@article{682255b8315e4d61873818f3ab662da6,
title = "Investigating the impact of prior COVID-19 on IgG antibody and interferon γ responses after BBIBP-CorV vaccination in a disease endemic population: a prospective observational study",
abstract = "Background and Aims: COVID-19 vaccinations have reduced morbidity and mortality from the disease. Antibodies against severe acute respiratory syndrome coronavirus 2 (SARS‑CoV‑2) have been associated with immune protection. Seroprevalence studies revealed high immunoglobulin G (IgG) antibody levels to SARS-CoV-2 in the Pakistani population before vaccinations. We investigated the effect of BBIBP-CorV vaccination on circulating IgG antibodies and interferon (IFN)-γ from T cells measured in a cohort of healthy individuals, with respect to age, gender, and history of COVID-19. Methods: The study was conducted between April and October 2021. BBIBP-CorV vaccinated participants were followed up to 24 weeks. Antibodies to SARS-CoV-2 Spike protein and its receptor-binding domain (RBD) were measured. IFNγ secreted by whole blood stimulation of Spike protein and extended genome antigens was determined. Results: Study participants with a history of prior COVID-19 displayed a higher magnitude of IgG antibodies to Spike and RBD. IgG seropositivity was greater in those with prior COVID-19, aged 50 years or younger and in females. At 24 weeks after vaccination, 37.4% of participants showed IFN-γ responses to SARS-CoV-2 antigens. T cell IFN-γ release was higher in those with prior COVID-19 and those aged 50 years or less. Highest IFN-γ release was observed to extended genome antigens in individuals both with and without prior COVID-19. Conclusion: We found that IgG seropositivity to both Spike and RBD was affected by prior COVID-19, age and gender. Importantly, seropositive responses persisted up to 24 weeks after vaccination. Persistence of vaccine induced IgG antibodies may be linked to the high seroprevalence observed earlier in unvaccinated individuals. Increased T cell reactivity to Spike and extended genome antigens reflects cellular activation induced by BBIBP-CorV. COVID-19 vaccination may have longer lasting immune responses in populations with a higher seroprevalence. These data inform on vaccination booster policies for high-risk groups.",
keywords = "COVID-19, Immunoglobulin G, Interferons, T-lymphocytes, Vaccination",
author = "Zahra Hasan and Masood, {Kiran Iqbal} and Shama Qaiser and Erum Khan and Areeba Hussain and Zara Ghous and Unab Khan and Maliha Yameen and Imran Hassan and Nasir, {Muhammad Imran} and Qazi, {Muhammad Farrukh} and Memon, {Haris Ali} and Shiza Ali and Sadaf Baloch and Bhutta, {Zulfiqar A.} and Marc Veldhoen and Simas, {J. Pedro} and Mahmood, {Syed Faisal} and Kulsoom Ghias and Rabia Hussain",
note = "Funding Information: We sincerely thank all our study subjects for their kind and valuable participation. Thanks to Ambreen Wasim for assistance with statistical analysis. Also thank Naila Baig‐Ansari and Nausheen Saifullah for assistance in recruitment of study subjects. This study was supported by the Provost's Academic Priorities Fund, Aga Khan University. Thanks to Paula Alves, iBET/ITQB, NOVA University, Portugal for providing recombinant proteins used in this study. MV was supported by the European Union H2020 ERA project (No. 667824—EXCELLtoINNOV). The supporting sources had no involvement in the interpretation of data, writing of the report and decision to submit the manuscript for publication. Funding Information: We sincerely thank all our study subjects for their kind and valuable participation. Thanks to Ambreen Wasim for assistance with statistical analysis. Also thank Naila Baig-Ansari and Nausheen Saifullah for assistance in recruitment of study subjects. This study was supported by the Provost's Academic Priorities Fund, Aga Khan University. Thanks to Paula Alves, iBET/ITQB, NOVA University, Portugal for providing recombinant proteins used in this study. MV was supported by the European Union H2020 ERA project (No. 667824—EXCELLtoINNOV). The supporting sources had no involvement in the interpretation of data, writing of the report and decision to submit the manuscript for publication. Publisher Copyright: {\textcopyright} 2023 The Authors. Health Science Reports published by Wiley Periodicals LLC.",
year = "2023",
month = sep,
day = "8",
doi = "10.1002/hsr2.1521",
language = "English",
volume = "6",
journal = "Health Science Reports",
issn = "2398-8835",
publisher = "John Wiley & Sons Inc.",
number = "9",
}