Effect of BCG Revaccination on Occupationally Exposed Medical Personnel Vaccinated against SARS-CoV-2

The production of specific neutralizing antibodies by individuals is thought to be the best option for reducing the number of patients with severe COVID-19, which is the reason why multiple vaccines are currently being administered worldwide. We aimed to explore the effect of revaccination with BCG,...

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Main Authors: Espiridión Ramos-Martinez, Ramcés Falfán-Valencia, Gloria Pérez-Rubio, Warrison Athanasio Andrade, Jorge Rojas-Serrano, Enrique Ambrocio-Ortiz, Dennisse S. Galicia-Álvarez, Isaac Bárcenas-Montiel, Andrea Velasco-Medina, Guillermo Velázquez-Sámano
Format: Article
Language:English
Published: MDPI AG 2021-11-01
Series:Cells
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Online Access:https://www.mdpi.com/2073-4409/10/11/3179
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author Espiridión Ramos-Martinez
Ramcés Falfán-Valencia
Gloria Pérez-Rubio
Warrison Athanasio Andrade
Jorge Rojas-Serrano
Enrique Ambrocio-Ortiz
Dennisse S. Galicia-Álvarez
Isaac Bárcenas-Montiel
Andrea Velasco-Medina
Guillermo Velázquez-Sámano
author_facet Espiridión Ramos-Martinez
Ramcés Falfán-Valencia
Gloria Pérez-Rubio
Warrison Athanasio Andrade
Jorge Rojas-Serrano
Enrique Ambrocio-Ortiz
Dennisse S. Galicia-Álvarez
Isaac Bárcenas-Montiel
Andrea Velasco-Medina
Guillermo Velázquez-Sámano
author_sort Espiridión Ramos-Martinez
collection DOAJ
description The production of specific neutralizing antibodies by individuals is thought to be the best option for reducing the number of patients with severe COVID-19, which is the reason why multiple vaccines are currently being administered worldwide. We aimed to explore the effect of revaccination with BCG, on the response to a subsequent anti-SARS-CoV-2 vaccine, in persons occupationally exposed to COVID-19 patients. Two groups of 30 randomized participants were selected: one group received a BCG revaccination, and the other group received a placebo. Subsequently, both groups were vaccinated against SARS-CoV-2. After each round of vaccination, the serum concentration of Th1/Th2 cytokines was determined. At the end of the protocol, neutralizing antibodies were determined and the HLA-DRB loci were genotyped. The participants from the BCG group and anti-SARS-CoV-2 vaccine group had increased serum cytokine concentrations (i.e., IL-1β, IL-4, IL-6, IL-12p70, IL-13, IL-18, GM-CSF, INF-γ, and TNF-α) and higher neutralizing antibody titers, compared to the group with Placebo–anti-SARS-CoV-2. Twelve HLA-DRB1 alleles were identified in the Placebo–anti-SARS-CoV-2 group, and only nine in the group revaccinated with BCG. The DRB1*04 allele exhibited increased frequency in the Placebo–anti-SARS-CoV-2 group; however, no confounding effects were found with this allele. We conclude that revaccination with BCG synergizes with subsequent vaccination against SARS-CoV-2 in occupationally exposed personnel.
