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Front Immunol . Distinct immune memory induced by SARS-CoV-2 in convalescent liver transplant recipients

tetano

Editor, Senior Moderator
Front Immunol


. 2025 Apr 2:16:1420150.
doi: 10.3389/fimmu.2025.1420150. eCollection 2025. Distinct immune memory induced by SARS-CoV-2 in convalescent liver transplant recipients

Mengcheng Liu[SUP] #[/SUP][SUP] 1 2 3 [/SUP], Feng Wu[SUP] #[/SUP][SUP] 1 2 [/SUP], Binwei Duan[SUP] #[/SUP][SUP] 1 2 [/SUP], Yuxuan Zhang[SUP] #[/SUP][SUP] 1 2 3 [/SUP], Wenjing Wang[SUP] 1 3 [/SUP], Zhuangzhuang Chen[SUP] 1 2 [/SUP], Yibo Sun[SUP] 1 2 [/SUP], Gongming Zhang[SUP] 1 2 [/SUP], Yifei Wang[SUP] 1 2 [/SUP], Yueyi Sun[SUP] 1 2 [/SUP], Yabo Ouyang[SUP] 1 2 3 [/SUP], Guangming Li[SUP] 1 2 [/SUP]



Affiliations
Abstract

The understanding of how the host immune response differs in T-cell phenotype and memory formation during SARS-CoV-2 infection in liver transplant recipients (LTRs) remains limited. LTRs who recovered from COVID-19 infection without prior vaccination represent a unique population for studying immune responses to SARS-CoV-2. Six LTRs with positive neutralizing antibodies (nAb+) and six LTRs with negative nAb (nAb-) were included at 6 months following COVID-19 infection. It was found that nAb+ LTRs had higher anti-RBD IgG titers and greater neutralizing percent inhibition compared to nAb- LTRs. Fifteen T-cell subsets were identified in COVID-19 convalescent LTRs, and it was shown that only terminal effector CD8+ - 3 decreased in the nAb+ group, while elevated IL-10 expression levels were found in the nAb- group. After stimulation with the SARS-CoV-2 XBB spike peptide pool in vitro, it was observed that the nAb+ group exhibited an increase in effector memory CD4+ cells with lower PD-1 expression, a reduction in effector memory CD4+ - 2 cells, and terminal effector CD8+ - 3 cells, while the nAb- group showed high expression of CTLA-4 and IL-10 in terminal effector CD8+ - 3 cells. Four SARS-CoV-2-specific T-cell subsets were identified, with high expression of TNF-α and IFN-γ in terminal effector CD8+ - 1 and terminal effector CD8+ - 2 cells in both groups. Perforin was mainly detected in terminal effector CD8+ - 2 cells in nAb+ LTRs. In addition to these proportional differences, stem cell memory CD4+ cells with higher IL-17A expression and stem cell memory CD8+ cells with higher CTLA-4 expression were also found in nAb- LTRs. These findings suggest that LTRs who developed nAb+ following SARS-CoV-2 infection exhibit stronger T-cell responses, with more robust immune activation and memory recall, compared to nAb- LTRs. This study underscores the importance of understanding T-cell responses during SARS-CoV-2 recovery for guiding vaccination strategies and managing immunity in LTRs.

Keywords: SARS-CoV-2 convalescent; T cell phenotype; immune memory; liver transplant recipients; neutralizing antibodies.

 
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