This has been an incredibly enjoyable and interesting project to work on - and huge thanks go to all participants (HCW and medical students are the best❗️), funders ...
Short🧵- We identified a subset of HCW who were repeatedly PCR and serology negative (weekly during UK 1st wave) but had stronger SARS-CoV-2-specific #Tcells than pre-pandemic donors...
… and had a low-level increase in an innate blood transcriptomic signature of #SARSCoV2 infection, suggesting they experienced transient/abortive infection
What was special about their T cells? Unlike after infection, they often targeted the early expressed replication-transcription complex, including the polymerase…
…which is highly conserved with seasonal CoVs and is a common target of pre-existing cross-reactive T cells – that we showed expanded in vivo after exposure to #SARSCoV2 without seroconversion
Replication-transcription complex-specific #Tcells could complement spike antibodies for early #SARSCoV2 control & may offer reactivity to emerging & endemic Coronaviridae, arguing for their assessment in next-gen vaccines 🧬💉