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spelling doaj.art-e0180518a2dc4017a7eec43451a048f32023-11-22T22:52:28ZengMDPI AGCells2073-44092021-11-011011317910.3390/cells10113179Effect of BCG Revaccination on Occupationally Exposed Medical Personnel Vaccinated against SARS-CoV-2Espiridión Ramos-Martinez0Ramcés Falfán-Valencia1Gloria Pérez-Rubio2Warrison Athanasio Andrade3Jorge Rojas-Serrano4Enrique Ambrocio-Ortiz5Dennisse S. Galicia-Álvarez6Isaac Bárcenas-Montiel7Andrea Velasco-Medina8Guillermo Velázquez-Sámano9Unidad de Investigación en Medicina Experimental, Facultad de Medicina, Universidad Nacional Autónoma de México, Ciudad de México 06720, MexicoHLA Laboratory, Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas, Mexico City 14080, MexicoHLA Laboratory, Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas, Mexico City 14080, MexicoDepartamento de Biologia Celular e Molecular e Bioagentes Patogênicos, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto 14049-900, SP, BrazilUnidad de enfermedades del Intersticio Pulmonar y Reumatología, Instituto Nacional de Enfermedades Respiratorias, “Ismael Cosío Villegas”, Ciudad de México 14080, MexicoHLA Laboratory, Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas, Mexico City 14080, MexicoServicio de Alergia e Inmunología Clínica, Hospital General de México, “Dr. Eduardo Liceaga”, Mexico City 06720, MexicoServicio de Alergia e Inmunología Clínica, Hospital General de México, “Dr. Eduardo Liceaga”, Mexico City 06720, MexicoServicio de Alergia e Inmunología Clínica, Hospital General de México, “Dr. Eduardo Liceaga”, Mexico City 06720, MexicoServicio de Alergia e Inmunología Clínica, Hospital General de México, “Dr. Eduardo Liceaga”, Mexico City 06720, MexicoThe production of specific neutralizing antibodies by individuals is thought to be the best option for reducing the number of patients with severe COVID-19, which is the reason why multiple vaccines are currently being administered worldwide. We aimed to explore the effect of revaccination with BCG, on the response to a subsequent anti-SARS-CoV-2 vaccine, in persons occupationally exposed to COVID-19 patients. Two groups of 30 randomized participants were selected: one group received a BCG revaccination, and the other group received a placebo. Subsequently, both groups were vaccinated against SARS-CoV-2. After each round of vaccination, the serum concentration of Th1/Th2 cytokines was determined. At the end of the protocol, neutralizing antibodies were determined and the HLA-DRB loci were genotyped. The participants from the BCG group and anti-SARS-CoV-2 vaccine group had increased serum cytokine concentrations (i.e., IL-1β, IL-4, IL-6, IL-12p70, IL-13, IL-18, GM-CSF, INF-γ, and TNF-α) and higher neutralizing antibody titers, compared to the group with Placebo–anti-SARS-CoV-2. Twelve HLA-DRB1 alleles were identified in the Placebo–anti-SARS-CoV-2 group, and only nine in the group revaccinated with BCG. The DRB1*04 allele exhibited increased frequency in the Placebo–anti-SARS-CoV-2 group; however, no confounding effects were found with this allele. We conclude that revaccination with BCG synergizes with subsequent vaccination against SARS-CoV-2 in occupationally exposed personnel.https://www.mdpi.com/2073-4409/10/11/3179SARS-CoV-2COVID-19BCGvaccinationneutralizing antibodies
spellingShingle Espiridión Ramos-Martinez
Ramcés Falfán-Valencia
Gloria Pérez-Rubio
Warrison Athanasio Andrade
Jorge Rojas-Serrano
Enrique Ambrocio-Ortiz
Dennisse S. Galicia-Álvarez
Isaac Bárcenas-Montiel
Andrea Velasco-Medina
Guillermo Velázquez-Sámano
Effect of BCG Revaccination on Occupationally Exposed Medical Personnel Vaccinated against SARS-CoV-2
Cells
SARS-CoV-2
COVID-19
BCG
vaccination
neutralizing antibodies
title Effect of BCG Revaccination on Occupationally Exposed Medical Personnel Vaccinated against SARS-CoV-2
title_full Effect of BCG Revaccination on Occupationally Exposed Medical Personnel Vaccinated against SARS-CoV-2
title_fullStr Effect of BCG Revaccination on Occupationally Exposed Medical Personnel Vaccinated against SARS-CoV-2
title_full_unstemmed Effect of BCG Revaccination on Occupationally Exposed Medical Personnel Vaccinated against SARS-CoV-2
title_short Effect of BCG Revaccination on Occupationally Exposed Medical Personnel Vaccinated against SARS-CoV-2
title_sort effect of bcg revaccination on occupationally exposed medical personnel vaccinated against sars cov 2
topic SARS-CoV-2
COVID-19
BCG
vaccination
neutralizing antibodies
url https://www.mdpi.com/2073-4409/10/11/3179
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