Recovery from Acute SARS-CoV-2 Infection and Development of Anamnestic Immune Responses in T Cell-Depleted Rhesus Macaques

ABSTRACT Severe coronavirus disease 2019 (COVID-19) has been associated with T cell lymphopenia, but no causal effect of T cell deficiency on disease severity has been established. To investigate the specific role of T cells in recovery from severe acute respiratory syndrome coronavirus 2 (SARS-CoV-...

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Autores principales: Kim J. Hasenkrug, Friederike Feldmann, Lara Myers, Mario L. Santiago, Kejun Guo, Bradley S. Barrett, Kaylee L. Mickens, Aaron Carmody, Atsushi Okumura, Deepashri Rao, Madison M. Collins, Ronald J. Messer, Jamie Lovaglio, Carl Shaia, Rebecca Rosenke, Neeltje van Doremalen, Chad Clancy, Greg Saturday, Patrick Hanley, Brian J. Smith, Kimberly Meade-White, W. Lesley Shupert, David W. Hawman, Heinz Feldmann
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Publicado: American Society for Microbiology 2021
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spelling oai:doaj.org-article:65f5955351984f9f865c72eabf9ac06e2021-11-10T18:37:51ZRecovery from Acute SARS-CoV-2 Infection and Development of Anamnestic Immune Responses in T Cell-Depleted Rhesus Macaques10.1128/mBio.01503-212150-7511https://doaj.org/article/65f5955351984f9f865c72eabf9ac06e2021-08-01T00:00:00Zhttps://journals.asm.org/doi/10.1128/mBio.01503-21https://doaj.org/toc/2150-7511ABSTRACT Severe coronavirus disease 2019 (COVID-19) has been associated with T cell lymphopenia, but no causal effect of T cell deficiency on disease severity has been established. To investigate the specific role of T cells in recovery from severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections, we studied rhesus macaques that were depleted of either CD4+, CD8+, or both T cell subsets prior to infection. Peak virus loads were similar in all groups, but the resolution of virus in the T cell-depleted animals was slightly delayed compared to that in controls. The T cell-depleted groups developed virus-neutralizing antibody responses and class switched to IgG. When reinfected 6 weeks later, the T cell-depleted animals showed anamnestic immune responses characterized by rapid induction of high-titer virus-neutralizing antibodies, faster control of virus loads, and reduced clinical signs. These results indicate that while T cells play a role in the recovery of rhesus macaques from acute SARS-CoV-2 infections, their depletion does not induce severe disease, and T cells do not account for the natural resistance of rhesus macaques to severe COVID-19. Neither primed CD4+ nor CD8+ T cells appeared critical for immunoglobulin class switching, the development of immunological memory, or protection from a second infection. IMPORTANCE Patients with severe COVID-19 often have decreased numbers of T cells, a cell type important in fighting most viral infections. However, it is not known whether the loss of T cells contributes to severe COVID-19 or is a consequence of it. We studied rhesus macaques, which develop only mild COVID-19, similar to most humans. Experimental depletion of T cells slightly prolonged their clearance of virus, but there was no increase in disease severity. Furthermore, they were able to develop protection from a second infection and produced antibodies capable of neutralizing the virus. They also developed immunological memory, which allows a much stronger and more rapid response upon a second infection. These results suggest that T cells are not critical for recovery from acute SARS-CoV-2 infections in this model and point toward B cell responses and antibodies as the essential mediators of protection from re-exposure.Kim J. HasenkrugFriederike FeldmannLara MyersMario L. SantiagoKejun GuoBradley S. BarrettKaylee L. MickensAaron CarmodyAtsushi OkumuraDeepashri RaoMadison M. CollinsRonald J. MesserJamie LovaglioCarl ShaiaRebecca RosenkeNeeltje van DoremalenChad ClancyGreg SaturdayPatrick HanleyBrian J. SmithKimberly Meade-WhiteW. Lesley ShupertDavid W. HawmanHeinz FeldmannAmerican Society for MicrobiologyarticleSARS-CoV-2T cellsmacaqueneutralizing antibodiesMicrobiologyQR1-502ENmBio, Vol 12, Iss 4 (2021)
institution DOAJ
collection DOAJ
language EN
topic SARS-CoV-2
T cells
macaque
neutralizing antibodies
Microbiology
QR1-502
spellingShingle SARS-CoV-2
T cells
macaque
neutralizing antibodies
Microbiology
QR1-502
Kim J. Hasenkrug
Friederike Feldmann
Lara Myers
Mario L. Santiago
Kejun Guo
Bradley S. Barrett
