Comparison between enzyme‐linked immunospot assay and intracellular cytokine flow cytometry assays for the evaluation of T cell response to SARS‐CoV‐2 after symptomatic COVID‐19

Abstract Introduction Evaluation of different cell‐based assays for the study of adaptive immune responses against SARS‐CoV‐2 is crucial for studying long‐term and vaccine‐induced immunity. Methods Enzyme‐linked immunospot assay (ELISpot) and intracellular cytokine staining (ICS) using peptide pools...

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Main Authors: Juliette Villemonteix, Laure Cohen, Amélie Guihot, Valérie Guérin, Clémentine Moulin, Marion Caseris, Agnès Carol, Stéphane Bonacorsi, Guislaine Carcelain
Format: Article
Language:English
Published: Wiley 2022-10-01
Series:Immunity, Inflammation and Disease
Subjects:
Online Access:https://doi.org/10.1002/iid3.617
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author Juliette Villemonteix
Laure Cohen
Amélie Guihot
Valérie Guérin
Clémentine Moulin
Marion Caseris
Agnès Carol
Stéphane Bonacorsi
Guislaine Carcelain
author_facet Juliette Villemonteix
Laure Cohen
Amélie Guihot
Valérie Guérin
Clémentine Moulin
Marion Caseris
Agnès Carol
Stéphane Bonacorsi
Guislaine Carcelain
author_sort Juliette Villemonteix
collection DOAJ
description Abstract Introduction Evaluation of different cell‐based assays for the study of adaptive immune responses against SARS‐CoV‐2 is crucial for studying long‐term and vaccine‐induced immunity. Methods Enzyme‐linked immunospot assay (ELISpot) and intracellular cytokine staining (ICS) using peptide pools spanning the spike protein and nucleoprotein of SARS‐CoV‐2 were performed in 25 patients who recovered from paucisymptomatic (n = 19) or severe COVID‐19 (n = 6). Results The proportion of paucisymptomatic patients with detectable SARS‐CoV‐2 T cells was low, as only 44% exhibit a positive T cell response with the ICS and 67% with the ELISpot. The magnitude of SARS‐CoV‐2 T cell responses was low, both with ICS (median at 0.12% among total T cells) and ELISpot (median at 61 SFCs/million peripheral blood mononuclear cells [PBMC]) assays. Moreover, T cell responses in paucisymptomatic patients seemed lower than among patients with severe disease. In the paucisymptomatic patients, the two assays were well correlated with 76% of concordant responses and a Cohen's kappa of 55. Furthermore, in four patients SARS‐CoV‐2 T cells were detected by ELISpot but not with ICS. Short‐term culture could improve the detection of specific T cells. Conclusions In patients who recovered from paucisymptomatic COVID‐19, the proportion of detectable anti‐SARS‐CoV‐2 responses and their magnitude seemed lower than in patients with more severe symptoms. The ELISpot appeared to be more sensitive than the ICS assay. Short‐term culture revealed that paucisymptomatic patients had nonetheless few SARS‐CoV‐2 T cells at a very low rate in peripheral blood. These data indicate that various ex‐vivo assays may lead to different conclusions about the presence or absence of SARS‐CoV‐2 T cell immunity.
