April 30, 2024

New Research Explains Why Children Avoid Severe COVID-19 Symptoms

” Because children have not been exposed to lots of infections, their body immune system is still naive. And due to the fact that they dont develop memory T cells, they are at danger of getting sick when they become reinfected. With each new infectious episode as they age, there is a threat of their T cells becoming tired and inefficient, like the T cells in older individuals. This is why we think its crucial to vaccinate kids,” he says.
The natural immune system is the very first line of defense, consisting of physical barriers such as skin and mucosal surfaces that block infections from getting in. It is also composed of cells that make chemicals to signal to other cells and ward off the viruses.
The 2nd line of defense comprises B and T cells of the adaptive body immune system. These cells have particular receptors that can acknowledge and identify different parts of an infection and generate a rapid action to neutralize or limit it.
Infants start with an immune system blank slate, which has a much greater proportion of naïve T cells, the researchers discovered. As they move through youth into their adult years and become exposed to more infections, the naïve T cells are replaced by memory T cells that are locked into making reactions to viruses they have seen prior to.
” Over time, as you get infections, your immune system ends up being more educated, allowing you to make a quicker immune action thats firmly matched to the infections that have actually contaminated you before,” states Associate Professor Philip Britton, pediatric transmittable illness physician at the Childrens Hospital at Westmead, and medical lead in the research study. “Childrens immune systems move from relying mostly on the inherent system to needing the adaptive system as a backup as they get older and are not able to clear infections as rapidly.”
In the new research study, published in the journal Clinical Immunology, Professor Phan, Associate Professor Britton, and colleagues took a deep dive to investigate T cells and cellular immune reactions of a little group of kids and their household family contacts who had moderate or no symptoms from coronavirus (SARS-CoV-2) infection.
The researchers sequenced leukocyte samples to analyze T cells in children and grownups at the time of intense infection and one month later on.
Because they studied household family contacts who were infected, scientists could control for the impact of hereditary or environmental influences on the immune response.
They found that kids had many various naive T cells to battle SARS-CoV-2 and made poor memory T cell reactions to the virus after they had recuperated, whereas the grownups had few naïve T cells however made great memory T cell responses after recovery.
Interestingly, the findings indicate why older adults can have a sort of immune overreaction to SARS-CoV-2.
” When grownups are infected for the very first time with SARS-CoV-2, their memory T cells recognize just what theyve seen before– like a familiar part of the coronavirus that is shared with the typical cold coronaviruses,” Professor Phan says.
” This might lock the immune system into a misdirected action that is not specific to SARS-CoV-2. It provides an opportunity for the infection to leave and multiply uncontrolled to cause more serious symptoms as the immune system increases to repair the issue and attempt.”
Recommendation: “Tracking the clonal dynamics of SARS-CoV-2-specific T cells in children and grownups with mild/asymptomatic COVID-19″ by Weng Hua Khoo, Katherine Jackson, Chansavath Phetsouphanh, John J. Zaunders, José Alquicira-Hernandez, Seyhan Yazar, Stephanie Ruiz-Diaz, Mandeep Singh, Rama Dhenni, Wunna Kyaw, Fiona Tea, Vera Merheb, Fiona X.Z. Lee, Rebecca Burrell, Annaleise Howard-Jones, Archana Koirala, Li Zhou, Aysen Yuksel, Daniel R. Catchpoole, Catherine L. Lai and Tri Giang Phan, 17 December 2022, Clinical Immunology.DOI: 10.1016/ j.clim.2022.109209.
The research study was moneyed by the Mrs. Janice Gibson and the Ernest Heine Family Foundation, the National Health and Medical Research Council (NHMRC), a UNSW Cellular Genomics Futures Institute and UNSW Scientia PhD Scholarship, a Garvan Institute COVID Catalytic Grant, the UNSW COVID-19 Rapid Response Research Initiative, the National Institutes of Health Centers of Excellence for Influenza Research and Response (CEIRR) COVID-19, the Snow Medical Foundation BEAT COVID-19 and Griffith University.

It turns out that children have a robust initial inherent immune response that quickly overpowers the infection. Unlike the immune systems of grownups, kidss immune systems do not retain memory of the virus and do not adapt, so when they are exposed to SARS-CoV-2 once again, their bodies still perceive it as a new threat.
And because they dont establish memory T cells, they are at danger of getting sick when they become reinfected. With each new contagious episode as they get older, there is a threat of their T cells ending up being exhausted and inefficient, like the T cells in older people. It is likewise composed of cells that make chemicals to signal to other cells and ward off the infections.

Graphic of coronavirus, SARS-CoV-2 cells. Credit: Garvan Institute of Medical Research
According to new research study, children display a robust preliminary immune response to the coronavirus, however, they are not able to transfer this response to long-lasting memory T cells like adults do.
Researchers led by researchers at the Garvan Institute of Medical Research have discovered why children have actually largely prevented severe signs of COVID-19. It ends up that children have a robust initial natural immune reaction that quickly overpowers the virus. Unlike the immune systems of adults, kidss immune systems do not keep memory of the infection and dont adapt, so when they are exposed to SARS-CoV-2 again, their bodies still perceive it as a new danger.
” The cost that kids spend for being so proficient at getting rid of the infection in the first place is that they do not have the opportunity to develop adaptive memory to safeguard them the 2nd time they are exposed to the virus,” says lead author Professor Tri Phan, Head of the Intravital Microscopy and Gene Expression (IMAGE) Lab and Co-Lead of the Precision Immunology Program at Garvan.