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Recurrence of COVID-19 associated with reduced T cell responses in a monozygotic twin pair
Recurrence of COVID-19 in recovered patients has been increasingly reported. However, the immune mechanisms behind this have not been thoroughly investigated. Studies with monozygotic (MZ) twins are a valuable approach for understanding the immunogenetics of infectious diseases. We investigated different immune responses against SARS-CoV-2 in three pairs of recovered young-adult MZ twins, one twin presenting severe recurrence 4 months after the initial infection. This recurrence case presented a drastically lack of T cell response against the virus, which may emphasize that an effective SARS-CoV-2-specific T cell immune response is key for viral control and avoidance of clinical recurrence of COVID-19.