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10.1007/s40620-021-01092-0

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34228322!8259083!34228322
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suck abstract from ncbi


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pmid34228322      J+Nephrol 2021 ; 34 (4): 1025-1037
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  • Detection of pre-existing SARS-CoV-2-reactive T cells in unexposed renal transplant patients #MMPMID34228322
  • Anft M; Blazquez-Navarro A; Stervbo U; Skrzypczyk S; Witzke O; Wirth R; Choi M; Hugo C; Reinke P; Meister TL; Steinmann E; Pfaender S; Schenker P; Viebahn R; Westhoff TH; Babel N
  • J Nephrol 2021[Aug]; 34 (4): 1025-1037 PMID34228322show ga
  • BACKGROUND: Recent data demonstrate potentially protective pre-existing T cells reactive against the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in samples of healthy blood donors, collected before the SARS-CoV-2 pandemic. Whether pre-existing immunity is also detectable in immunosuppressed patients is currently not known. METHODS: Fifty-seven patients were included in this case-control study. We compared the frequency of SARS-CoV-2-reactive T cells in the samples of 20 renal transplant (RTx) patients to 20 age/gender matched non-immunosuppressed/immune competent healthy individuals collected before the onset of the SARS-CoV-2 pandemic. Seventeen coronavirus disease 2019 (COVID-19) patients were used as positive controls. T cell reactivity against Spike-, Nucleocapsid-, and Membrane- SARS-CoV-2 proteins were analyzed by multi-parameter flow cytometry. Antibodies were analyzed by neutralization assay. RESULTS: Pre-existing SARS-CoV-2-reactive T cells were detected in the majority of unexposed patients and healthy individuals. In RTx patients, 13/20 showed CD4(+) T cells reactive against at least one SARS-CoV-2 protein. CD8(+) T cells reactive against at least one SARS-CoV-2 protein were demonstrated in 12/20 of RTx patients. The frequency and Th1 cytokine expression pattern of pre-formed SARS-CoV-2 reactive T cells did not differ between RTx and non-immunosuppressed healthy individuals. CONCLUSIONS: This study shows that the magnitude and functionality of pre-existing SARS-CoV-2 reactive T cell in transplant patients is non-inferior compared to the immune competent cohort. Although several pro-inflammatory cytokines were produced by the detected T cells, further studies are required to prove their antiviral protection.
  • |*COVID-19[MESH]
  • |*Kidney Transplantation/adverse effects[MESH]
  • |CD8-Positive T-Lymphocytes[MESH]
  • |Case-Control Studies[MESH]
  • |Humans[MESH]


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