Evaluation of the Efficacy of BBIBP-CorV Inactivated Vaccine Combined with BNT62b2 mRNA Booster Vaccine

Objectives: In this prospective study, SARS-CoV−2 spike protein specific total immunoglobulin (Ig) levels were analyzed before and after BNT162 b2 mRNA booster vaccination in individuals previously administered with two doses of BBIBP-CorV vaccine in comparison to immunized participants with three d...

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Main Authors: Éva Rákóczi, Gusztáv Magócs, Sára Kovács, Béla Nagy, Gabriella Szűcs, Zoltán Szekanecz
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/13/3/556
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author Éva Rákóczi
Gusztáv Magócs
Sára Kovács
Béla Nagy
Gabriella Szűcs
Zoltán Szekanecz
author_facet Éva Rákóczi
Gusztáv Magócs
Sára Kovács
Béla Nagy
Gabriella Szűcs
Zoltán Szekanecz
author_sort Éva Rákóczi
collection DOAJ
description Objectives: In this prospective study, SARS-CoV−2 spike protein specific total immunoglobulin (Ig) levels were analyzed before and after BNT162 b2 mRNA booster vaccination in individuals previously administered with two doses of BBIBP-CorV vaccine in comparison to immunized participants with three doses of BNT162 b2 vaccination. Methods: Sixty-one Caucasian volunteers (39 females, 22 males) vaccinated by BBIBP-CorV were included (mean age: 63.9 years). Sixty-one patients (41 females, 20 males) as controls were vaccinated with BNT162b2 (mean age: 59.9 years). Both groups received the third booster BNT162b2 vaccine. Total anti-SARS-CoV−2 S1-RBD Ig levels were measured by an immunoassay (Roche Diagnostics) and their calculated ratios after/before booster dose were compared between the two groups. Results: At baseline, significantly lower anti-SARS-CoV−2 S1-RBD total antibody levels were determined after initial immunization by two doses of inactivated BBIBP-CorV compared to BNT62b2 mRNA vaccine (p < 0.001). After BNT162b2 boosters, similarly high total Ig levels were detected in both the heterologous (27,195 [15,604–42,754] BAU/mL, <i>p</i> < 0.001) and the homologous booster cohort (24,492 [13,779−42,671] BAU/mL, <i>p</i> < 0.001) compared to baseline. Hence, the ratio of after/before total Ig levels was significantly higher with heterologous vs homologous immunization (<i>p</i> < 0.001). Conclusion: To address the concept that basic BBIBP-CorV vaccination is not as effective as BNT162b, we analyzed the effect of heterologous vaccination with BNT162b2. Our results suggest that BNT162b2 can successfully boost the effects of two-dose BBIBP-CorV vaccination.
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spelling doaj.art-9aee2aa6088f4fc0a196a3603e96e5112023-11-16T16:26:33ZengMDPI AGDiagnostics2075-44182023-02-0113355610.3390/diagnostics13030556Evaluation of the Efficacy of BBIBP-CorV Inactivated Vaccine Combined with BNT62b2 mRNA Booster VaccineÉva Rákóczi0Gusztáv Magócs1Sára Kovács2Béla Nagy3Gabriella Szűcs4Zoltán Szekanecz5Department of Rheumatology, Faculty of Medicine, University of Debrecen, 4023 Debrecen, HungaryGeneral Practitioner Service, 4283 Létavértes, HungaryDepartment of Rheumatology, Faculty of Medicine, University of Debrecen, 4023 Debrecen, HungaryDepartment of Laboratory Medicine, Faculty of Medicine, University of Debrecen, 4023 Debrecen, HungaryDepartment of Rheumatology, Faculty of Medicine, University of Debrecen, 4023 Debrecen, HungaryDepartment of Rheumatology, Faculty of Medicine, University of Debrecen, 4023 Debrecen, HungaryObjectives: In this prospective study, SARS-CoV−2 spike protein specific total immunoglobulin (Ig) levels were analyzed before and after BNT162 b2 mRNA booster vaccination in individuals previously administered with two doses of BBIBP-CorV vaccine in comparison to immunized participants with three doses of BNT162 b2 vaccination. Methods: Sixty-one Caucasian volunteers (39 females, 22 males) vaccinated by BBIBP-CorV were included (mean age: 63.9 years). Sixty-one patients (41 females, 20 males) as controls were vaccinated with BNT162b2 (mean age: 59.9 years). Both groups received the third booster BNT162b2 vaccine. Total anti-SARS-CoV−2 S1-RBD Ig levels were measured by an immunoassay (Roche Diagnostics) and their calculated ratios after/before booster dose were compared between the two groups. Results: At baseline, significantly lower anti-SARS-CoV−2 S1-RBD total antibody levels were determined after initial immunization by two doses of inactivated BBIBP-CorV compared to BNT62b2 mRNA vaccine (p < 0.001). After BNT162b2 boosters, similarly high total Ig levels were detected in both the heterologous (27,195 [15,604–42,754] BAU/mL, <i>p</i> < 0.001) and the homologous booster cohort (24,492 [13,779−42,671] BAU/mL, <i>p</i> < 0.001) compared to baseline. Hence, the ratio of after/before total Ig levels was significantly higher with heterologous vs homologous immunization (<i>p</i> < 0.001). Conclusion: To address the concept that basic BBIBP-CorV vaccination is not as effective as BNT162b, we analyzed the effect of heterologous vaccination with BNT162b2. Our results suggest that BNT162b2 can successfully boost the effects of two-dose BBIBP-CorV vaccination.https://www.mdpi.com/2075-4418/13/3/556COVID−19BBIBP-CorVBNT62b2boostervaccine
spellingShingle Éva Rákóczi
Gusztáv Magócs
Sára Kovács
Béla Nagy
Gabriella Szűcs
Zoltán Szekanecz
Evaluation of the Efficacy of BBIBP-CorV Inactivated Vaccine Combined with BNT62b2 mRNA Booster Vaccine
Diagnostics
COVID−19
BBIBP-CorV
BNT62b2
booster
vaccine
title Evaluation of the Efficacy of BBIBP-CorV Inactivated Vaccine Combined with BNT62b2 mRNA Booster Vaccine
title_full Evaluation of the Efficacy of BBIBP-CorV Inactivated Vaccine Combined with BNT62b2 mRNA Booster Vaccine
title_fullStr Evaluation of the Efficacy of BBIBP-CorV Inactivated Vaccine Combined with BNT62b2 mRNA Booster Vaccine
title_full_unstemmed Evaluation of the Efficacy of BBIBP-CorV Inactivated Vaccine Combined with BNT62b2 mRNA Booster Vaccine
title_short Evaluation of the Efficacy of BBIBP-CorV Inactivated Vaccine Combined with BNT62b2 mRNA Booster Vaccine
title_sort evaluation of the efficacy of bbibp corv inactivated vaccine combined with bnt62b2 mrna booster vaccine
topic COVID−19
BBIBP-CorV
BNT62b2
booster
vaccine
url https://www.mdpi.com/2075-4418/13/3/556
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