Institute for Immunology and School of Medicine, Tsinghua University, 100084 Beijing, China; Center for Human Disease Immuno-monitoring, Beijing Friendship Hospital, 100050 Beijing, China.
Department of Hematology, Chui Yang Liu Hospital affiliated to Tsinghua University, 100022 Beijing, China.
Immunity. 2020 Jun 16;52(6):971-977.e3. doi: 10.1016/j.immuni.2020.04.023. Epub 2020 May 3.
The World Health Organization has declared SARS-CoV-2 virus outbreak a worldwide pandemic. However, there is very limited understanding on the immune responses, especially adaptive immune responses to SARS-CoV-2 infection. Here, we collected blood from COVID-19 patients who have recently become virus-free, and therefore were discharged, and detected SARS-CoV-2-specific humoral and cellular immunity in eight newly discharged patients. Follow-up analysis on another cohort of six patients 2 weeks post discharge also revealed high titers of immunoglobulin G (IgG) antibodies. In all 14 patients tested, 13 displayed serum-neutralizing activities in a pseudotype entry assay. Notably, there was a strong correlation between neutralization antibody titers and the numbers of virus-specific T cells. Our work provides a basis for further analysis of protective immunity to SARS-CoV-2, and understanding the pathogenesis of COVID-19, especially in the severe cases. It also has implications in developing an effective vaccine to SARS-CoV-2 infection.
世界卫生组织已宣布 SARS-CoV-2 病毒爆发为全球性大流行。然而,人们对其免疫反应,特别是针对 SARS-CoV-2 感染的适应性免疫反应,知之甚少。在这里,我们收集了最近病毒检测呈阴性并已出院的 COVID-19 患者的血液,并在 8 名新出院的患者中检测了 SARS-CoV-2 特异性体液和细胞免疫。对另一组 6 名患者出院后 2 周的后续分析也显示出高滴度的免疫球蛋白 G(IgG)抗体。在所有 14 名接受测试的患者中,有 13 名在假型进入测定中显示出血清中和活性。值得注意的是,中和抗体滴度与病毒特异性 T 细胞数量之间存在很强的相关性。我们的工作为进一步分析针对 SARS-CoV-2 的保护性免疫以及了解 COVID-19 的发病机制,特别是严重病例的发病机制提供了依据。它对于开发针对 SARS-CoV-2 感染的有效疫苗也具有重要意义。