Repository logo
 

Lower Humoral and Cellular Immunity Following Asymptomatic SARS-CoV-2 Infection Compared to Symptomatic Infection in Education (The ACE Cohort).

Published version
Peer-reviewed

Repository DOI


Change log

Authors

Hopkins, Georgina 
Gomez, Nancy 
Tucis, Davis 
Bartlett, Laura 
Steers, Graham 

Abstract

PURPOSE: Asymptomatic SARS-CoV-2 infections were widely reported during the COVID-19 pandemic, acting as a hidden source of infection. Many existing studies investigating asymptomatic immunity failed to recruit true asymptomatic individuals. Thus, we conducted a longitudinal cohort study to evaluate humoral- and cell-mediated responses to infection and vaccination in well-defined asymptomatic young adults (the Asymptomatic COVID-19 in Education [ACE] cohort). METHODS: Asymptomatic testing services located at three UK universities identified asymptomatic young adults who were subsequently recruited with age- and sex-matched symptomatic and uninfected controls. Blood and saliva samples were collected after SARS-CoV-2 Wuhan infection, and again after vaccination. 51 participant's anti-spike antibody titres, neutralizing antibodies, and spike-specific T-cell responses were measured, against both Wuhan and Omicron B.1.1.529.1. RESULTS: Asymptomatic participants exhibited reduced Wuhan-specific neutralization antibodies pre- and post-vaccination, as well as fewer Omicron-specific neutralization antibodies post-vaccination, compared to symptomatic participants. Lower Wuhan and Omicron-specific IgG titres in asymptomatic individuals were also observed pre- and post-vaccination, compared to symptomatic participants. There were no differences in salivary IgA levels. Conventional flow cytometry analysis and multi-dimensional clustering analysis indicated unvaccinated asymptomatic participants had significantly fewer Wuhan-specific IL-2 secreting CD4+ CD45RA+ T cells and activated CD8+ T cells than symptomatic participants, though these differences dissipated after vaccination. CONCLUSIONS: Asymptomatic infection results in decreased antibody and T cell responses to further exposure to SARS-CoV-2 variants, compared to symptomatic infection. Post-vaccination, antibody responses are still inferior, but T cell immunity increases to match symptomatic subjects, emphasising the importance of vaccination to help protect asymptomatic individuals against future variants.

Description

Keywords

Antibody, Asymptomatic, SARS-CoV-2, Symptomatic, T cells, Vaccination, Humans, COVID-19, SARS-CoV-2, Male, Female, Antibodies, Viral, Antibodies, Neutralizing, Young Adult, Asymptomatic Infections, Immunity, Cellular, Immunity, Humoral, Adult, COVID-19 Vaccines, Cohort Studies, Longitudinal Studies, Vaccination, Immunoglobulin G, United Kingdom, Adolescent, Spike Glycoprotein, Coronavirus

Journal Title

J Clin Immunol

Conference Name

Journal ISSN

0271-9142
1573-2592

Volume Title

44

Publisher

Springer Science and Business Media LLC