Robust SARS-CoV-2 T cell responses with common TCRαβ motifs toward COVID-19 vaccines in patients with hematological malignancy impacting B cells

Immunocompromised hematology patients are vulnerable to severe COVID-19 and respond poorly to vaccination. Relative deficits in immunity are, however, unclear, especially after 3 vaccine doses. We evaluated immune responses in hematology patients across three COVID-19 vaccination doses. Seropositivi...

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Veröffentlicht in:Cell reports. Medicine 2023-04, Vol.4 (4), p.101017-101017, Article 101017
Hauptverfasser: Nguyen, Thi H.O., Rowntree, Louise C., Allen, Lilith F., Chua, Brendon Y., Kedzierski, Lukasz, Lim, Chhay, Lasica, Masa, Tennakoon, G. Surekha, Saunders, Natalie R., Crane, Megan, Chee, Lynette, Seymour, John F., Anderson, Mary Ann, Whitechurch, Ashley, Clemens, E. Bridie, Zhang, Wuji, Chang, So Young, Habel, Jennifer R., Jia, Xiaoxiao, McQuilten, Hayley A., Minervina, Anastasia A., Pogorelyy, Mikhail V., Chaurasia, Priyanka, Petersen, Jan, Menon, Tejas, Hensen, Luca, Neil, Jessica A., Mordant, Francesca L., Tan, Hyon-Xhi, Cabug, Aira F., Wheatley, Adam K., Kent, Stephen J., Subbarao, Kanta, Karapanagiotidis, Theo, Huang, Han, Vo, Lynn K., Cain, Natalie L., Nicholson, Suellen, Krammer, Florian, Gibney, Grace, James, Fiona, Trevillyan, Janine M., Trubiano, Jason A., Mitchell, Jeni, Christensen, Britt, Bond, Katherine A., Williamson, Deborah A., Rossjohn, Jamie, Crawford, Jeremy Chase, Thomas, Paul G., Thursky, Karin A., Slavin, Monica A., Tam, Constantine S., Teh, Benjamin W., Kedzierska, Katherine
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container_end_page 101017
container_issue 4
container_start_page 101017
container_title Cell reports. Medicine
container_volume 4
creator Nguyen, Thi H.O.
Rowntree, Louise C.
Allen, Lilith F.
Chua, Brendon Y.
Kedzierski, Lukasz
Lim, Chhay
Lasica, Masa
Tennakoon, G. Surekha
Saunders, Natalie R.
Crane, Megan
Chee, Lynette
Seymour, John F.
Anderson, Mary Ann
Whitechurch, Ashley
Clemens, E. Bridie
Zhang, Wuji
Chang, So Young
Habel, Jennifer R.
Jia, Xiaoxiao
McQuilten, Hayley A.
Minervina, Anastasia A.
Pogorelyy, Mikhail V.
Chaurasia, Priyanka
Petersen, Jan
Menon, Tejas
Hensen, Luca
Neil, Jessica A.
Mordant, Francesca L.
Tan, Hyon-Xhi
Cabug, Aira F.
Wheatley, Adam K.
Kent, Stephen J.
Subbarao, Kanta
Karapanagiotidis, Theo
Huang, Han
Vo, Lynn K.
Cain, Natalie L.
Nicholson, Suellen
Krammer, Florian
Gibney, Grace
James, Fiona
Trevillyan, Janine M.
Trubiano, Jason A.
Mitchell, Jeni
Christensen, Britt
Bond, Katherine A.
Williamson, Deborah A.
Rossjohn, Jamie
Crawford, Jeremy Chase
Thomas, Paul G.
Thursky, Karin A.
Slavin, Monica A.
Tam, Constantine S.
Teh, Benjamin W.
