Note that there are several papers showing pre-existing T-cell responses in pre-pandemic donors & that recognition sites in SARS-CoV-2 are shared with homologous sites in endemic (common cold causing) coronaviruses. Analogous findings in antibodies are unsurprising but cool.
Bottom line is, taken with T-cell findings there’s good evidence of population-wide prior immunity. It’s debatable what fraction of the population had functional immunity but I find compelling the suggestion that it was a substantial proportion & that this varied geographically.
What this truly brilliant paper shows is that there are numerous, different peptides, short pieces of the SARS-CoV-2 virus, which give rise to T-memory cells. These are in common to T-cells from SARS survivors 17y ago, suggestive of LONG LIVED immunity to SARS-CoV-2.
The reason I get cross with pseudoscience BS about variants “escaping immunity” is in this paper. There are so many different nucleocapsid peptide epitopes recognised by our memory T-cells that’s there’s no chance that small alterations from variants escaping recognition.
I wonder if spike may not have been the optimal target for vaccines. Not my field, and it is 20/20 hindsight, but I’d choose nucleocapsid sequences recognised from both SARS & SARS-CoV-2 due to evidence of durability. Ideally of course, you use whole virus, no guessing needed!
You can follow @MichaelYeadon3.
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