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10.1016/j.cmi.2021.02.020

http://scihub22266oqcxt.onion/10.1016/j.cmi.2021.02.020
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suck abstract from ncbi


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pmid33667629      Clin+Microbiol+Infect 2021 ; 27 (6): 916.e1-916.e4
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  • SARS CoV-2 infections in healthcare workers with a pre-existing T-cell response: a prospective cohort study #MMPMID33667629
  • Casado JL; Haemmerle J; Vizcarra P; Velasco H; Velasco T; Fernandez-Escribano M; Vallejo A
  • Clin Microbiol Infect 2021[Jun]; 27 (6): 916.e1-916.e4 PMID33667629show ga
  • OBJECTIVE: T-cell responses against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) are observed in unexposed individuals. We evaluated the impact of this pre-existing cellular response on incident SARS-CoV-2 infections. METHODS: This was a follow-up study of 38 seronegative healthcare workers (HCWs) with previous evaluation of CD8+ and CD4+ T-cell responses after stimulation with SARS-CoV-2 structural proteins. Infection was considered in the presence of a positive RT-PCR test and/or confirmed seroconversion. RESULTS: Twenty of the 38 HCWs included (53%) had a previous specific CD8+ T-cell response to peptides encompassing the spike protein (S) in 13 (34%), the membrane (M) in 17 (45%), or/and the nucleocapsid (N) in three (8%). During a follow-up of 189 days (interquartile range (IQR) 172-195), 11 HCWs (29%) had an RT-PCR-positive test (n = 9) or seroconverted (n = 2). Median duration of symptoms was 2 days (IQR 0-7), and time to negative RT-PCR was 9 days (IQR 4-10). Notably, six incident infections (55%) occurred in HCWs with a pre-existing T-cell response (30% of those with a cellular response), who showed a significantly lower duration of symptoms (three were asymptomatic). Three of the six HCWs having a previous T-cell response continued to test seronegative. All the infected patients developed a robust T-cell response to different structural SARS-CoV-2 proteins, especially to protein S (91%). CONCLUSION: A pre-existing T-cell response does not seem to reduce incident SARS-CoV-2 infections, but it may contribute to asymptomatic or mild disease, rapid viral clearance and differences in seroconversion.
  • |Adult[MESH]
  • |Antibodies, Viral[MESH]
  • |COVID-19 Nucleic Acid Testing[MESH]
  • |COVID-19/*immunology[MESH]
  • |Female[MESH]
  • |Follow-Up Studies[MESH]
  • |Health Personnel[MESH]
  • |Humans[MESH]
  • |Immunity[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Prospective Studies[MESH]
  • |Seroconversion[MESH]
  • |T-Lymphocytes/*immunology[MESH]
  • |Viral Structural Proteins/*immunology[MESH]


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