RT Journal Article T1 Deciphering the quality of SARS-CoV-2 specific T-cell response associated with disease severity, immune memory and heterologous response. A1 Perez-Gomez, Alberto A1 Gasca-Capote, Carmen A1 Vitalle, Joana A1 Ostos, Francisco J A1 Serna-Gallego, Ana A1 Trujillo-Rodriguez, Maria A1 Muñoz-Muela, Esperanza A1 Giraldez-Perez, Teresa A1 Praena-Segovia, Julia A1 Navarro-Amuedo, Maria D A1 Paniagua-Garcia, Maria A1 Garcia-Gutierrez, Manuel A1 Aguilar-Guisado, Manuela A1 Rivas-Jeremias, Inmaculada A1 Jimenez-Leon, Maria Reyes A1 Bachiller, Sara A1 Fernandez-Villar, Alberto A1 Perez-Gonzalez, Alexandre A1 Gutierrez-Valencia, Alicia A1 Rafii-El-Idrissi Benhnia, Mohammed A1 Weiskopf, Daniela A1 Sette, Alessandro A1 Lopez-Cortes, Luis F A1 Poveda, Eva A1 Ruiz-Mateos, Ezequiel K1 COVID-19 K1 IL-2 K1 SARS-CoV-2 K1 Spike K1 T-cell response K1 endemic coronaviruses K1 nucleocapsid K1 polyfunctionality AB 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. PB John Wiley & Sons Ltd. YR 2022 FD 2022-04-12 LK http://hdl.handle.net/10668/21873 UL http://hdl.handle.net/10668/21873 LA en NO Pérez-Gómez A, Gasca-Capote C, Vitallé J, Ostos FJ, Serna-Gallego A, Trujillo-Rodríguez M, et al. Deciphering the quality of SARS-CoV-2 specific T-cell response associated with disease severity, immune memory and heterologous response. Clin Transl Med. 2022 Apr;12(4):e802. DS RISalud RD May 10, 2025