dept Anat Physiol & Genet, Bethesda, MD USA
[6] Uniformed Serv Univ Hlth Sci, Amer Genome Ctr, Bethesda, MD USA
[7] Natl Inst Dent & Craniofacial Res, NIH, Adeno Associated Virus Biol Sect, Bethesda, MD USA
[8] Univ Brescia, Sect Microbiol, Brescia, Italy
[9] Univ Brescia, Dept Infect & Trop Dis, Brescia, Italy
[10] Direzione Sanit, Turin, Italy
[11] ASST Spedali Civili, Lab Anal Chim Clin, Brescia, Italy
[12] Univ Milano Bicocca, Fdn MBBM, Pediat Dept, European Reference Network Haematol Dis, Monza, Italy
[13] Univ Milano Bicocca, Fdn MBBM, Ctr Tettamanti, European Reference Network Paediat Canc,European R, Monza, Italy
[14] Univ Milano Bicocca, Fdn MBBM, European Reference Network Hereditary Metab Disord, Monza, Italy
[15] Univ Milano Bicocca, San Gerardo Hosp, Dept Infect Dis, Monza, Italy
[16] Natl Inst Allergy & Infect Dis, NIH, Lab Immunoregulat, Bethesda, MD USA
[17] Univ Bari, Clin Infect Dis, Azienda Osped Univ Consorziale Policlin di Bari, Bari, Italy
[18] Univ Bari Aldo Moro, Dept Interdisciplinary Med, Hyg Sect, Bari, Italy
[19] Univ Foggia, Dept Med & Surg Sci, Sect Infect Dis, Foggia, Italy
[20] Univ Pavia, Dept Clin Surg Diagnost & Pediat Sci, Pavia, Italy
[21] Fdn IRCCS Policlin San Matteo, Pediat Clin, Pavia, Italy
[22] Natl Inst Allergy & Infect Dis, Mol Dev Immune Syst Sect, Lab Immune Syst Biol, Bethesda, MD USA
[23] Natl Inst Allergy & Infect Dis, Bioinformat & Computat Biosci Branch, Off Cyber Infrastructure & Computat Biol, Bethesda, MD USA
[24] NCI, Ctr Immunooncol, Bethesda, MD USA
[25] Natl Inst Allergy & Infect Dis, Lab Mol Immunol, Bethesda, MD USA
[26] Natl Inst Allergy & Infect Dis, NIH, Lab Infect Dis, Bethesda, MD USA
基金
美国国家卫生研究院;
关键词
COVID-19; SARS-CoV-2; T-cell receptor repertoire; inborn errors of immunity; COVID-19 mRNA vaccine; anti-type 1 interferon antibodies; ANTIBODY-RESPONSES; NEURAL-NETWORKS; COVID-19; IMMUNITY; EPITOPES; AUTOANTIBODIES; INFLAMMATION; CANCER;
D O I
10.1016/j.jaci.2023.12.011
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
Background: Functional T-cell responses are essential for virus clearance and long-term protection after severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, whereas certain clinical factors, such as older age and immunocompromise, are associated with worse outcome. Objective: We sought to study the breadth and magnitude of T-cell responses in patients with coronavirus disease 2019 (COVID-19) and in individuals with inborn errors of immunity (IEIs) who had received COVID-19 mRNA vaccine. Methods: Using high-throughput sequencing and bioinformatics tools to characterize the T-cell receptor b repertoire signatures in 540 individuals after SARS-CoV-2 infection, 31 IEI recipients of COVID-19 mRNA vaccine, and healthy controls, we quantified LILA class I- and class II-restricted SARS-CoV-2- specific responses and also identified several LILA allele- clonotype motif associations in patients with COVID-19, including a subcohort of anti-type 1 interferon (IFN-1)-positive patients. Results: Our analysis revealed that elderly patients with COVID-19 with critical disease manifested lower SARS-CoV-2 T-cell clonotype diversity as well as T-cell responses with reduced magnitude, whereas the SARS-CoV-2-specific clonotypes targeted a broad range of LILA class I- and class II- restricted epitopes across the viral proteome. The presence of anti-IFN-I antibodies was associated with certain LILA alleles. Finally, COVID-19 mRNA immunization induced an increase in the breadth of SARS-CoV-2-specific clonotypes in patients with IEIs, including those who had failed to seroconvert. Conclusions: Elderly individuals have impaired capacity to develop broad and sustained T-cell responses after SARS-CoV-2 infection. Genetic factors may play a role in the production of anti-IFN-1 antibodies. COVID-19 mRNA vaccines are effective in inducing T-cell responses in patients with IEIs.
引用
收藏
页码:1655 / 1667
页数:13
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