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[Preprint]. 2020 Aug 15:2020.08.11.20171843. [Version 2] doi: 10.1101/2020.08.11.20171843

Functional SARS-CoV-2-specific immune memory persists after mild COVID-19

Lauren B Rodda, Jason Netland, Laila Shehata, Kurt B Pruner, Peter M Morawski, Christopher Thouvenel, Kennidy K Takehara, Julie Eggenberger, Emily A Hemann, Hayley R Waterman, Mitchell L Fahning, Yu Chen, Jennifer Rathe, Caleb Stokes, Samuel Wrenn, Brooke Fiala, Lauren P Carter, Jessica A Hamerman, Neil P King, Michael Gale, Daniel J Campbell, David Rawlings, Marion Pepper
PMCID: PMC7430599  PMID: 32817957

Abstract

The recently emerged SARS-CoV-2 virus is currently causing a global pandemic and cases continue to rise. The majority of infected individuals experience mildly symptomatic coronavirus disease 2019 (COVID-19), but it is unknown whether this can induce persistent immune memory that might contribute to herd immunity. Thus, we performed a longitudinal assessment of individuals recovered from mildly symptomatic COVID-19 to determine if they develop and sustain immunological memory against the virus. We found that recovered individuals developed SARS-CoV-2-specific IgG antibody and neutralizing plasma, as well as virus-specific memory B and T cells that not only persisted, but in some cases increased numerically over three months following symptom onset. Furthermore, the SARS-CoV-2-specific memory lymphocytes exhibited characteristics associated with potent antiviral immunity: memory T cells secreted IFN-γ and expanded upon antigen re-encounter, while memory B cells expressed receptors capable of neutralizing virus when expressed as antibodies. These findings demonstrate that mild COVID-19 elicits memory lymphocytes that persist and display functional hallmarks associated with antiviral protective immunity.

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