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Immunological memory to SARS-CoV-2 assessed for greater than six months after infection (16th November, Institute for Immunology CA, and University of California) https://www.biorxiv.org/content/10.1101/2020.11.15.383323v1 Humans make: SARS-CoV-2-specific antibodies CD4+ T cells (helpers) CD8+ T cells (killers) Memory B cells Neutralizing antibodies have generally not correlated with lessened COVID-19 disease severity Passive prophylactic antibodies limits disease in animals Less so after infection Clinical hepatitis is prevented by vaccine-elicited immune memory even in the absence of circulating antibodies Six months or more is usually required to ascertain the durability of immune memory Cross-sectional study N = 185 41 cases, more than 6 months Recovered COVID-19 cases 43% male, 57% female Mild, moderate, and severe COVID-19 cases Multiple sites throughout the United States 92% of subjects were never hospitalized 7% of subjects were hospitalized 97% symptomatic Results, B cells Spike IgG was relatively stable over 6+ months Spike-specific memory B cells were more abundant at 6 months than at 1 month… detected in almost all COVID-19 cases No apparent half-life at 5+ months post-infection Smallpox vaccine, 60+ years Influenza infection, 90 years Results, T cells SARS-CoV-2-specific CD4+ T cells and CD8+ T cells declined with a half-life of 3-5 months Decay of circulating SARS-CoV-2- specific CD8+ T cell is consistent with what has been reported for another acute virus Smallpox also uses CD4+ T cells, t1/2 of ~10 years T cell memory might reach a more stable plateau, or slower decay phase, later than the first 6 months post-infection. Each component of SARS-CoV-2 immune memory exhibited distinct kinetics Immunity and reinfection Memory B and T cell responses can take 3-5 days to successfully respond to an infection SARS-CoV T cells 17 years after the initial infection SARS-CoV, MERS-CoV, and SARS-CoV-2 are all betacoronaviruses https://www.cell.com/immunity/pdf/S1074-7613(20)30312-5.pdf SARS-CoV-2 is most similar to SARS-CoV-1 Followed by MERS-CoV (2012) https://www.medrxiv.org/content/10.1101/2020.04.14.20065771v1.full.pdf If you would like to donate to this educational project, please use the following link, thank you, https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=78GGHGLK5ZXAE It doesn't matter that we were all doing social distancing, it doesn't matter that I'm fit as a butcher's dog, feel great – so many people do in my circumstances. And actually it doesn't matter that I've had the disease and I'm bursting with antibodies. We've got to interrupt the spread of the disease…and one of the ways we can do that now is by self isolating for 14 days when contacted by Test and Trace. If you would like to donate to this educational project, please use the following link, thank you, https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=78GGHGLK5ZXAE

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