CD4+ T cell signature in long COVID: insights from an unvaccinated cohort - Takeaways - MDSpire

CD4+ T cell signature in long COVID: insights from an unvaccinated cohort

  • By

  • Thiago Cerqueira-Silva

  • Benjamin Goodwin

  • Cíntia Araújo

  • Jessica J. Silva

  • Blenda de J. Pereira

  • Ícaro Bonyek Santos da Silva

  • Sara Nunes

  • Ananda Marinho

  • Ana Paula Barreto

  • Marcio Barreto

  • Marcelo Chalhoub

  • Juliana Ribeiro Caldas

  • Vishal Rao

  • Camila Coelho

  • Adolfo Rojas-Hidalgo

  • Vinicius Maracaja-Coutinho

  • Ricardo Khouri

  • Cristina R. Cardoso

  • Aldina Barral

  • Manoel Barral-Netto

  • Natalia Machado Tavares

  • Jennifer Dan

  • Viviane S. Boaventura

  • June 29, 2026

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  • 1

    The study analyzed immune responses in a Brazilian cohort of unvaccinated patients with Long COVID (LC) and recovered controls (RC).

  • 2

    Systemic humoral responses to SARS-CoV-2 were similar in LC and RC groups, but distinct immune signatures were identified in CD4+ T cells.

  • 3

    LC patients exhibited a signature of acute activation in CD4+ T cells, with upregulation of genes like CD38 and interferon-stimulated genes.

  • 4

    Gene set enrichment analysis indicated increased expression of interferon-alpha/gamma signatures in LC patients compared to RC.

  • 5

    The findings suggest that LC immunopathology involves qualitative T cell dysfunction characterized by non-proliferative activation.

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