PMID- 36263073 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231020 DP - 2022 Oct 10 TI - CD8(+) T cell clonotypes from prior SARS-CoV-2 infection predominate during the cellular immune response to mRNA vaccination. LID - rs.3.rs-2146712 [pii] LID - 10.21203/rs.3.rs-2146712/v1 [doi] AB - Almost three years into the SARS-CoV-2 pandemic, hybrid immunity is highly prevalent worldwide and more protective than vaccination or prior infection alone. Given emerging resistance of variant strains to neutralizing antibodies (nAb), it is likely that T cells contribute to this protection. To understand how sequential SARS-CoV-2 infection and mRNA-vectored SARS-CoV-2 spike (S) vaccines affect T cell clonotype-level expansion kinetics, we identified and cross-referenced TCR sequences from thousands of S-reactive single cells against deeply sequenced peripheral blood TCR repertoires longitudinally collected from persons during COVID-19 convalescence through booster vaccination. Successive vaccinations recalled memory T cells and elicited antigen-specific T cell clonotypes not detected after infection. Vaccine-related recruitment of novel clonotypes and the expansion of S-specific clones were most strongly observed for CD8(+) T cells. Severe COVID-19 illness was associated with a more diverse CD4(+) T cell response to SARS-CoV-2 both prior to and after mRNA vaccination, suggesting imprinting of CD4(+) T cells by severe infection. TCR sequence similarity search algorithms revealed myriad public TCR clusters correlating with human leukocyte antigen (HLA) alleles. Selected TCRs from distinct clusters functionally recognized S in the predicted HLA context, with fine viral peptide requirements differing between TCRs. Most subjects tested had S-specific T cells in the nasal mucosa after a 3rd mRNA vaccine dose. The blood and nasal T cell responses to vaccination revealed by clonal tracking were more heterogeneous than nAb boosts. Analysis of bulk and single cell TCR sequences reveals T cell kinetics and diversity at the clonotype level, without requiring prior knowledge of T cell epitopes or HLA restriction, providing a roadmap for rapid assessment of T cell responses to emerging pathogens. FAU - Ford, Emily S AU - Ford ES FAU - Mayer-Blackwell, Koshlan AU - Mayer-Blackwell K FAU - Jing, Lichen AU - Jing L FAU - Sholukh, Anton M AU - Sholukh AM FAU - St Germain, Russell AU - St Germain R FAU - Bossard, Emily L AU - Bossard EL FAU - Xie, Hong AU - Xie H FAU - Pulliam, Thomas H AU - Pulliam TH FAU - Jani, Saumya AU - Jani S FAU - Selke, Stacy AU - Selke S FAU - Burrow, Carlissa J AU - Burrow CJ FAU - McClurkan, Christopher L AU - McClurkan CL FAU - Wald, Anna AU - Wald A FAU - Holbrook, Michael R AU - Holbrook MR FAU - Eaton, Brett AU - Eaton B FAU - Eudy, Elizabeth AU - Eudy E FAU - Murphy, Michael AU - Murphy M FAU - Postnikova, Elena AU - Postnikova E FAU - Robins, Harlan S AU - Robins HS FAU - Elyanow, Rebecca AU - Elyanow R FAU - Gittelman, Rachel M AU - Gittelman RM FAU - Ecsedi, Matyas AU - Ecsedi M FAU - Wilcox, Elise AU - Wilcox E FAU - Chapuis, Aude G AU - Chapuis AG FAU - Fiore-Gartland, Andrew AU - Fiore-Gartland A FAU - Koelle, David M AU - Koelle DM LA - eng GR - K08 AI148588/AI/NIAID NIH HHS/United States PT - Preprint DEP - 20221010 PL - United States TA - Res Sq JT - Research square JID - 101768035 PMC - PMC9580387 OTO - NOTNLM OT - SARS-CoV-2 OT - T cell receptor OT - clustering analysis OT - immune repertoire OT - mRNA vaccine COIS- Competing Interest Declaration HSR and RE are employees of Adaptive Biotechnologies, Inc. Other authors: no competing interest. EDAT- 2022/10/21 06:00 MHDA- 2022/10/21 06:01 PMCR- 2022/10/19 CRDT- 2022/10/20 02:54 PHST- 2022/10/21 06:00 [pubmed] PHST- 2022/10/21 06:01 [medline] PHST- 2022/10/20 02:54 [entrez] PHST- 2022/10/19 00:00 [pmc-release] AID - rs.3.rs-2146712 [pii] AID - 10.21203/rs.3.rs-2146712/v1 [doi] PST - epublish SO - Res Sq [Preprint]. 2022 Oct 10:rs.3.rs-2146712. doi: 10.21203/rs.3.rs-2146712/v1.