SARS-CoV-2 specific T-cell responses were determined by interferon gamma (IFN-γ) enzyme-linked immunospot (ELISpot) assay using synthetic peptide pools of the SARS-CoV-2 spike (S1/S2) and membrane (M) protein (600 pmol/mL of each peptide; PepTivator®, Miltenyi Biotec, Bergisch Gladbach, Germany). The peptide pools mainly consisted of 15-mer sequences with 11 overlapping amino acids. In total, 250,000 mononuclear cells isolated from patient blood were incubated with the respective peptides and added onto anti-interferon-gamma-coated strip assay plates (Merck Millipore Ltd., Tullagreen, Ireland). After 19 h of incubation, substrate solution (Oxford Immunotec, Oxford, UK) was added and spots were analyzed by an ELISpot reader (AID Fluorospot, Autoimmun Diagnostika GmbH, Strassberg, Germany). Mean values of duplicate samples were considered and a total of at least three spots after subtraction of unstimulated (background) spots (spot increment) was defined as positive [17 (link)].
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