[HTML][HTML] Rapid measurement of SARS-CoV-2 spike T cells in whole blood from vaccinated and naturally infected individuals

AT Tan, JME Lim, N Le Bert… - The Journal of …, 2021 - Am Soc Clin Investig
AT Tan, JME Lim, N Le Bert, K Kunasegaran, A Chia, MDC Qui, N Tan, WN Chia, R de Alwis
The Journal of clinical investigation, 2021Am Soc Clin Investig
Defining the correlates of protection necessary to manage the COVID-19 pandemic requires
the analysis of both antibody and T cell parameters, but the complexity of traditional tests
limits virus-specific T cell measurements. We tested the sensitivity and performance of a
simple and rapid SARS-CoV-2 spike protein–specific T cell test based on the stimulation of
whole blood with peptides covering the SARS-CoV-2 spike protein, followed by cytokine
(IFN-γ, IL-2) measurement in different cohorts including BNT162b2-vaccinated individuals …
Defining the correlates of protection necessary to manage the COVID-19 pandemic requires the analysis of both antibody and T cell parameters, but the complexity of traditional tests limits virus-specific T cell measurements. We tested the sensitivity and performance of a simple and rapid SARS-CoV-2 spike protein–specific T cell test based on the stimulation of whole blood with peptides covering the SARS-CoV-2 spike protein, followed by cytokine (IFN-γ, IL-2) measurement in different cohorts including BNT162b2-vaccinated individuals (n = 112), convalescent asymptomatic and symptomatic COVID-19 patients (n = 130), and SARS-CoV-1–convalescent individuals (n = 12). The sensitivity of this rapid test is comparable to that of traditional methods of T cell analysis (ELISPOT, activation-induced marker). Using this test, we observed a similar mean magnitude of T cell responses between the vaccinees and SARS-CoV-2 convalescents 3 months after vaccination or virus priming. However, a wide heterogeneity of the magnitude of spike-specific T cell responses characterized the individual responses, irrespective of the time of analysis. The magnitude of these spike-specific T cell responses cannot be predicted from the neutralizing antibody levels. Hence, both humoral and cellular spike–specific immunity should be tested after vaccination to define the correlates of protection necessary to evaluate current vaccine strategies.
The Journal of Clinical Investigation