Kedzierska, Katherine
description Immunocompromised hematology patients are vulnerable to severe COVID-19 and respond poorly to vaccination. Relative deficits in immunity are, however, unclear, especially after 3 vaccine doses. We evaluated immune responses in hematology patients across three COVID-19 vaccination doses. Seropositivity was low after a first dose of BNT162b2 and ChAdOx1 (∼26%), increased to 59%–75% after a second dose, and increased to 85% after a third dose. While prototypical antibody-secreting cells (ASCs) and T follicular helper (Tfh) cell responses were elicited in healthy participants, hematology patients showed prolonged ASCs and skewed Tfh2/17 responses. Importantly, vaccine-induced expansions of spike-specific and peptide-HLA tetramer-specific CD4+/CD8+ T cells, together with their T cell receptor (TCR) repertoires, were robust in hematology patients, irrespective of B cell numbers, and comparable to healthy participants. Vaccinated patients with breakthrough infections developed higher antibody responses, while T cell responses were comparable to healthy groups. COVID-19 vaccination induces robust T cell immunity in hematology patients of varying diseases and treatments irrespective of B cell numbers and antibody response. [Display omitted] •COVID-19 vaccines elicit robust SARS-CoV-2-specific T cells in hematology patients•Prevalent TCRαβ motifs occur within tetramer+ T cells in hematological patients•Conversely, perturbed antibody responses and skewing of Tfh and ASC/Tfh kinetics occur•Breakthrough infection patients have higher antibodies and comparable T cell responses Nguyen et al. define antibody, B, and T cell responses following COVID-19 vaccination in patients with hematological malignancy that are immunocompromised and vulnerable to severe COVID-19 infection. COVID-19 vaccination induces robust T cell immunity in hematology patients with diseases and treatments impacting B cell immunity irrespective of B cell numbers and antibody responses.
doi_str_mv 10.1016/j.xcrm.2023.101017
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Surekha ; Saunders, Natalie R. ; Crane, Megan ; Chee, Lynette ; Seymour, John F. ; Anderson, Mary Ann ; Whitechurch, Ashley ; Clemens, E. Bridie ; Zhang, Wuji ; Chang, So Young ; Habel, Jennifer R. ; Jia, Xiaoxiao ; McQuilten, Hayley A. ; Minervina, Anastasia A. ; Pogorelyy, Mikhail V. ; Chaurasia, Priyanka ; Petersen, Jan ; Menon, Tejas ; Hensen, Luca ; Neil, Jessica A. ; Mordant, Francesca L. ; Tan, Hyon-Xhi ; Cabug, Aira F. ; Wheatley, Adam K. ; Kent, Stephen J. ; Subbarao, Kanta ; Karapanagiotidis, Theo ; Huang, Han ; Vo, Lynn K. ; Cain, Natalie L. ; Nicholson, Suellen ; Krammer, Florian ; Gibney, Grace ; James, Fiona ; Trevillyan, Janine M. ; Trubiano, Jason A. ; Mitchell, Jeni ; Christensen, Britt ; Bond, Katherine A. ; Williamson, Deborah A. ; Rossjohn, Jamie ; Crawford, Jeremy Chase ; Thomas, Paul G. ; Thursky, Karin A. ; Slavin, Monica A. ; Tam, Constantine S. ; Teh, Benjamin W. ; Kedzierska, Katherine</creator><creatorcontrib>Nguyen, Thi H.O. ; Rowntree, Louise C. ; Allen, Lilith F. ; Chua, Brendon Y. ; Kedzierski, Lukasz ; Lim, Chhay ; Lasica, Masa ; Tennakoon, G. Surekha ; Saunders, Natalie R. ; Crane, Megan ; Chee, Lynette ; Seymour, John F. ; Anderson, Mary Ann ; Whitechurch, Ashley ; Clemens, E. Bridie ; Zhang, Wuji ; Chang, So Young ; Habel, Jennifer R. ; Jia, Xiaoxiao ; McQuilten, Hayley A. ; Minervina, Anastasia A. ; Pogorelyy, Mikhail V. ; Chaurasia, Priyanka ; Petersen, Jan ; Menon, Tejas ; Hensen, Luca ; Neil, Jessica A. ; Mordant, Francesca L. ; Tan, Hyon-Xhi ; Cabug, Aira F. ; Wheatley, Adam K. ; Kent, Stephen J. ; Subbarao, Kanta ; Karapanagiotidis, Theo ; Huang, Han ; Vo, Lynn K. ; Cain, Natalie L. ; Nicholson, Suellen ; Krammer, Florian ; Gibney, Grace ; James, Fiona ; Trevillyan, Janine M. ; Trubiano, Jason A. ; Mitchell, Jeni ; Christensen, Britt ; Bond, Katherine A. ; Williamson, Deborah A. ; Rossjohn, Jamie ; Crawford, Jeremy Chase ; Thomas, Paul G. ; Thursky, Karin A. ; Slavin, Monica A. ; Tam, Constantine S. ; Teh, Benjamin W. ; Kedzierska, Katherine</creatorcontrib><description>Immunocompromised hematology patients are vulnerable to severe COVID-19 and respond poorly to vaccination. Relative deficits in immunity are, however, unclear, especially after 3 vaccine doses. We evaluated immune responses in hematology patients across three COVID-19 vaccination doses. Seropositivity was low after a first dose of BNT162b2 and ChAdOx1 (∼26%), increased to 59%–75% after a second dose, and increased to 85% after a third dose. While prototypical antibody-secreting cells (ASCs) and T follicular helper (Tfh) cell responses were elicited in healthy participants, hematology patients showed prolonged ASCs and skewed Tfh2/17 responses. Importantly, vaccine-induced expansions of spike-specific and peptide-HLA tetramer-specific CD4+/CD8+ T cells, together with their T cell receptor (TCR) repertoires, were robust in hematology patients, irrespective of B cell numbers, and comparable to healthy participants. Vaccinated patients with breakthrough infections developed higher antibody responses, while T cell responses were comparable to healthy groups. COVID-19 vaccination induces robust T cell immunity in hematology patients of varying diseases and treatments irrespective of B cell numbers and antibody response. [Display omitted] •COVID-19 vaccines elicit robust SARS-CoV-2-specific T cells in hematology patients•Prevalent TCRαβ motifs occur within tetramer+ T cells in hematological patients•Conversely, perturbed antibody responses and skewing of Tfh and ASC/Tfh kinetics occur•Breakthrough infection patients have higher antibodies and comparable T cell responses Nguyen et al. define antibody, B, and T cell responses following COVID-19 vaccination in patients with hematological malignancy that are immunocompromised and vulnerable to severe COVID-19 infection. COVID-19 vaccination induces robust T cell immunity in hematology patients with diseases and treatments impacting B cell immunity irrespective of B cell numbers and antibody responses.</description><identifier>ISSN: 2666-3791</identifier><identifier>EISSN: 2666-3791</identifier><identifier>DOI: 10.1016/j.xcrm.2023.101017</identifier><identifier>PMID: 37030296</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>antibody-secreting cells ; B cells ; BNT162 Vaccine ; CD4+ T cells ; CD8+ T cells ; CD8-Positive T-Lymphocytes ; COVID-19 ; COVID-19 Vaccines ; Hematologic Neoplasms ; hematology ; Humans ; memory T cells ; Receptors, Antigen, T-Cell, alpha-beta ; SARS-CoV-2 ; T follicular helper cells ; tetramer-specific</subject><ispartof>Cell reports. Medicine, 2023-04, Vol.4 (4), p.101017-101017, Article 101017</ispartof><rights>2023 The Author(s)</rights><rights>Copyright © 2023 The Author(s). Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3157-638405f30131165ffd781737cefeeb2bb859a3c2524f8c0de2aee5356d3cb6143</citedby><cites>FETCH-LOGICAL-c3157-638405f30131165ffd781737cefeeb2bb859a3c2524f8c0de2aee5356d3cb6143</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,860,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37030296$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nguyen, Thi H.O.</creatorcontrib><creatorcontrib>Rowntree, Louise C.</creatorcontrib><creatorcontrib>Allen, Lilith F.</creatorcontrib><creatorcontrib>Chua, Brendon Y.