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spelling doaj.art-c211dccc1438461f8bb311426d286d8b2022-12-22T04:27:11ZengWileyImmunity, Inflammation and Disease2050-45272022-10-011010n/an/a10.1002/iid3.617Comparison between enzyme‐linked immunospot assay and intracellular cytokine flow cytometry assays for the evaluation of T cell response to SARS‐CoV‐2 after symptomatic COVID‐19Juliette Villemonteix0Laure Cohen1Amélie Guihot2Valérie Guérin3Clémentine Moulin4Marion Caseris5Agnès Carol6Stéphane Bonacorsi7Guislaine Carcelain8Laboratory of Immunology, Robert Debré Hospital, APHP Université de Paris Paris FranceGeneral Pediatrics and Infectious Diseases Department Robert Debré Hospital, APHP Paris FranceLaboratory of Immunology, Pitié‐Salpétrière Hospital, APHP Paris Sorbonne Université Paris FranceLaboratory of Immunology Robert Debré Hospital, APHP Paris FranceLaboratory of Immunology Robert Debré Hospital, APHP Paris FranceGeneral Pediatrics and Infectious Diseases Department Robert Debré Hospital, APHP Paris FranceLaboratory of Microbiology Robert Debré Hospital, APHP Paris FranceLaboratory of Microbiology, Robert Debré Hospital, APHP Université Paris Cité Paris FranceLaboratory of Immunology, Robert Debré Hospital, APHP Université de Paris Paris FranceAbstract Introduction Evaluation of different cell‐based assays for the study of adaptive immune responses against SARS‐CoV‐2 is crucial for studying long‐term and vaccine‐induced immunity. Methods Enzyme‐linked immunospot assay (ELISpot) and intracellular cytokine staining (ICS) using peptide pools spanning the spike protein and nucleoprotein of SARS‐CoV‐2 were performed in 25 patients who recovered from paucisymptomatic (n = 19) or severe COVID‐19 (n = 6). Results The proportion of paucisymptomatic patients with detectable SARS‐CoV‐2 T cells was low, as only 44% exhibit a positive T cell response with the ICS and 67% with the ELISpot. The magnitude of SARS‐CoV‐2 T cell responses was low, both with ICS (median at 0.12% among total T cells) and ELISpot (median at 61 SFCs/million peripheral blood mononuclear cells [PBMC]) assays. Moreover, T cell responses in paucisymptomatic patients seemed lower than among patients with severe disease. In the paucisymptomatic patients, the two assays were well correlated with 76% of concordant responses and a Cohen's kappa of 55. Furthermore, in four patients SARS‐CoV‐2 T cells were detected by ELISpot but not with ICS. Short‐term culture could improve the detection of specific T cells. Conclusions In patients who recovered from paucisymptomatic COVID‐19, the proportion of detectable anti‐SARS‐CoV‐2 responses and their magnitude seemed lower than in patients with more severe symptoms. The ELISpot appeared to be more sensitive than the ICS assay. Short‐term culture revealed that paucisymptomatic patients had nonetheless few SARS‐CoV‐2 T cells at a very low rate in peripheral blood. These data indicate that various ex‐vivo assays may lead to different conclusions about the presence or absence of SARS‐CoV‐2 T cell immunity.https://doi.org/10.1002/iid3.617cellular immunityELISpot assayintracellular cytokine staining assaymemory T cellspaucisymptomatic COVID‐19SARS‐CoV‐2
spellingShingle Juliette Villemonteix
Laure Cohen
Amélie Guihot
Valérie Guérin
Clémentine Moulin
Marion Caseris
Agnès Carol
Stéphane Bonacorsi
Guislaine Carcelain
Comparison between enzyme‐linked immunospot assay and intracellular cytokine flow cytometry assays for the evaluation of T cell response to SARS‐CoV‐2 after symptomatic COVID‐19
Immunity, Inflammation and Disease
cellular immunity
ELISpot assay
intracellular cytokine staining assay
memory T cells
paucisymptomatic COVID‐19
SARS‐CoV‐2
title Comparison between enzyme‐linked immunospot assay and intracellular cytokine flow cytometry assays for the evaluation of T cell response to SARS‐CoV‐2 after symptomatic COVID‐19
title_full Comparison between enzyme‐linked immunospot assay and intracellular cytokine flow cytometry assays for the evaluation of T cell response to SARS‐CoV‐2 after symptomatic COVID‐19
title_fullStr Comparison between enzyme‐linked immunospot assay and intracellular cytokine flow cytometry assays for the evaluation of T cell response to SARS‐CoV‐2 after symptomatic COVID‐19
title_full_unstemmed Comparison between enzyme‐linked immunospot assay and intracellular cytokine flow cytometry assays for the evaluation of T cell response to SARS‐CoV‐2 after symptomatic COVID‐19
title_short Comparison between enzyme‐linked immunospot assay and intracellular cytokine flow cytometry assays for the evaluation of T cell response to SARS‐CoV‐2 after symptomatic COVID‐19
title_sort comparison between enzyme linked immunospot assay and intracellular cytokine flow cytometry assays for the evaluation of t cell response to sars cov 2 after symptomatic covid 19
topic cellular immunity
ELISpot assay
intracellular cytokine staining assay
memory T cells
paucisymptomatic COVID‐19
SARS‐CoV‐2
url https://doi.org/10.1002/iid3.617
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