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PreprintCC BY-NDbioRxiv

Male and female mice achieve equivalent protection against heterologous SARS-CoV-2 infection through divergent immune mechanisms

2 more authors
  1. 1Boston University

Abstract

Biological sex is a major determinant of antiviral immunity, yet how it shapes lung-resident antiviral immunity remains poorly understood. We report that prior mild SARS-CoV-2 BA.1 infection protects mice from lethal heterologous Delta challenge through distinct sex-biased immune mechanisms. Although heterologous protection is clinically equivalent between sexes, T- and B-cell depletions before BA.1 exposure abrogate protection only in males. Depletion with anti-CD4, but not anti-CD8, abolishes protection in both sexes, but co-depletion with anti-CD4/anti-CD8 partially restores protection in females only. Further, females exhibit enhanced IFN-gamma-associated myeloid inflammation upon secondary Delta infection. Using lymphoid-deficient mice that display female-biased resistance to Delta infection, IFN-gamma treatment provides partial protection to naive males against Delta. Female resistance is lost after previous BA.1 exposure, highlighting the importance of lymphoid-mediated inflammatory regulation. Together, equivalent antiviral protection against heterologous respiratory viral infection is governed by sexually dimorphic mechanisms, with significant implications for designing mucosal vaccines and immunotherapies.

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BibTeX
@misc{kenney2026male,
  title = {{Male and female mice achieve equivalent protection against heterologous SARS-CoV-2 infection through divergent immune mechanisms}},
  author = {D. Kenney and M. Matsuo and A. Pantelias and J. Leger and A. Kaplan and F. Cerbo and D.-Y. Chen and S. Adams and G. Unali and D. Wallace and M. Saeed and A. Belkina and C. Harly and F. Douam},
  howpublished = {bioRxiv},
  year = {2026},
  month = sep,
  doi = {10.64898/2026.09.28.755090},
  url = {https://www.biorxiv.org/content/10.64898/2026.09.28.755090v1},
  note = {CC BY-ND},
}
RIS
TY  - UNPB
TI  - Male and female mice achieve equivalent protection against heterologous SARS-CoV-2 infection through divergent immune mechanisms
AU  - D. Kenney
AU  - M. Matsuo
AU  - A. Pantelias
AU  - J. Leger
AU  - A. Kaplan
AU  - F. Cerbo
AU  - D.-Y. Chen
AU  - S. Adams
AU  - G. Unali
AU  - D. Wallace
AU  - M. Saeed
AU  - A. Belkina
AU  - C. Harly
AU  - F. Douam
PY  - 2026
DA  - 2026/09/28
PB  - bioRxiv
DO  - 10.64898/2026.09.28.755090
UR  - https://www.biorxiv.org/content/10.64898/2026.09.28.755090v1
AB  - Biological sex is a major determinant of antiviral immunity, yet how it shapes lung-resident antiviral immunity remains poorly understood. We report that prior mild SARS-CoV-2 BA.1 infection protects mice from lethal heterologous Delta challenge through distinct sex-biased immune mechanisms. Although heterologous protection is clinically equivalent between sexes, T- and B-cell depletions before BA.1 exposure abrogate protection only in males. Depletion with anti-CD4, but not anti-CD8, abolishes protection in both sexes, but co-depletion with anti-CD4/anti-CD8 partially restores protection in females only. Further, females exhibit enhanced IFN-gamma-associated myeloid inflammation upon secondary Delta infection. Using lymphoid-deficient mice that display female-biased resistance to Delta infection, IFN-gamma treatment provides partial protection to naive males against Delta. Female resistance is lost after previous BA.1 exposure, highlighting the importance of lymphoid-mediated inflammatory regulation. Together, equivalent antiviral protection against heterologous respiratory viral infection is governed by sexually dimorphic mechanisms, with significant implications for designing mucosal vaccines and immunotherapies.
ER  -