SARS-CoV-2 primarily replicates in mucosal sites, and more
information is needed about
immune responses in infected
tissues. We used
rhesus macaques to model protective primary
immune responses in
tissues during mild COVID-19.
Viral RNA levels were highest on days 1-2 post-
infection and fell precipitously thereafter. 18F-fluorodeoxyglucose (FDG)-avid
lung abnormalities and
interferon (IFN)-activated
myeloid cells in the
bronchoalveolar lavage (BAL) were found on days [~]3-4.
Virus-specific effector CD8 and CD4
T cells were detectable in the BAL and
lung tissue on days [~]7-10, after
viral RNA,
lung inflammation, and IFN-activated
myeloid cells had declined. Notably,
SARS-CoV-2-specific
T cells were not detectable in the nasal
turbinates,
salivary glands, and
tonsils on day 10 post-
infection. Thus,
SARS-CoV-2 replication wanes in the
lungs prior to
T cell responses, and in the nasal and
oral mucosa despite the apparent lack of Ag-specific
T cells, suggesting that
innate immunity efficiently restricts
viral replication during mild COVID-19. ONE SENTENCE SUMMARYSARS-CoV-2
infection leads to mild, focal
lung inflammation, and type I IFN activated
myeloid cells that mostly resolve prior to the influx of
virus-specific effector
T cells or
antibody responses in
rhesus macaques.