%0 Journal Article %A Pérez-Gómez, Alberto %A Gasca-Capote, Carmen %A Vitallé, Joana %A Ostos, Francisco J %A Serna-Gallego, Ana %A Trujillo-Rodríguez, María %A Muñoz-Muela, Esperanza %A Giráldez-Pérez, Teresa %A Praena-Segovia, Julia %A Navarro-Amuedo, María D %A Paniagua-García, María %A García-Gutiérrez, Manuel %A Aguilar-Guisado, Manuela %A Rivas-Jeremías, Inmaculada %A Jiménez-León, María Reyes %A Bachiller, Sara %A Fernández-Villar, Alberto %A Pérez-González, Alexandre %A Gutiérrez-Valencia, Alicia %A Rafii-El-Idrissi Benhnia, Mohammed %A Weiskopf, Daniela %A Sette, Alessandro %A López-Cortés, Luis F %A Poveda, Eva %A Ruiz-Mateos, Ezequiel %A Virgen del Rocío Hospital COVID-19 and COHVID-GS Working Teams %T Deciphering the quality of SARS-CoV-2 specific T-cell response associated with disease severity, immune memory and heterologous response. %D 2022 %U http://hdl.handle.net/10668/21873 %X SARS-CoV-2 specific T-cell response has been associated with disease severity, immune memory and heterologous response to endemic coronaviruses. However, an integrative approach combining a comprehensive analysis of the quality of SARS-CoV-2 specific T-cell response with antibody levels in these three scenarios is needed. In the present study, we found that, in acute infection, while mild disease was associated with high T-cell polyfunctionality biased to IL-2 production and inversely correlated with anti-S IgG levels, combinations only including IFN-γ with the absence of perforin production predominated in severe disease. Seven months after infection, both non-hospitalised and previously hospitalised patients presented robust anti-S IgG levels and SARS-CoV-2 specific T-cell response. In addition, only previously hospitalised patients showed a T-cell exhaustion profile. Finally, combinations including IL-2 in response to S protein of endemic coronaviruses were the ones associated with SARS-CoV-2 S-specific T-cell response in pre-COVID-19 healthy donors' samples. These results could have implications for protective immunity against SARS-CoV-2 and recurrent COVID-19 and may help for the design of new prototypes and boosting vaccine strategies. %K COVID-19 %K IL-2 %K SARS-CoV-2 %K Spike %K T-cell response %K endemic coronaviruses %K nucleocapsid %K polyfunctionality %~