[HTML][HTML] Correlates of protection against SARS-CoV-2 in rhesus macaques

K McMahan, J Yu, NB Mercado, C Loos, LH Tostanoski… - Nature, 2021 - nature.com
K McMahan, J Yu, NB Mercado, C Loos, LH Tostanoski, A Chandrashekar, J Liu, L Peter…
Nature, 2021nature.com
Recent studies have reported the protective efficacy of both natural and vaccine-induced,,,,–
immunity against challenge with severe acute respiratory syndrome coronavirus 2 (SARS-
CoV-2) in rhesus macaques. However, the importance of humoral and cellular immunity for
protection against infection with SARS-CoV-2 remains to be determined. Here we show that
the adoptive transfer of purified IgG from convalescent rhesus macaques (Macaca mulatta)
protects naive recipient macaques against challenge with SARS-CoV-2 in a dose …
Abstract
Recent studies have reported the protective efficacy of both natural and vaccine-induced, , , , – immunity against challenge with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in rhesus macaques. However, the importance of humoral and cellular immunity for protection against infection with SARS-CoV-2 remains to be determined. Here we show that the adoptive transfer of purified IgG from convalescent rhesus macaques (Macaca mulatta) protects naive recipient macaques against challenge with SARS-CoV-2 in a dose-dependent fashion. Depletion of CD8+ T cells in convalescent macaques partially abrogated the protective efficacy of natural immunity against rechallenge with SARS-CoV-2, which suggests a role for cellular immunity in the context of waning or subprotective antibody titres. These data demonstrate that relatively low antibody titres are sufficient for protection against SARS-CoV-2 in rhesus macaques, and that cellular immune responses may contribute to protection if antibody responses are suboptimal. We also show that higher antibody titres are required for treatment of SARS-CoV-2 infection in macaques. These findings have implications for the development of SARS-CoV-2 vaccines and immune-based therapeutic agents.
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