Human breastmilk is rich in
T cells; however, their
specificity and function are largely unknown. We compared the
phenotype, diversity, and
antigen specificity of
T cells in the breastmilk and peripheral
blood of lactating individuals
who received
SARS-CoV-2 mRNA vaccination. Relative to
blood, breastmilk contained higher frequencies of T effector and central
memory populations that expressed mucosal-homing markers.
T cell receptor (TCR) sequence overlap was limited between
blood and breastmilk. Overabundan t breastmilk
clones were observed in all individuals, were diverse, and contained CDR3 sequences with known
epitope specificity including to
SARS-CoV-2 Spike. Spike-specific TCRs were more frequent in breastmilk compared to
blood and expanded in breastmilk following a third
mRNA vaccine dose. Our observations indicate that the lactating
breast contains a distinct
T cell population that can be modulated by maternal
vaccination with potential implications for
infant passive
protection. One-Sentence SummaryThe breastmilk
T cell repertoire is distinct and enriched for
SARS-CoV-2 Spike-
specificity after
maternal mRNA vaccination.