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    Allergy. 2022 Jun 12. doi: 10.1111/all.15406
    Combined assessment of S- and N-specific IL-2 and IL-13 secretion and CD69 neo-expression for discrimination of post-infection and post-vaccination cellular SARS-CoV-2-specific immune response.
    Kratzer B1,  Schlax LC2,  Gattinger P3,  Waidhofer-Söllner P4,  Trapin D5,  Tauber PA6,  Sehgal ANA7,  Körmöczi U8,  Rottal A9,  Feichter M10,  Oberhofer T11,  Grabmeier-Pfistershammer K12,  Borochova K13,  Dorofeeva Y14,  Tulaeva I15,  Weber M16,  Mühl B17,  Kropfmüller A18,  Negrin B19,  Kundi M20,  Valenta R21,  Pickl WF22
    Author information
    1Institute of Immunology, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.
    2Institute of Immunology, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.
    3Department of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.
    4Institute of Immunology, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.
    5Institute of Immunology, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.
    6Institute of Immunology, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.
    7Institute of Immunology, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.
    8Institute of Immunology, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.
    9Institute of Immunology, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.
    10Institute of Immunology, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.
    11Institute of Immunology, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.
    12Institute of Immunology, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.
    13Department of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.
    14Department of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.
    15Department of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.
    16Department of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.
    17Labors.at, Vienna, Austria.
    18Österreichische Gesundheitskasse, Klinikum Peterhof, Baden, Austria.
    19Österreichische Gesundheitskasse, Klinikum Peterhof, Baden, Austria.
    20Department for Environmental Health, Center for Public Health, Medical University of Vienna, Vienna, Austria.
    21Department of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.
    22Institute of Immunology, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.
    Abstract

    BACKGROUND: Antibody-based tests are available for measuring SARS-CoV-2-specific immune responses but fast T cell assays remain scarce. Robust T cell-based tests are needed to differentiate specific cellular immune responses after infection from those after vaccination.

    MATERIALS AND METHODS: One hundred seventeen individuals (COVID-19 convalescent patients: n=40; SARS-CoV-2 vaccinees: n=41; healthy controls: n=36) were evaluated for SARS-CoV-2-specific cellular immune responses (proliferation, Th1, Th2, Th17, and inflammatory cytokines, activation-induced marker (AIM) expression) by incubating purified peripheral blood mononuclear cells (PBMC) or whole blood (WB) with SARS-CoV-2 peptides (S, N, or M), vaccine antigens (tetanus toxoid, tick borne encephalitis virus) or polyclonal stimuli (Staphylococcal superantigen, phytohemagglutinin).

    RESULTS: N-peptide mix stimulation of WB identified the combination of IL-2 and IL-13 secretion as superior to IFN-γ secretion to discriminate between COVID-19-convalescent patients and healthy controls (p<0.0001). Comparable results were obtained with M- or S-peptides, the latter almost comparably recalled IL-2, IFN-γ and IL-13 responses in WB of vaccinees. Analysis 10 months as opposed to 10 weeks after COVID-19, but not allergic disease status, positively correlated with IL-13 recall responses. WB cytokine responses correlated with cytokine and proliferation responses of PBMC. Antigen-induced neo-expression of the C-type lectin CD69 on CD4 (p<0.0001) and CD8 (p=0.0002) T cells informed best about the SARS-CoV-2 exposure status with additional benefit coming from CD25 upregulation.

    CONCLUSION: Along with N- and S-peptide-induced IL-2 and CD69 neo-expression we suggest to include the type 2 cytokine IL-13 as T cellular recall marker for SARS-CoV-2 specific T cellular immune responses after infection and vaccination.


    This article is protected by copyright. All rights reserved.

    KEYWORDS: COVID, SARS-CoV-2, T cells, biomarker, cellular immune response, flow cytometry, infection, lymphocytes, vaccination

    Publikations ID: 35690994
    Quelle: öffnen
     
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