Humoral response to the BBIBP-CorV vaccine over time in healthcare workers with or without exposure to SARS-CoV-2

•A 100 % seroconversion rate was achieved after the second dose of BBIBP-CorV vaccine.•Antibody levels decline overtime in subjects with or without SARS-CoV-2 exposure.•Sex and age influence the magnitude of the humoral response in unexposed subjects.•SARS-CoV-2 infection after dose 1 or 2 produced...

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Published in:Molecular immunology Vol. 143; pp. 94 - 99
Main Authors: Badano, María Noel, Sabbione, Florencia, Keitelman, Irene, Pereson, Matias, Aloisi, Natalia, Colado, Ana, Ramos, María Victoria, Ortiz Wilczyñski, Juan Manuel, Pozner, Roberto Gabriel, Castillo, Luis, Wigdorovitz, Georgina, E.de Bracco, María Marta, Fink, Susana, Chuit, Roberto, Baré, Patricia
Format: Journal Article
Language:English
Published: England Elsevier Ltd 01-03-2022
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Summary:•A 100 % seroconversion rate was achieved after the second dose of BBIBP-CorV vaccine.•Antibody levels decline overtime in subjects with or without SARS-CoV-2 exposure.•Sex and age influence the magnitude of the humoral response in unexposed subjects.•SARS-CoV-2 infection after dose 1 or 2 produced a sharp increase in antibody levels. SARS-CoV-2-specific humoral response was analyzed over time in a group of healthcare workers with or without exposure to SARS-CoV-2, who underwent vaccination with BBIBP-CorV (Sinopharm) vaccine in Argentina. Seroconversion rates in unexposed subjects after the first and second doses were 40 % and 100 %, respectively, showing a significant increase in antibody concentrations from dose 1 to dose 2 (p < 0.0001). The highest antibody concentrations were found in younger subjects and women, remaining significantly associated in a multivariable linear regression model (p = 0.005). A single dose of the BBIBP-CorV vaccine induced a strong antibody response in individuals with prior SARS-CoV-2infection, while a second dose did not increase this response. A sharp increase in antibody concentrations was observed following SARS-CoV-2 infection in those participants who became infected after the first and second doses (p = 0.008). Individuals with SARS-CoV-2 exposure prior to vaccination showed significantly higher anti-spike IgG antibody levels, at all-time points, than those not exposed (p < 0.001). Higher antibody titers were induced by a single dose in previously SARS-CoV-2 infected individuals than those induced in naïve subjects by two doses of the vaccine (p < 0.0001). Three months after the second dose both groups showed a decline in antibody levels, being more abrupt in unexposed subjects. Overall, our results showed a trend towards lower antibody concentrations over time following BBIBP-CorV vaccination. Sex and age seem to influence the magnitude of the humoral response in unexposed subjects while the combination of exposure to SARS-CoV-2 plus vaccination, whatever the sequence of the events was, produced a sharp increase in antibody levels. Evaluation of the humoral responses over time and the analysis of the induction and persistence of memory B and T cell responses, are needed to assess long-term immune protection induced by BBIBP-CorV vaccine.
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These authors contributed equally to this research.
ISSN:0161-5890
1872-9142
DOI:10.1016/j.molimm.2022.01.009