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Accuracy of QuantiFERON SARS-CoV-2 RUO assay and characterization of the CD4+ and CD8+ T-cell-SARS-CoV-2 response: comparison with a homemade IFN-γ release assay.


ABSTRACT:

Objective

Characterization of the SARS-CoV-2-specific T-cell response detected by the QuantiFERON SARS-CoV-2 RUO assay in terms of accuracy and T-cell subsets involved compared to a homemade interferon (IFN)-γ release assay (IGRA).

Methods

We evaluated T-cell response by the standardized QuantiFERON SARS-CoV-2 tubes (Ag1 and Ag2) and a homemade IGRA quantifying IFN-γ response to SARS-CoV-2 spike peptides (homemade-IGRA-SPIKE test). By flow cytometry, we evaluated the T-cell subsets mediating the specific response.

Results

We prospectively enrolled 66 individuals: COVID-19 or post-COVID-19 subjects, and NO-COVID-19-vaccinated subjects, including healthy donors and immunocompromised subjects. The standardized kit detected 62.1% (41/66) of T-cell responders. Ag2 tube showed the higher IFN-γ quantitative and qualitative response. Ag1 tube response was mainly mediated by CD4+ T cells; Ag2 tube response was mediated by both CD4+ and CD8+ T cells. The homemade-IGRA-SPIKE test detected a higher number of responders (52/66, 78.8%) than QuantiFERON SARS-CoV-2 assay (p=0.056), and the response was found in both T-cell subsets, although a higher magnitude and response rate was observed in the CD4+ T-cell subset.

Conclusions

QuantiFERON SARS-CoV-2 response is mediated by CD4+ and CD8+ T cells. A lower number of responders is found compared to homemade-IGRA-SPIKE test, likely due to the different peptide composition.

SUBMITTER: Aiello A 

PROVIDER: S-EPMC9307287 | biostudies-literature |

REPOSITORIES: biostudies-literature

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