SARS-CoV-2 induces robust germinal center CD4 T follicular helper cell responses in rhesus macaques.

Shaan Lakshmanappa, Yashavanth; Elizaldi, Sonny R; Roh, Jamin W; Schmidt, Brian A; Carroll, Timothy D; Weaver, Kourtney D; Smith, Justin C; Verma, Anil et al. · Nat Commun · 2021

basic_science · Level V

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Abstract

CD4 T follicular helper (T<sub>fh</sub>) cells are important for the generation of durable and specific humoral protection against viral infections. The degree to which SARS-CoV-2 infection generates T<sub>fh</sub> cells and stimulates the germinal center (GC) response is an important question as we investigate vaccine induced immunity against COVID-19. Here, we report that SARS-CoV-2 infection in rhesus macaques, either infused with convalescent plasma, normal plasma, or receiving no infusion, resulted in transient accumulation of pro-inflammatory monocytes and proliferating T<sub>fh</sub> cells with a T<sub>h</sub>1 profile in peripheral blood. CD4 helper cell responses skewed predominantly toward a T<sub>h</sub>1 response in blood, lung, and lymph nodes. SARS-CoV-2 Infection induced GC T<sub>fh</sub> cells specific for the SARS-CoV-2 spike and nucleocapsid proteins, and a corresponding early appearance of antiviral serum IgG antibodies. Collectively, the data show induction of GC responses in a rhesus model of mild COVID-19.

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