Cross-reactive T cell immunity against novel coronaviruses with pandemic potential, predictable from spike sequence conservation
Widespread SARS-CoV-2 infection and vaccination have reshaped global immunity to coronaviruses. Whether this immunity extends to animal sarbecoviruses with spillover potential remains unknown. We assessed cross-reactive memory T-cell responses to spike proteins from five relevant human angiotensin-converting enzyme 2 (hACE2)-dependent sarbecoviruses and MERS-CoV in healthcare workers in the UK and Vietnam. Limited SARS-CoV-2 specific or cross-reactive responses were seen in pre-pandemic samples. However, in samples collected from vaccinated donors at 3-24 months after booster vaccination, cross-reactive T-cell responses across the hACE2-dependent sarbecoviruses were detected. There was a strong correlation between the magnitude of responses and the level of viral sequence identity. This relationship was reproduced across cohorts in the UK and Vietnam. These findings indicate that post-pandemic populations possess measurable cellular immunity to genetically related sarbecoviruses and suggest that the degree of T-cell cross-recognition can be predicted from the spike protein sequence conservation. Such data provide an immunological framework for assessing vulnerability to future sarbecovirus spillover.
Authors
- Priyanka Abraham (ORCID: https://orcid.org/0000-0002-5296-4499)
- Le Mau Toan
- Le Nguyen Truc Nhu (ORCID: https://orcid.org/0000-0002-7685-9730)
- Warangkana Chantima (ORCID: https://orcid.org/0000-0003-1541-7098)
- Yanie Tayipto (ORCID: https://orcid.org/0000-0002-4699-0535)
- Le Van Tan (ORCID: https://orcid.org/0000-0002-1791-3901)
- Guy Edward Thwaites (ORCID: https://orcid.org/0000-0002-2858-2087)
- H. Rogier van Doorn (ORCID: https://orcid.org/0000-0002-9807-1821)
- Sopon Iamsirithaworn (ORCID: https://orcid.org/0000-0002-6109-5002)
- Phaik Yeong Cheah (ORCID: https://orcid.org/0000-0001-6327-3266)
- Piyada Supasa (ORCID: https://orcid.org/0009-0006-3931-0569)
- Vu Thi Ty Hang (ORCID: https://orcid.org/0000-0003-1085-4491)
- Thi Thu Thao Le (ORCID: https://orcid.org/0000-0002-9985-4668)
- Raksha Das (ORCID: https://orcid.org/0000-0002-4333-8955)
- Paul Klenerman (ORCID: https://orcid.org/0000-0003-4307-9161)
- Lam Anh Nguyet
- Narisara Chantratita (ORCID: https://orcid.org/0000-0003-3906-7379)
- Vu Duy Thanh
- Muneeswaran Selvaraj (ORCID: https://orcid.org/0000-0002-5335-529X)
- Tran Tan Thanh (ORCID: https://orcid.org/0000-0002-8096-7750)
- Lam Minh Yen (ORCID: https://orcid.org/0000-0002-5126-110X)
- D. I. Stuart
- Vichapon Tiacharoen
- Louise Thwaites (ORCID: https://orcid.org/0000-0002-4666-9813)
- Juthathip Mongkolsapaya (ORCID: https://orcid.org/0000-0003-3416-9480)
- Kanpong Boonthaworn (ORCID: https://orcid.org/0000-0001-9657-492X)
- Ragil Dien
- Pham Tieu Kieu
- Adul Dulsuk
- Wanwisa Dejnirattisai (ORCID: https://orcid.org/0000-0001-7996-2699)
- Susanna Jane Dunachie (ORCID: https://orcid.org/0000-0001-5665-6293)
- Prapassorn Poolchanuan (ORCID: https://orcid.org/0000-0003-1668-4147)
- Do Duong Kim Han
- Raph L Hamers (ORCID: https://orcid.org/0000-0002-5007-7896)
- Jennifer W Hill (ORCID: https://orcid.org/0000-0001-6205-7764)
- Alba Grifoni (ORCID: https://orcid.org/0000-0002-2209-5966)
- Wee Chee Yap (ORCID: https://orcid.org/0000-0001-8470-5806)
- Tassawan Poomchaichote (ORCID: https://orcid.org/0009-0006-2115-3614)
- Gavin Robert Screaton (ORCID: https://orcid.org/0000-0002-3549-4309)
- Nghiêm My Ngoc
- Martha Zewdie (ORCID: https://orcid.org/0000-0003-2155-5550)
- Le Kim Thanh
- Mohammad Ali (ORCID: https://orcid.org/0000-0003-0170-7182)
- Truong Hoang Chau Truc
- Eva Simarmata
- Aiete Dijokaite-Guraliuc
- Anuraj Shankar
- Nguyen Thanh Truong
- Cao Thu Thuy (ORCID: https://orcid.org/0000-0003-3894-0949)
- Vo Tan Hoang (ORCID: https://orcid.org/0009-0001-9097-7565)
- Alessandro Sette
- Nguyen Thanh Dung (ORCID: https://orcid.org/0000-0001-9635-1136)
- Nguyen Thi Thao
- Nguyen Thi Thu Hong (ORCID: https://orcid.org/0009-0004-4993-6616)
- Nick Day
- Suwatrti Suwarti
- Mary Chambers
- Trinh Son Tung
- Beng Lee Lim
- Nguyen To Anh
- Nguyen Thi Han Ny
- Lin-Fa Wang
- E Yvonne Jones
- Barbara Kronsteiner
- Chang Liu
- Chee Wah Tan
- Nguyen Van Vinh Chau
Institutions
- Centre for Human Genetics (GB)
- National University of Singapore (SG)
- Bangladesh Medical University (BD)
- Mahidol University (TH)
- University of Oxford (GB)
- NIHR Oxford Musculoskeletal Biomedical Research Centre (GB)
- Mahidol Oxford Tropical Medicine Research Unit (TH)
- Oxford University Hospitals NHS Trust (GB)
- Oxford University Clinical Research Unit (VN)
- Hospital for Tropical Diseases (VN)
Publication Details
- Journal
- Clinical & Experimental Immunology
- Published
- 2026-10-29
- DOI
- https://doi.org/10.1093/cei/uxag068
- Primary Topic
- SARS-CoV-2 and COVID-19 Research
- Type
- article
- Field-Weighted Citation Impact
- 0.00