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Divergent trajectories of antiviral memory after SARS-CoV-2 infection

Abstract:
The trajectories of acquired immunity to severe acute respiratory syndrome coronavirus 2 infection are not fully understood. We present a detailed longitudinal cohort study of UK healthcare workers prior to vaccination, presenting April-June 2020 with asymptomatic or symptomatic infection. Here we show a highly variable range of responses, some of which (T cell interferon-gamma ELISpot, N-specific antibody) wane over time, while others (spike-specific antibody, B cell memory ELISpot) are stable. We use integrative analysis and a machine-learning approach (SIMON - Sequential Iterative Modeling OverNight) to explore this heterogeneity. We identify a subgroup of participants with higher antibody responses and interferon-gamma ELISpot T cell responses, and a robust trajectory for longer term immunity associates with higher levels of neutralising antibodies against the infecting (Victoria) strain and also against variants B.1.1.7 (alpha) and B.1.351 (beta). These variable trajectories following early priming may define subsequent protection from severe disease from novel variants.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1038/s41467-022-28898-1

Authors

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Institution:
University of Oxford
Division:
MSD
Department:
Paediatrics
Role:
Author
ORCID:
0000-0001-9885-3535
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Role:
Author
ORCID:
0000-0002-2426-3097
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Role:
Author
ORCID:
0000-0001-7774-7215
More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Paediatrics
Role:
Author
ORCID:
0000-0002-6902-9886

Contributors

Role:
Contributor
Role:
Contributor


Publisher:
Nature Research
Journal:
Nature Communications More from this journal
Volume:
13
Article number:
1251
Publication date:
2022-03-10
Acceptance date:
2022-02-17
DOI:
EISSN:
2041-1723
ISSN:
2041-1723
Pmid:
35273178


Language:
English
Keywords:
Pubs id:
1243557
Local pid:
pubs:1243557
Deposit date:
2022-03-16
ARK identifier:

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