</creatorcontrib><creatorcontrib>Kedzierski, Lukasz</creatorcontrib><creatorcontrib>Lim, Chhay</creatorcontrib><creatorcontrib>Lasica, Masa</creatorcontrib><creatorcontrib>Tennakoon, G. 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Bridie</creatorcontrib><creatorcontrib>Zhang, Wuji</creatorcontrib><creatorcontrib>Chang, So Young</creatorcontrib><creatorcontrib>Habel, Jennifer R.</creatorcontrib><creatorcontrib>Jia, Xiaoxiao</creatorcontrib><creatorcontrib>McQuilten, Hayley A.</creatorcontrib><creatorcontrib>Minervina, Anastasia A.</creatorcontrib><creatorcontrib>Pogorelyy, Mikhail V.</creatorcontrib><creatorcontrib>Chaurasia, Priyanka</creatorcontrib><creatorcontrib>Petersen, Jan</creatorcontrib><creatorcontrib>Menon, Tejas</creatorcontrib><creatorcontrib>Hensen, Luca</creatorcontrib><creatorcontrib>Neil, Jessica A.</creatorcontrib><creatorcontrib>Mordant, Francesca L.</creatorcontrib><creatorcontrib>Tan, Hyon-Xhi</creatorcontrib><creatorcontrib>Cabug, Aira F.</creatorcontrib><creatorcontrib>Wheatley, Adam K.</creatorcontrib><creatorcontrib>Kent, Stephen J.</creatorcontrib><creatorcontrib>Subbarao, Kanta</creatorcontrib><creatorcontrib>Karapanagiotidis, Theo</creatorcontrib><creatorcontrib>Huang, Han</creatorcontrib><creatorcontrib>Vo, Lynn K.</creatorcontrib><creatorcontrib>Cain, Natalie L.</creatorcontrib><creatorcontrib>Nicholson, Suellen</creatorcontrib><creatorcontrib>Krammer, Florian</creatorcontrib><creatorcontrib>Gibney, Grace</creatorcontrib><creatorcontrib>James, Fiona</creatorcontrib><creatorcontrib>Trevillyan, Janine M.</creatorcontrib><creatorcontrib>Trubiano, Jason A.</creatorcontrib><creatorcontrib>Mitchell, Jeni</creatorcontrib><creatorcontrib>Christensen, Britt</creatorcontrib><creatorcontrib>Bond, Katherine A.</creatorcontrib><creatorcontrib>Williamson, Deborah A.</creatorcontrib><creatorcontrib>Rossjohn, Jamie</creatorcontrib><creatorcontrib>Crawford, Jeremy Chase</creatorcontrib><creatorcontrib>Thomas, Paul G.</creatorcontrib><creatorcontrib>Thursky, Karin A.</creatorcontrib><creatorcontrib>Slavin, Monica A.</creatorcontrib><creatorcontrib>Tam, Constantine S.</creatorcontrib><creatorcontrib>Teh, Benjamin W.</creatorcontrib><creatorcontrib>Kedzierska, Katherine</creatorcontrib><title>Robust SARS-CoV-2 T cell responses with common TCRαβ motifs toward COVID-19 vaccines in patients with hematological malignancy impacting B cells</title><title>Cell reports. Medicine</title><addtitle>Cell Rep Med</addtitle><description>Immunocompromised hematology patients are vulnerable to severe COVID-19 and respond poorly to vaccination. Relative deficits in immunity are, however, unclear, especially after 3 vaccine doses. We evaluated immune responses in hematology patients across three COVID-19 vaccination doses. Seropositivity was low after a first dose of BNT162b2 and ChAdOx1 (∼26%), increased to 59%–75% after a second dose, and increased to 85% after a third dose. While prototypical antibody-secreting cells (ASCs) and T follicular helper (Tfh) cell responses were elicited in healthy participants, hematology patients showed prolonged ASCs and skewed Tfh2/17 responses. Importantly, vaccine-induced expansions of spike-specific and peptide-HLA tetramer-specific CD4+/CD8+ T cells, together with their T cell receptor (TCR) repertoires, were robust in hematology patients, irrespective of B cell numbers, and comparable to healthy participants. Vaccinated patients with breakthrough infections developed higher antibody responses, while T cell responses were comparable to healthy groups. COVID-19 vaccination induces robust T cell immunity in hematology patients of varying diseases and treatments irrespective of B cell numbers and antibody response. [Display omitted] •COVID-19 vaccines