We profiled adaptive immunity in COVID-19 patients with active infection or after recovery and created a living repository of currently >14 million B and T cell receptor (BCR/TCR) sequences from blood of these patients. The B cell response showed converging IGHV3-driven BCR clusters closely associated with SARS-CoV-2 antibodies. Clonality and skewing of TCR repertoires was associated with interferon type I and III responses, early CD4+/CD8+ activation and counterregulation by BTLA, Tim-3, PD-1, TIGIT and CD73. Tfh, Th17-like and nonconventional (but not classical anti-viral) Th1 polarizations were induced. COVID-19 specific T cell responses were driven by TCR clusters shared between patients with a characteristic trajectory of clonotypes and traceability over the disease course. Our cohort – especially the subset with effective viral clearance – reveals fundamental insight into adaptive immunity to SARS-CoV-2 with the living repository providing a bottleneck resource for the scientific community urgently needed to inform therapeutic concepts and vaccine development.
Conflict of Interest: The authors declare no competing interests.
Ethical Approval: Blood collection was performed under institutional review board approvals number 2020-039 and 11/17.
Keywords: COVID-19, SARS-CoV-2, TCR, BCR, T cell cluster, B cell cluster, cytokine, immune checkpoint, immune repertoire, next-generation sequencing
Schultheiß, Christoph and Paschold, Lisa and Simnica, Donjete and Mohme, Malte and Willscher, Edith and von Wenserski, Lisa and Scholz, Rebekka and Wieters, Imke and Dahlke, Christine and Tolosa, Eva and Sedding, Daniel G. and Ciesek, Sandra and Addo, Marylyn and Binder, Mascha, Living Repository of Millions of T and B Cell Receptor Sequences from Patients with COVID-19. Available at SSRN: https://ssrn.com/abstract=3624431 or http://dx.doi.org/10.2139/ssrn.3624431
This version of the paper has not been formally peer reviewed.
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