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Adaptive immunity to SARS-CoV-2 and COVID-19

Journal

CELL
Volume 184, Issue 4, Pages 861-880

Publisher

CELL PRESS
DOI: 10.1016/j.cell.2021.01.007

Keywords

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Funding

  1. NIH NIAID [AI142742]
  2. La Jolla Institute for Immunology Institutional Funds

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The adaptive immune system, consisting of B cells, CD4(+) T cells, and CD8(+) T cells, plays varying roles in different viral infections and vaccines. Studies are showing that CD4(+) T cells, CD8(+) T cells, and neutralizing antibodies all play a part in controlling SARS-CoV-2 in COVID-19 cases, emphasizing the importance of understanding adaptive immunity in combating the disease.
The adaptive immune system is important for control of most viral infections. The three fundamental components of the adaptive immune system are B cells (the source of antibodies), CD4(+) T cells, and CD8(+) T cells. The armamentarium of B cells, CD4(+) T cells, and CD8(+) T cells has differing roles in different viral infections and in vaccines, and thus it is critical to directly study adaptive immunity to SARS-CoV-2 to understand COVID-19. Knowledge is now available on relationships between antigen-specific immune responses and SARS-CoV-2 infection. Although more studies are needed, a picture has begun to emerge that reveals that CD4(+) T cells, CD8(+) T cells, and neutralizing antibodies all contribute to control of SARS-CoV-2 in both non-hospitalized and hospitalized cases of COVID-19. The specific functions and kinetics of these adaptive immune responses are discussed, as well as their interplay with innate immunity and implications for COVID-19 vaccines and immune memory against re-infection.

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