The role of T Cells in SARS-CoV-2 Infection
Keywords:
Vaccines, CD4-Positive T-Lymphocytes, CD8-Positive T-Lymphocytes, Coronavirus Infections, SARS VirusAbstract
T lymphocytes (or T cells) are characterized by having an essential role in the control of acute viral infections. SARS-CoV-2 infection is an acute viral infection that mainly affects the respiratory tract causing COVID-19 disease, which presents with mild, moderate and critical symptoms that can lead to the death of the patient. The induction of populations of CD4+ and CD8+ T cell with a functional memory phenotype could be decisive in the control of viral replication and therefore be determinants in the course of the disease. In this opinion article, we will review the reported evidence regarding the presence, phenotype, and function of circulating T cell populations and the site of infection to understand their possible role in controlling viral replication, in the severity of the disease, and the importance of T-cell-mediated protection in the development of vaccines against SARS‑CoV‑2 infection.
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Vabret N, Britton GJ, Gruber C, Hegde S, Kim J, Kuksin M, et al. Immunology of COVID-19: current state of the science. Immunity. 2020;52(6):910-41. doi: https://doi.org/10.1016/j.immuni.2020.05.002
Urra JM, Cabrera CM, Porras L, Ródenas I. Selective CD8 cell reduction by SARS-CoV-2 is associated with a worse prognosis and systemic inflammation in COVID-19 patients. Clin Immunol [Internet]. 2020 [consultado el 3 de junio de 2020];217:108486. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7256549/
Jiang M, Guo Y, Luo Q, Huang Z, Zhao R, Liu S, et al. T cell subset counts in peripheral blood can be used as discriminatory biomarkers for diagnosis and severity prediction of COVID-19 [Internet]. The Journal of Infectious Diseases. 2020 [consultado el 20 de mayo de 2020]. Disponible en: https://academic.oup.com/jid/advance-article-abstract/doi/10.1093/infdis/jiaa252/5831863
Xu B, Fan CY, Wang AL, Zou YL, Yu YH, HE C, et al. Suppressed T cell-mediated immunity in patients with COVID-19: A clinical retrospective study in Wuhan, China. J Infect. 2020;81(1):e51-60 doi: 10.1016/j.jinf.2020.04.012
Wen W, Su W, Tang H, Le W, Zhang X, Zheng Y, et al. Immune cell profiling of COVID‑19 patients in the recovery stage by single-cell sequencing. Cell Discov. 2020 Dec 1;6(1):1-18.
Gil Melgaço J, Azamor T, Ano Bom APD. Protective immunity after COVID‑19 has been questioned: what can we do without SARS-CoV-2-IgG detection? Cell Immunol [Internet]. 2020 [consultado el 20 de mayo de 2020];353:104114. Disponible en: https://www.sciencedirect.com/science/article/pii/S0008874920302501
Weiskopf D, Schmitz KS, Raadsen MP, Grifoni A, Okba NMA, Endeman H, et al. Phenotype of SARS-CoV-2-specific T-cells in COVID-19 patients with acute respiratory distress syndrome. medRxiv [Internet]. 2020 [consultado el 20 de mayo de 2020];2020.04.11.20062349. Disponible en: https://www.medrxiv.org/content/10.1101/2020.04.11.20062349v1?%253fcollection=
Liao M, Liu Y, Yuan J, Wen Y, Xu G, Zhao J, et al. Single-cell landscape of bronchoalveolar immune cells in patients with COVID-19. Nat Med. 2020 May 12;1-3.
Osborn JF, Hobbs SJ, Mooster JL, Khan TN, Kilgore AM, Harbour JC, et al. Central memory CD8+ T cells become CD69+ tissue-residents during viral skin infection independent of CD62L-mediated lymph node surveillance. PLoS Pathog [Internet]. 2019 [consultado el 20 de mayo de 2020];15(3):e1007633. doi: 10.1371/journal.ppat.1007633
Zhang R, Liang P, Guo H, Wang X, Qin C. Detection of SARS-CoV-2-specific humoral and cellular immunity in COVID-19 convalescent individuals. Immunity. 2020. doi: 10.1016/j.immuni.2020.04.023
Grifoni A, Weiskopf D, Ramirez SI, Mateus J, Jennifer M, Moderbacher CR, et al. Targets of T cell responses to SARS-CoV-2 coronavirus in humans with COVID-19 disease and unexposed individuals. Cell; 2020. doi: 10.1016/j.cell.2020.05.015
McLane LM, Abdel-Hakeem MS, Wherry EJ. CD8 T Cell Exhaustion During Chronic Viral Infection and Cancer. Annu Rev Immunol. 2019;37(1):457-95.
Diao B, Wang C, Tan Y, Chen X, Liu Y, Ning L, et al. Reduction and Functional Exhaustion of T Cells in Patients With Coronavirus Disease 2019 (COVID-19). Front Immunol [Internet]. 2020 [consultado el 20 de mayo de 2020]. Disponible en: https://www.frontiersin.org/article/10.3389/fimmu.2020.00827/full
Zheng HY, Zhang M, Yang CX, Zhang N, Wang XC, Yang XP, et al. Elevated exhaustion levels and reduced functional diversity of T cells in peripheral blood may predict severe progression in COVID-19 patients. Cell Mol Immunol. 2020;17(5):541‑3. doi: 10.1038/s41423-020-0401-3
Liu Y, Pang Y, Hu Z, Wu M, Wang C, Feng Z, et al. Thymosin alpha 1 (Tα1) reduces the mortality of severe COVID-19 by restoration of lymphocytopenia and reversion of exhausted T cells. Clin Infect Dis [Internet]. 2020 [consultado el 3 de junio de 2020];71(16):2150-2157. doi: 10.1093/cid/ciaa630
Omarjee L, Janin A, Perrot F, Laviolle B, Meilhac O, Mahe G. Targeting T-cell senescence and cytokine storm with rapamycin to prevent severe progression in COVID-19. Clin Immunol. 2020;216:108464.
Ng OW, Chia A, Tan AT, Jadi RS, Leong HN, Bertoletti A, et al. Memory T cell responses targeting the SARS coronavirus persist up to 11 years post-infection. Vaccine. 2016;34(17):2008‑14.
Channappanavar R, Fett C, Zhao J, Meyerholz DK, Perlman S. Virus-Specific Memory CD8 T Cells Provide Substantial Protection from Lethal Severe Acute Respiratory Syndrome Coronavirus Infection. J Virol. 2014;88(19):11034‑44.
Wang M, Luo L, Bu H, Xia H. Case Report: One Case of Coronavirus Desease 2019(COVID-19) in Patient Co-nfected by HIV With a Low CD4+ T Cell Count. Int J Infect Dis. 2020;96:148-50. doi: 10.1016/j.ijid.2020.04.060.
Bauer T, Jilg W. Hepatitis B surface antigen-specific T and B cell memory in individuals who had lost protective antibodies after hepatitis B vaccination. Vaccine. 2006;24(5):572‑7.
Melgaço JG, Morgado LN, Santiago MA, de Oliveira JM, Lewis-Ximenez LL, Hasselmann B, et al. A single dose of inactivated hepatitis A vaccine promotes HAV-specific memory cellular response similar to that induced by a natural infection. Vaccine. 2015;33(32):3813‑20.
Liu W, Fontanet A, Zhang P, Zhan L, Xin Z, Baril L, et al. Two‐Year Prospective Study of the Humoral Immune Response of Patients with Severe Acute Respiratory Syndrome. J Infect Dis. 2006;193(6):792‑5.
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