[HTML][HTML] Repeated exposure to subinfectious doses of SARS-CoV-2 May promote T cell immunity and protection against severe COVID-19

ML De Angelis, F Francescangeli, R Rossi, A Giuliani… - Viruses, 2021 - mdpi.com
ML De Angelis, F Francescangeli, R Rossi, A Giuliani, R De Maria, A Zeuner
Viruses, 2021mdpi.com
Europe is experiencing a third wave of COVID-19 due to the spread of highly transmissible
SARS-CoV-2 variants. A number of positive and negative factors constantly shape the rates
of COVID-19 infections, hospitalization, and mortality. Among these factors, the rise in
increasingly transmissible variants on one side and the effect of vaccinations on the other
side create a picture deeply different from that of the first pandemic wave. Starting from the
observation that in several European countries the number of COVID-19 infections in the …
Europe is experiencing a third wave of COVID-19 due to the spread of highly transmissible SARS-CoV-2 variants. A number of positive and negative factors constantly shape the rates of COVID-19 infections, hospitalization, and mortality. Among these factors, the rise in increasingly transmissible variants on one side and the effect of vaccinations on the other side create a picture deeply different from that of the first pandemic wave. Starting from the observation that in several European countries the number of COVID-19 infections in the second and third pandemic wave increased without a proportional rise in disease severity and mortality, we hypothesize the existence of an additional factor influencing SARS-CoV-2 dynamics. This factor consists of an immune defence against severe COVID-19, provided by SARS-CoV-2-specific T cells progressively developing upon natural exposure to low virus doses present in populated environments. As suggested by recent studies, low-dose viral particles entering the respiratory and intestinal tracts may be able to induce T cell memory in the absence of inflammation, potentially resulting in different degrees of immunization. In this scenario, non-pharmaceutical interventions would play a double role, one in the short term by reducing the detrimental spreading of SARS-CoV-2 particles, and one in the long term by allowing the development of a widespread (although heterogeneous and uncontrollable) form of immune protection.
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