Source: COVID-19 Vaccine  Aug 31, 2020  2 years ago
COVID-19 Vaccine: Researchers Identify T Cell Epitopes For Effective Vaccine Development
COVID-19 Vaccine: Researchers Identify T Cell Epitopes For Effective Vaccine Development
Source: COVID-19 Vaccine  Aug 31, 2020  2 years ago
COVID-19 Vaccine: New studies are showing that T cell immunity is necessary to provide robust and durable protection against reinfection with the SARS-CoV-2 coronavirus. This implies that the epitopes specific to the SARS-CoV-2 coronavirus which are capable of eliciting this type of response across a huge number of individuals need to be identified.

An epitope, also known as antigenic determinant, is the part of an antigen that is recognized by the immune system, specifically by antibodies, B cells, or T cells. For example, the epitope is the specific piece of the antigen to which an antibody binds.
T cell epitopes are presented on the surface of an antigen-presenting cell, where they are bound to MHC molecules. In humans, professional antigen-presenting cells are specialized to present MHC class II peptides, whereas most nucleated somatic cells present MHC class I peptides. T cell epitopes presented by MHC class I molecules are typically peptides between 8 and 11 amino acids in length, whereas MHC class II molecules present longer peptides, 13-17 amino acids in length, and non-classical MHC molecules also present non-peptidic epitopes such as glycolipids.
Researchers from the Hong Kong University of Science and Technology have collated and established a database of SARS-CoV-2 T cell epitopes gathered from 8 studies of COVID-19 patients who recovered.
Their research findings are published on a preprint server and are currently being peer-reviewed.
Such an initiative and database could serve as a launch-pad to fill in knowledge gaps regarding the immunological aspects of this disease, and drive towards an effective T cell vaccine.
Past studies show that severe disease is associated with less intense T cell responses, but this needs to be validated on larger groups. In convalescent patients, T cells specifically targeting this virus have also been detected at 3 months after infection, supporting the role of these cells in providing specific and lasting immunity. In the case of SARS-CoV, T cells have been found up to 11 years after infection. 
COVID-19 antibodies, on the other hand, seem to dwindle to undetectable levels within a few months of infection in COVID-19 and in SARS-CoV, a few years following infection.
The research on T cell epitopes so far have been done using bioinformatics approaches in the earlier phase of the pandemic, but recent experimental evidence has accumulated in this area. This allows a greater understanding of these responses. The current paper presents a summary of the T cell epitopes identified from over 1,200 convalescent COVID-19 patients
The study team counted about 300 unique T cell epitopes, of which 71 and 21 bearing CD8 and CD4 antigens, belonged to HLA class I and class II, respectively. In 211 of them, no HLA class was identified. All but two were 95% conserved in the over 42,000 viral genome sequences available at the time of the study.
Interestingly the epitopes were found to be located on all known v iral proteins, but 98 were in the spike protein and 60 in the nucleocapsid (N) protein. The spike is the most exposed viral protein, while the N protein is the most abundant. Of the spike epitopes, 19 occurred inside the receptor-binding domain where the virus binds to the ACE2 receptor on the human host cell.
Also about another 48 lie within the S2 subunit, with one being in the fusion peptide region.
Of the N protein epitopes, 24 involve the RNA-binding domain and 20 the dimerization domain.  
The study team also found that 23 epitopes were capable of eliciting T cell responses in more than 75% of the tested individuals. In some of these studies, the high number of test subjects makes the estimation for that epitope very reliable.  This includes one in orf1a, one in N, and one in S.
The immunity protection afforded by a COVID-19 vaccine is linked to its HLA association. With most of the known epitopes for this virus so far, however, only 1-2 alleles have been found, or none at all. In addition, most of these studies were based on a specific synthetic peptide or complexes formed by a peptide with an MHC molecule.
Significantly, with most of the identified epitopes, only one HLA allele was reported, and the majority of these were those which are most commonly found in the global population. In part, this is because only a small number of convalescent patients have been studied so far. However, the technical complexity of this work also plays a part in the paucity of data.