elicit robust SARS-CoV-2-specific T cells in hematology patients•Prevalent TCRαβ motifs occur within tetramer+ T cells in hematological patients•Conversely, perturbed antibody responses and skewing of Tfh and ASC/Tfh kinetics occur•Breakthrough infection patients have higher antibodies and comparable T cell responses Nguyen et al. define antibody, B, and T cell responses following COVID-19 vaccination in patients with hematological malignancy that are immunocompromised and vulnerable to severe COVID-19 infection. COVID-19 vaccination induces robust T cell immunity in hematology patients with diseases and treatments impacting B cell immunity irrespective of B cell numbers and antibody responses.</description><subject>antibody-secreting cells</subject><subject>B cells</subject><subject>BNT162 Vaccine</subject><subject>CD4+ T cells</subject><subject>CD8+ T cells</subject><subject>CD8-Positive T-Lymphocytes</subject><subject>COVID-19</subject><subject>COVID-19 Vaccines</subject><subject>Hematologic Neoplasms</subject><subject>hematology</subject><subject>Humans</subject><subject>memory T cells</subject><subject>Receptors, Antigen, T-Cell, alpha-beta</subject><subject>SARS-CoV-2</subject><subject>T follicular helper cells</subject><subject>tetramer-specific</subject><issn>2666-3791</issn><issn>2666-3791</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UUtuFDEQtRCIRCEXYIG8ZNODP9N2t8QmdPhEihRpMmRrud3VE4_admN7EnIOLsAV4AgcIGeiWzMgVqyqVHrvVdV7CL2kZEEJFW-2i68mugUjjM8DQuUTdMyEEAWXNX36T3-ETlPaEkJYSWnFyXN0xCXhhNXiGH1bhXaXMr4-W10XTbgpGF7_-m5gGHCENAafIOF7m2-xCc4Fj9fN6vHH40_sQrZ9wjnc69jh5urm4rygNb7Txlg_cazHo84WfD7wb8HpHIawsUYP2OnBbrz25gFbN2qTrd_gd3henF6gZ70eEpwe6gn6_OH9uvlUXF59vGjOLgvDaSkLwaslKXtOKKdUlH3fyYpKLg30AC1r26qsNTesZMu-MqQDpgFKXoqOm1bQJT9Br_e6YwxfdpCycjbNF2gPYZcUk3UlKa8pm6BsDzUxpBShV2O0TscHRYma81BbNeeh5jzUPo-J9Oqgv2sddH8pf9yfAG_3AJi-vLMQVTKTYwY6G8Fk1QX7P_3f2N6eFg</recordid><startdate>20230418</startdate><enddate>20230418</enddate><creator>Nguyen, Thi H.O.</creator><creator>Rowntree, Louise C.</creator><creator>Allen, Lilith F.</creator><creator>Chua, Brendon Y.</creator><creator>Kedzierski, Lukasz</creator><creator>Lim, Chhay</creator><creator>Lasica, Masa</creator><creator>Tennakoon, G. 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Bridie ; Zhang, Wuji ; Chang, So Young ; Habel, Jennifer R. ; Jia, Xiaoxiao ; McQuilten, Hayley A. ; Minervina, Anastasia A. ; Pogorelyy, Mikhail V. ; Chaurasia, Priyanka ; Petersen, Jan ; Menon, Tejas ; Hensen, Luca ; Neil, Jessica A. ; Mordant, Francesca L. ; Tan, Hyon-Xhi ; Cabug, Aira F. ; Wheatley, Adam K. ; Kent, Stephen J. ; Subbarao, Kanta ; Karapanagiotidis, Theo ; Huang, Han ; Vo, Lynn K. ; Cain, Natalie L. ; Nicholson, Suellen ; Krammer, Florian ; Gibney, Grace ; James, Fiona ; Trevillyan, Janine M. ; Trubiano, Jason A. ; Mitchell, Jeni ; Christensen, Britt ; Bond, Katherine A. ; Williamson, Deborah A. ; Rossjohn, Jamie ; Crawford, Jeremy Chase ; Thomas, Paul G. ; Thursky, Karin A. ; Slavin, Monica A. ; Tam, Constantine S. ; Teh, Benjamin W. ; Kedzierska, Katherine</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3157-638405f30131165ffd781737cefeeb2bb859a3c2524f8c0de2aee5356d3cb6143</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>antibody-secreting cells</topic><topic>B cells</topic><topic>BNT162 Vaccine</topic><topic>CD4+ T cells</topic><topic>CD8+ T cells</topic><topic>CD8-Positive T-Lymphocytes</topic><topic>COVID-19</topic><topic>COVID-19 Vaccines</topic><topic>Hematologic Neoplasms</topic><topic>hematology</topic><topic>Humans</topic><topic>memory T cells</topic><topic>Receptors, Antigen, T-Cell, alpha-beta</topic><topic>SARS-CoV-2</topic><topic>T follicular helper cells</topic><topic>tetramer-specific</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nguyen, Thi H.O.