[PDF][PDF] Longitudinal analysis shows durable and broad immune memory after SARS-CoV-2 infection with persisting antibody responses and memory B and T cells

KW Cohen, SL Linderman, Z Moodie, J Czartoski… - Cell Reports …, 2021 - cell.com
KW Cohen, SL Linderman, Z Moodie, J Czartoski, L Lai, G Mantus, C Norwood, LE Nyhoff
Cell Reports Medicine, 2021cell.com
Ending the COVID-19 pandemic will require long-lived immunity to SARS-CoV-2. Here, we
evaluate 254 COVID-19 patients longitudinally up to 8 months and find durable broad-based
immune responses. SARS-CoV-2 spike binding and neutralizing antibodies exhibit a bi-
phasic decay with an extended half-life of> 200 days suggesting the generation of longer-
lived plasma cells. SARS-CoV-2 infection also boosts antibody titers to SARS-CoV-1 and
common betacoronaviruses. In addition, spike-specific IgG+ memory B cells persist, which …
Summary
Ending the COVID-19 pandemic will require long-lived immunity to SARS-CoV-2. Here, we evaluate 254 COVID-19 patients longitudinally up to 8 months and find durable broad-based immune responses. SARS-CoV-2 spike binding and neutralizing antibodies exhibit a bi-phasic decay with an extended half-life of >200 days suggesting the generation of longer-lived plasma cells. SARS-CoV-2 infection also boosts antibody titers to SARS-CoV-1 and common betacoronaviruses. In addition, spike-specific IgG+ memory B cells persist, which bodes well for a rapid antibody response upon virus re-exposure or vaccination. Virus-specific CD4+ and CD8+ T cells are polyfunctional and maintained with an estimated half-life of 200 days. Interestingly, CD4+ T cell responses equally target several SARS-CoV-2 proteins, whereas the CD8+ T cell responses preferentially target the nucleoprotein, highlighting the potential importance of including the nucleoprotein in future vaccines. Taken together, these results suggest that broad and effective immunity may persist long-term in recovered COVID-19 patients.
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