Kaylee L. Mickens
Aaron Carmody
Atsushi Okumura
Deepashri Rao
Madison M. Collins
Ronald J. Messer
Jamie Lovaglio
Carl Shaia
Rebecca Rosenke
Neeltje van Doremalen
Chad Clancy
Greg Saturday
Patrick Hanley
Brian J. Smith
Kimberly Meade-White
W. Lesley Shupert
David W. Hawman
Heinz Feldmann
Recovery from Acute SARS-CoV-2 Infection and Development of Anamnestic Immune Responses in T Cell-Depleted Rhesus Macaques
description ABSTRACT Severe coronavirus disease 2019 (COVID-19) has been associated with T cell lymphopenia, but no causal effect of T cell deficiency on disease severity has been established. To investigate the specific role of T cells in recovery from severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections, we studied rhesus macaques that were depleted of either CD4+, CD8+, or both T cell subsets prior to infection. Peak virus loads were similar in all groups, but the resolution of virus in the T cell-depleted animals was slightly delayed compared to that in controls. The T cell-depleted groups developed virus-neutralizing antibody responses and class switched to IgG. When reinfected 6 weeks later, the T cell-depleted animals showed anamnestic immune responses characterized by rapid induction of high-titer virus-neutralizing antibodies, faster control of virus loads, and reduced clinical signs. These results indicate that while T cells play a role in the recovery of rhesus macaques from acute SARS-CoV-2 infections, their depletion does not induce severe disease, and T cells do not account for the natural resistance of rhesus macaques to severe COVID-19. Neither primed CD4+ nor CD8+ T cells appeared critical for immunoglobulin class switching, the development of immunological memory, or protection from a second infection. IMPORTANCE Patients with severe COVID-19 often have decreased numbers of T cells, a cell type important in fighting most viral infections. However, it is not known whether the loss of T cells contributes to severe COVID-19 or is a consequence of it. We studied rhesus macaques, which develop only mild COVID-19, similar to most humans. Experimental depletion of T cells slightly prolonged their clearance of virus, but there was no increase in disease severity. Furthermore, they were able to develop protection from a second infection and produced antibodies capable of neutralizing the virus. They also developed immunological memory, which allows a much stronger and more rapid response upon a second infection. These results suggest that T cells are not critical for recovery from acute SARS-CoV-2 infections in this model and point toward B cell responses and antibodies as the essential mediators of protection from re-exposure.
format article
author Kim J. Hasenkrug
Friederike Feldmann
Lara Myers
Mario L. Santiago
Kejun Guo
Bradley S. Barrett
Kaylee L. Mickens
Aaron Carmody
Atsushi Okumura
Deepashri Rao
Madison M. Collins
Ronald J. Messer
Jamie Lovaglio
Carl Shaia
Rebecca Rosenke
Neeltje van Doremalen
Chad Clancy
Greg Saturday
Patrick Hanley
Brian J. Smith
Kimberly Meade-White
W. Lesley Shupert
David W. Hawman
Heinz Feldmann
author_facet Kim J. Hasenkrug
Friederike Feldmann
Lara Myers
Mario L. Santiago
Kejun Guo
Bradley S. Barrett
Kaylee L. Mickens
Aaron Carmody
Atsushi Okumura
Deepashri Rao
Madison M. Collins
Ronald J. Messer
Jamie Lovaglio
Carl Shaia
Rebecca Rosenke
Neeltje van Doremalen
Chad Clancy
Greg Saturday
Patrick Hanley
Brian J. Smith
Kimberly Meade-White
W. Lesley Shupert
David W. Hawman
Heinz Feldmann
author_sort Kim J. Hasenkrug
title Recovery from Acute SARS-CoV-2 Infection and Development of Anamnestic Immune Responses in T Cell-Depleted Rhesus Macaques
title_short Recovery from Acute SARS-CoV-2 Infection and Development of Anamnestic Immune Responses in T Cell-Depleted Rhesus Macaques
title_full Recovery from Acute SARS-CoV-2 Infection and Development of Anamnestic Immune Responses in T Cell-Depleted Rhesus Macaques
title_fullStr Recovery from Acute SARS-CoV-2 Infection and Development of Anamnestic Immune Responses in T Cell-Depleted Rhesus Macaques
title_full_unstemmed Recovery from Acute SARS-CoV-2 Infection and Development of Anamnestic Immune Responses in T Cell-Depleted Rhesus Macaques
title_sort recovery from acute sars-cov-2 infection and development of anamnestic immune responses in t cell-depleted rhesus macaques
publisher American Society for Microbiology
publishDate 2021
url https://doaj.org/article/65f5955351984f9f865c72eabf9ac06e
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