medRxiv preprint doi: https://doi.org/10.1101/2021.04.12.21255098; this version posted April 15, 2021. The copyright holder for this preprint (which was not certified by peer review) is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. It is made available under a CC-BY-NC-ND 4.0 International license . Distorted TCR repertoires define multisystem inflammatory syndrome in children Amna Malik* 1, Eszter N. Tóth* 2, Michelle S. Teng 2, Jacob Hurst 2, Eleanor Watt 3, Lauren Wise 4, Natalie Kent 4, Jack Bartram 5, Louis GranDjean 6, Margarita Dominguez-Villar 7, Stuart ADams† 4 anD Nichola Cooper† 1 1 Centre for Haematology, Department of Immunology anD Inflammation, Imperial College LonDon, LonDon, UniteD KingDom 2 Etcembly Ltd, MagDalen Centre, Robert Robinson Way, OxforD, UniteD KingDom 3 Molecular anD Cellular Immunology Department, UCL Great OrmonD Street Institute of ChilD Health, LonDon, UniteD KingDom 4 SIHMDS-Haematology, Great OrmonD Street Hospital for ChilDren, LonDon, UniteD Kingdom 5 Department of Haematology, Great OrmonD Street Hospital for ChilDren, LonDon, UniteD Kingdom 6 PaeDiatric Infectious Diseases, Great OrmonD Street Hospital for ChilDren, LonDon, UniteD Kingdom 7 Department of Infectious Diseases, Imperial College LonDon, LonDon, UniteD KingDom *These authors have contributed equally to this work †These authors have jointly supervised CorresponDing author: Nichola Cooper Tel: +44 20 3313 4017 E-mail:
[email protected] KeyworDs: Sars-Cov2, coronavirus, COVID-19, multisystem inflammatory synDrome, MIS-C, superantigen, TCR, immune repertoire, sequencing NOTE: This preprint reports new research that has not been certified by peer review and should not be used to guide clinical practice.