</creatorcontrib><creatorcontrib>Rowntree, Louise C.</creatorcontrib><creatorcontrib>Allen, Lilith F.</creatorcontrib><creatorcontrib>Chua, Brendon Y.</creatorcontrib><creatorcontrib>Kedzierski, Lukasz</creatorcontrib><creatorcontrib>Lim, Chhay</creatorcontrib><creatorcontrib>Lasica, Masa</creatorcontrib><creatorcontrib>Tennakoon, G. Surekha</creatorcontrib><creatorcontrib>Saunders, Natalie R.</creatorcontrib><creatorcontrib>Crane, Megan</creatorcontrib><creatorcontrib>Chee, Lynette</creatorcontrib><creatorcontrib>Seymour, John F.</creatorcontrib><creatorcontrib>Anderson, Mary Ann</creatorcontrib><creatorcontrib>Whitechurch, Ashley</creatorcontrib><creatorcontrib>Clemens, E. Bridie</creatorcontrib><creatorcontrib>Zhang, Wuji</creatorcontrib><creatorcontrib>Chang, So Young</creatorcontrib><creatorcontrib>Habel, Jennifer R.</creatorcontrib><creatorcontrib>Jia, Xiaoxiao</creatorcontrib><creatorcontrib>McQuilten, Hayley A.</creatorcontrib><creatorcontrib>Minervina, Anastasia A.</creatorcontrib><creatorcontrib>Pogorelyy, Mikhail V.</creatorcontrib><creatorcontrib>Chaurasia, Priyanka</creatorcontrib><creatorcontrib>Petersen, Jan</creatorcontrib><creatorcontrib>Menon, Tejas</creatorcontrib><creatorcontrib>Hensen, Luca</creatorcontrib><creatorcontrib>Neil, Jessica A.</creatorcontrib><creatorcontrib>Mordant, Francesca L.</creatorcontrib><creatorcontrib>Tan, Hyon-Xhi</creatorcontrib><creatorcontrib>Cabug, Aira F.</creatorcontrib><creatorcontrib>Wheatley, Adam K.</creatorcontrib><creatorcontrib>Kent, Stephen J.</creatorcontrib><creatorcontrib>Subbarao, Kanta</creatorcontrib><creatorcontrib>Karapanagiotidis, Theo</creatorcontrib><creatorcontrib>Huang, Han</creatorcontrib><creatorcontrib>Vo, Lynn K.</creatorcontrib><creatorcontrib>Cain, Natalie L.</creatorcontrib><creatorcontrib>Nicholson, Suellen</creatorcontrib><creatorcontrib>Krammer, Florian</creatorcontrib><creatorcontrib>Gibney, Grace</creatorcontrib><creatorcontrib>James, Fiona</creatorcontrib><creatorcontrib>Trevillyan, Janine M.</creatorcontrib><creatorcontrib>Trubiano, Jason A.</creatorcontrib><creatorcontrib>Mitchell, Jeni</creatorcontrib><creatorcontrib>Christensen, Britt</creatorcontrib><creatorcontrib>Bond, Katherine A.</creatorcontrib><creatorcontrib>Williamson, Deborah A.</creatorcontrib><creatorcontrib>Rossjohn, Jamie</creatorcontrib><creatorcontrib>Crawford, Jeremy Chase</creatorcontrib><creatorcontrib>Thomas, Paul G.</creatorcontrib><creatorcontrib>Thursky, Karin A.</creatorcontrib><creatorcontrib>Slavin, Monica A.</creatorcontrib><creatorcontrib>Tam, Constantine S.</creatorcontrib><creatorcontrib>Teh, Benjamin W.</creatorcontrib><creatorcontrib>Kedzierska, Katherine</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Cell reports. Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nguyen, Thi H.O.</au><au>Rowntree, Louise C.</au><au>Allen, Lilith F.</au><au>Chua, Brendon Y.</au><au>Kedzierski, Lukasz</au><au>Lim, Chhay</au><au>Lasica, Masa</au><au>Tennakoon, G. Surekha</au><au>Saunders, Natalie R.</au><au>Crane, Megan</au><au>Chee, Lynette</au><au>Seymour, John F.</au><au>Anderson, Mary Ann</au><au>Whitechurch, Ashley</au><au>Clemens, E. Bridie</au><au>Zhang, Wuji</au><au>Chang, So Young</au><au>Habel, Jennifer R.</au><au>Jia, Xiaoxiao</au><au>McQuilten, Hayley A.</au><au>Minervina, Anastasia A.</au><au>Pogorelyy, Mikhail V.</au><au>Chaurasia, Priyanka</au><au>Petersen, Jan</au><au>Menon, Tejas</au><au>Hensen, Luca</au><au>Neil, Jessica A.</au><au>Mordant, Francesca L.</au><au>Tan, Hyon-Xhi</au><au>Cabug, Aira F.</au><au>Wheatley, Adam K.</au><au>Kent, Stephen J.</au><au>Subbarao, Kanta</au><au>Karapanagiotidis, Theo</au><au>Huang, Han</au><au>Vo, Lynn K.