» Articles » PMID: 37465688

Impact of Vaccine Platform and BCG Vaccination on Antibody Responses to COVID-19 Vaccination

Abstract

Multiple factors, including vaccine platform and prior vaccinations, influence vaccine responses. We compared antibody responses to CoronaVac (Sinovac) and ChAdOx1-S (AstraZeneca-Oxford) vaccination in 874 healthcare workers in Brazil. As participants were randomised to BCG vaccination or placebo in the preceding 0-6 months as part of the BCG vaccination to reduce the impact of COVID-19 in healthcare workers (BRACE) trial, we also investigated the influence of recent BCG vaccination on antibody responses to these COVID-19 vaccines. Twenty-eight days after the second dose of each vaccine, ChAdOx1-S induced a stronger anti-spike IgG response than CoronaVac vaccination. Recent BCG vaccination did not impact IgG antibody responses to ChAdOx1-S or CoronaVac.

Citing Articles

Effect of Bacille Calmette-Guérin vaccination on immune responses to SARS-CoV-2 and COVID-19 vaccination.

Messina N, Germano S, Chung A, van de Sandt C, Stevens N, Allen L Clin Transl Immunology. 2025; 14(1):e70023.

PMID: 39872402 PMC: 11761716. DOI: 10.1002/cti2.70023.


The effect of BCG revaccination on the response to unrelated vaccines in urban Ugandan adolescents (POPVAC C): an open-label, randomised controlled trial.

Nassuuna J, Zirimenya L, Nkurunungi G, Natukunda A, Zziwa C, Ninsiima C Lancet Glob Health. 2024; 12(11):e1849-e1859.

PMID: 39424573 PMC: 11483248. DOI: 10.1016/S2214-109X(24)00282-1.


BCG vaccination of healthcare workers for protection against COVID-19: 12-month outcomes from an international randomised controlled trial.

Messina N, Pittet L, McDonald E, Moore C, Barry S, Bonten M J Infect. 2024; 89(4):106245.

PMID: 39127450 PMC: 11409612. DOI: 10.1016/j.jinf.2024.106245.


Factors influencing adverse events following COVID-19 vaccination.

Villanueva P, McDonald E, Croda J, Croda M, Dalcolmo M, Dos Santos G Hum Vaccin Immunother. 2024; 20(1):2323853.

PMID: 38445666 PMC: 10936640. DOI: 10.1080/21645515.2024.2323853.


Interpreting the Results of Trials of BCG Vaccination for Protection Against COVID-19.

Noble C, Messina N, Pittet L, Curtis N J Infect Dis. 2023; 228(10):1467-1478.

PMID: 37558650 PMC: 10640778. DOI: 10.1093/infdis/jiad316.

References
1.
Ewer K, Barrett J, Belij-Rammerstorfer S, Sharpe H, Makinson R, Morter R . T cell and antibody responses induced by a single dose of ChAdOx1 nCoV-19 (AZD1222) vaccine in a phase 1/2 clinical trial. Nat Med. 2020; 27(2):270-278. DOI: 10.1038/s41591-020-01194-5. View

2.
Debisarun P, Kilic G, de Bree L, Pennings L, van Ingen J, Benn C . The impact of BCG dose and revaccination on trained immunity. Clin Immunol. 2022; 246:109208. DOI: 10.1016/j.clim.2022.109208. View

3.
Poyntz H, Stylianou E, Griffiths K, Marsay L, Checkley A, McShane H . Non-tuberculous mycobacteria have diverse effects on BCG efficacy against Mycobacterium tuberculosis. Tuberculosis (Edinb). 2014; 94(3):226-37. PMC: 4066954. DOI: 10.1016/j.tube.2013.12.006. View

4.
Messina N, Germano S, McElroy R, Rudraraju R, Bonnici R, Pittet L . Off-target effects of bacillus Calmette-Guérin vaccination on immune responses to SARS-CoV-2: implications for protection against severe COVID-19. Clin Transl Immunology. 2022; 11(4):e1387. PMC: 9028103. DOI: 10.1002/cti2.1387. View

5.
Messina N, Zimmermann P, Curtis N . The impact of vaccines on heterologous adaptive immunity. Clin Microbiol Infect. 2019; 25(12):1484-1493. DOI: 10.1016/j.cmi.2019.02.016. View