Interestingly, almost 20 percent of the epitopes were identical to those in SARS-CoV. Moreover, the HLA association in both cases was exactly the same for both viruses. This indicates that T cell vaccines for SARS-CoV-2 should be designed based on earlier vaccines developed for SARS-CoV as well, taking advantage of the much larger body of knowledge of epitopes and HLA association with the latter. This would ensure that the vaccine will protect a greater percentage of the population.
Utilizing this hypothesis, the researchers identified more HLA matches for 12 T cell epitopes, which enabled multiple associations with each epitope.
The first studies in this area carried out in the first days of the pandemic, probably did not resolve the exact epitope, especially those reported as being CD8 T cell epitopes. To help overcome this issue, the researchers scanned these epitopes, numbering 211 in all, to find any matches with those of SARS-CoV, either the whole epitope or a fragment of it.
This study turned up 125 more unique SARS-CoV epitopes that were present within or were identical with 71 of the SARS-CoV-2 epitopes. Each of these new epitopes are 9-11 amino acids long, matching the expected size.
The study team said, “These matching epitopes likely correspond to the actual T cell epitopes.” The researchers also benefited from reaping the associated diverse set of HLA class I alleles.
By utilizing the HLA associations, the study team found that about a fifth of the global population contained those MHC molecules that were necessary to allow recognition of these epitopes. First, using those HLA associations derived from partial experimental determination, they found that about a fifth of the population would be covered, at a median value. Some epitopes covered as much as 50% of the population.
Altogether there were 12 SARS-CoV-2 epitopes for which additional HLA associations were gained from the use of SARS-CoV data. Here, a higher median population coverage was attained of about 44%, rather than the meager 17% without the use of this data. Certain specific SARS-CoV-2 epitopes had very high coverage, in fact, of about 60%, using this method.
However in the absence of any reported HLA association, the prediction method used above yielded a high estimated global population coverage of about 40%. Still, one in particular, located in orf1b, covered 85% of the population.
Significantly this epitope may play a crucial role in the function of the RNA polymerase enzyme of SARS-CoV-2.
In order to better facilitate the further centralized collection of data relating to T cell epitopes, the researchers have set up a web-based dashboard containing all the information they have retrieved so far. They aim to continually update the dashboard, as experimental information is published. This will, they hope, promote research in the immunology and vaccine arenas of SARS-CoV-2 research.
For COVID-19 vaccines based on viral peptides, T cell epitopes may be integrated into the vaccine itself.  For those which use DNA or RNA constructs, the epitope-encoding nucleic acid can be used with necessary features to enable the individual to produce an appropriate cellular immune response.
Importantly a universal COVID-19 vaccine could arise from the use of specific epitopes to obtain the highest possible population coverage. The current study, for instance, identifies 12 epitopes that can cover almost 100% of the global population. If only 3 are selected, the estimated coverage is 97%.
Also adding SARS-CoV-2 T cell epitopes identified in animal models may help enlarge the field of potential immune targets in those already infected, and to understand how T cell responses following vaccination differ from those that arise after natural infection with the virus.
Although cross-reactive T cell epitopes are known to occur in Zika and dengue viruses, further research will be needed to confirm that the specific combinations of HLA and epitopes are indeed immunogenic against SARS-CoV-2.
The study team commented “Overall, the data that we describe based on recent experimental studies demonstrates an impressive and diverse list of SARS-CoV-2 T cell epitopes targeted by convalescent COVID-19 patients.”
The subsequent step would be to select a set of epitopes that are highly conserved and, therefore, unlikely to develop immunogenic escape mutations and that bind to HLA alleles occurring in a major chunk of the global population.
COVID-19 vaccines that target these epitopes could result in comprehensive protective coverage and contain the spread of the pandemic effectively and over the long term.
In should be noted that most of the leading COVID-19 vaccines currently in the third phase trials never utilized such strategies or approaches.
For more about COVID-19 vaccines, keep on logging to Thailand Medical News.


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