Evidence map›Paper›PMID 41691247›Full record

ArticleJournal of translational medicine2026

HLA-E-restricted SARS-CoV-2 epitopes drive CD8

Mahsa Rafieiyan, Giusto Davide Badami, Nicola Scichilone, Salvatore Corrao, Vincenzo Restivo, Enzo Massimo Farinella, Martina Bottone, Gabriella Pietra, Miriana Fallo, Andrea Maria Aglio and 4 more

Abstract read
In one paragraph

Article in Journal of translational medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Mahsa RafieiyanCentral Laboratory of Advanced Diagnosis and Biomedical Research (CLADIBIOR), Azienda Ospedaliera Universitaria Policlinico (AOUP) Paolo Giaccone, University of Palermo, via del Vespro 129, 90127, Palermo, Italy.
Giusto Davide BadamiCentral Laboratory of Advanced Diagnosis and Biomedical Research (CLADIBIOR), Azienda Ospedaliera Universitaria Policlinico (AOUP) Paolo Giaccone, University of Palermo, via del Vespro 129, 90127, Palermo, Italy.
Nicola ScichiloneDepartment of Health Promotion Sciences, Maternal and Infant Care, Internal Medicine and Medical Specialities (PROMISE), University of Palermo, Palermo, Italy.
Salvatore CorraoDepartment of Health Promotion Sciences, Maternal and Infant Care, Internal Medicine and Medical Specialities (PROMISE), University of Palermo, Palermo, Italy.
Vincenzo RestivoDepartment of Health Promotion Sciences, Maternal and Infant Care, Internal Medicine and Medical Specialities (PROMISE), University of Palermo, Palermo, Italy.
Enzo Massimo FarinellaInfectious Diseases Unit, Villa Sofia- Cervello Hospitals, Palermo, Italy.
Martina BottoneDepartment of Biomedicine, Neurosciences and Advanced Diagnostic (Bi.N.D.), University of Palermo, via del Vespro 129, 90127, Palermo, Italy.
Gabriella PietraDepartment of Experimental Medicine (DIMES), University of Genoa, Genoa, Italy.
Miriana FalloCentral Laboratory of Advanced Diagnosis and Biomedical Research (CLADIBIOR), Azienda Ospedaliera Universitaria Policlinico (AOUP) Paolo Giaccone, University of Palermo, via del Vespro 129, 90127, Palermo, Italy.
Andrea Maria AglioCentral Laboratory of Advanced Diagnosis and Biomedical Research (CLADIBIOR), Azienda Ospedaliera Universitaria Policlinico (AOUP) Paolo Giaccone, University of Palermo, via del Vespro 129, 90127, Palermo, Italy.
Marco Pio La MannaCentral Laboratory of Advanced Diagnosis and Biomedical Research (CLADIBIOR), Azienda Ospedaliera Universitaria Policlinico (AOUP) Paolo Giaccone, University of Palermo, via del Vespro 129, 90127, Palermo, Italy. marcopio.lamanna@unipa.it.ORCID 0000-0002-3327-9541
Francesco DieliCentral Laboratory of Advanced Diagnosis and Biomedical Research (CLADIBIOR), Azienda Ospedaliera Universitaria Policlinico (AOUP) Paolo Giaccone, University of Palermo, via del Vespro 129, 90127, Palermo, Italy.
Mojtaba Shekarkar AzgomiCentral Laboratory of Advanced Diagnosis and Biomedical Research (CLADIBIOR), Azienda Ospedaliera Universitaria Policlinico (AOUP) Paolo Giaccone, University of Palermo, via del Vespro 129, 90127, Palermo, Italy.
Nadia CaccamoCentral Laboratory of Advanced Diagnosis and Biomedical Research (CLADIBIOR), Azienda Ospedaliera Universitaria Policlinico (AOUP) Paolo Giaccone, University of Palermo, via del Vespro 129, 90127, Palermo, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHuman leukocyte antigen-E (HLA-E) is a non-polymorphic, non-classical HLA class Ib molecule that presents signal peptides from classical HLA class Ia molecules to natural killer (NK) cell receptors. Emerging evidence suggests that HLA-E also presents viral peptides to CD8+ T cells, potentially influencing the control of viral infections. However, CD8+ T cell responses to viral epitopes presented by HLA-E remain largely unexplored.

objectiveThis study investigates the potential of SARS-CoV-2-derived peptides presented by HLA-E to elicit CD8+ T cell responses and to identify T cell-mediated immunity in SARS-CoV-2 infection.

methodsWe describe seven peptides from SARS-CoV-2 that display substantial conservation among the predominant strains from December 2021 to February 2025. These peptides fit within the HLA-E pocket and elicit HLA-E-restricted CD8+ T cell responses by producing cytokines.

resultsHLA-E/SARS-CoV-2-restricted CD8+ T cells were identified in the blood of convalescent patients, predominantly expressing TNF-α, with lower levels of IFN-γ and IL-2, in response to predicted immunogenic epitopes. These cytokines were detected at higher frequencies in convalescent patients but were nearly absent in hospitalized patients with severe COVID-19. HLA-E/SARS-CoV-2-restricted CD8+ T cells were induced after BNT162b2 mRNA vaccination, with their frequencies increasing with more vaccine doses. Furthermore, they were significantly elicited in vaccinated individuals after SARS-CoV-2 infection.

conclusionThese findings underscore the translational potential of targeting HLA-E-restricted CD8+ T cell responses in next-generation vaccine design. The high conservation of HLA-E-presented epitopes across SARS-CoV-2 variants suggests that these peptides may offer a potentially valuable basis for expanding studies on vaccineinduced cellular immunity, independent of viral sequence drift. This strategy could be extended beyond SARS-CoV-2 to other rapidly evolving pathogens, providing a framework for broad-spectrum, T cell-focused vaccine platforms in precision vaccinology.

Indexed as

CD8-Positive T-LymphocytesCOVID-19COVID-19 VaccinesEpitopes, T-LymphocyteHistocompatibility Antigens Class IImmunologic MemorySARS-CoV-2AdultConvalescenceCytokinesFemaleHLA-E AntigensHumansImmunotherapyMaleVaccinationCOVID-19 VaccinesCytokinesEpitopes, T-LymphocyteHistocompatibility Antigens Class IHLA-E AntigensCD8+ T cellsCOVID-19 diseaseCytokinesHLA-ESARS CoV-2

Identifiers

PMID41691247
PMCPMC12922205

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.