家庭内接触 SARS-CoV-2 与无血清转化的细胞免疫反应相关,法国。
Intrafamilial Exposure to SARS-CoV-2 Associated with Cellular Immune Response without Seroconversion, France.
出版信息
Emerg Infect Dis. 2021 Jan;27(1):113-21. doi: 10.3201/eid2701.203611. Epub 2020 Dec 1.
We investigated severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-specific antibodies and T-cell responses against SARS-CoV-2 and human coronavirus (HCoV) 229E and OC43 in 11 SARS-CoV-2 serodiscordant couples in Strausbourg, France, in which 1 partner had evidence of mild coronavirus disease (COVID-19) and in 10 unexposed healthy controls. Patients with confirmed COVID-19 were considered index patients and their partners close contacts. All index patients displayed positive SARS-CoV-2-specific antibody and T-cell responses that lasted up to 102 days after symptom onset. All contacts remained seronegative for SARS-CoV-2; however, 6 reported COVID-19 symptoms within a median of 7 days after their partners, and 4 of those showed a positive SARS-CoV-2-specific T-cell response against 3 or 4 SARS-CoV-2 antigens that lasted up to 93 days after symptom onset. The 11 couples and controls displayed positive T-cell responses against HCoV-229E or HCoV-OC43. These data suggest that exposure to SARS-CoV-2 can induce virus-specific T-cell responses without seroconversion.
我们在法国斯特拉斯堡的 11 对 SARS-CoV-2 血清不一致的夫妇中调查了针对严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)、SARS-CoV-2 和人类冠状病毒(HCoV)229E 和 OC43 的特异性抗体和 T 细胞反应,其中 1 名伴侣有轻度冠状病毒病(COVID-19)的证据,而 10 名未接触过的健康对照。确诊 COVID-19 的患者被认为是指数患者,其伴侣是密切接触者。所有指数患者均显示出持续 102 天的 SARS-CoV-2 特异性抗体和 T 细胞反应。所有接触者均对 SARS-CoV-2 呈血清阴性;然而,6 名接触者在其伴侣出现症状后 7 天内报告了 COVID-19 症状,其中 4 名接触者对 3 或 4 种 SARS-CoV-2 抗原表现出阳性 SARS-CoV-2 特异性 T 细胞反应,持续时间长达 93 天。这 11 对夫妇和对照组对 HCoV-229E 或 HCoV-OC43 显示出阳性 T 细胞反应。这些数据表明,暴露于 SARS-CoV-2 可以诱导病毒特异性 T 细胞反应而不发生血清转化。