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 Pérez-Gómez, Alberto A1 Gasca-Capote, Carmen A1 Vitallé, Joana A1 Ostos, Francisco J A1 Serna-Gallego, Ana A1 Trujillo-Rodríguez, María A1 Muñoz-Muela, Esperanza A1 Giráldez-Pérez, Teresa A1 Praena-Segovia, Julia A1 Navarro-Amuedo, María D A1 Paniagua-García, María A1 García-Gutiérrez, Manuel A1 Aguilar-Guisado, Manuela A1 Rivas-Jeremías, Inmaculada A1 Jiménez-León, María Reyes A1 Bachiller, Sara A1 Fernández-Villar, Alberto A1 Pérez-González, Alexandre A1 Gutiérrez-Valencia, Alicia A1 Rafii-El-Idrissi Benhnia, Mohammed A1 Weiskopf, Daniela A1 Sette, Alessandro A1 López-Cortés, Luis F A1 Poveda, Eva A1 Ruiz-Mateos, Ezequiel A1 Virgen del Rocío Hospital COVID-19 and COHVID-GS Working Teams, 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. YR 2022 FD 2022 LK http://hdl.handle.net/10668/21873 UL http://hdl.handle.net/10668/21873 LA en DS RISalud RD Mar 14, 2025