</au><au>Cain, Natalie L.</au><au>Nicholson, Suellen</au><au>Krammer, Florian</au><au>Gibney, Grace</au><au>James, Fiona</au><au>Trevillyan, Janine M.</au><au>Trubiano, Jason A.</au><au>Mitchell, Jeni</au><au>Christensen, Britt</au><au>Bond, Katherine A.</au><au>Williamson, Deborah A.</au><au>Rossjohn, Jamie</au><au>Crawford, Jeremy Chase</au><au>Thomas, Paul G.</au><au>Thursky, Karin A.</au><au>Slavin, Monica A.</au><au>Tam, Constantine S.</au><au>Teh, Benjamin W.</au><au>Kedzierska, Katherine</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Robust SARS-CoV-2 T cell responses with common TCRαβ motifs toward COVID-19 vaccines in patients with hematological malignancy impacting B cells</atitle><jtitle>Cell reports. Medicine</jtitle><addtitle>Cell Rep Med</addtitle><date>2023-04-18</date><risdate>2023</risdate><volume>4</volume><issue>4</issue><spage>101017</spage><epage>101017</epage><pages>101017-101017</pages><artnum>101017</artnum><issn>2666-3791</issn><eissn>2666-3791</eissn><abstract>Immunocompromised hematology patients are vulnerable to severe COVID-19 and respond poorly to vaccination. Relative deficits in immunity are, however, unclear, especially after 3 vaccine doses. We evaluated immune responses in hematology patients across three COVID-19 vaccination doses. Seropositivity was low after a first dose of BNT162b2 and ChAdOx1 (∼26%), increased to 59%–75% after a second dose, and increased to 85% after a third dose. While prototypical antibody-secreting cells (ASCs) and T follicular helper (Tfh) cell responses were elicited in healthy participants, hematology patients showed prolonged ASCs and skewed Tfh2/17 responses. Importantly, vaccine-induced expansions of spike-specific and peptide-HLA tetramer-specific CD4+/CD8+ T cells, together with their T cell receptor (TCR) repertoires, were robust in hematology patients, irrespective of B cell numbers, and comparable to healthy participants. Vaccinated patients with breakthrough infections developed higher antibody responses, while T cell responses were comparable to healthy groups. COVID-19 vaccination induces robust T cell immunity in hematology patients of varying diseases and treatments irrespective of B cell numbers and antibody response. [Display omitted] •COVID-19 vaccines elicit robust SARS-CoV-2-specific T cells in hematology patients•Prevalent TCRαβ motifs occur within tetramer+ T cells in hematological patients•Conversely, perturbed antibody responses and skewing of Tfh and ASC/Tfh kinetics occur•Breakthrough infection patients have higher antibodies and comparable T cell responses Nguyen et al. define antibody, B, and T cell responses following COVID-19 vaccination in patients with hematological malignancy that are immunocompromised and vulnerable to severe COVID-19 infection. COVID-19 vaccination induces robust T cell immunity in hematology patients with diseases and treatments impacting B cell immunity irrespective of B cell numbers and antibody responses.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>37030296</pmid><doi>10.1016/j.xcrm.2023.101017</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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subjects antibody-secreting cells
B cells
BNT162 Vaccine
CD4+ T cells
CD8+ T cells
CD8-Positive T-Lymphocytes
COVID-19
COVID-19 Vaccines
Hematologic Neoplasms
hematology
Humans
memory T cells
Receptors, Antigen, T-Cell, alpha-beta
SARS-CoV-2
T follicular helper cells
tetramer-specific
title Robust SARS-CoV-2 T cell responses with common TCRαβ motifs toward COVID-19 vaccines in patients with hematological malignancy impacting B cells
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