Evidence map›Paper›PMID 39872402›Full record

ArticleClinical & translational immunology2025

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

Nicole L Messina, Susie Germano, Amy W Chung, Carolien E van de Sandt, Natalie E Stevens, Lilith F Allen, Rhian Bonnici, Julio Croda, Claudio Counoupas, Branka Grubor-Bauk and 14 more

Abstract read
In one paragraph

Article in Clinical & translational immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
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  5. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

24 authors.

Nicole L MessinaInfectious Diseases Group, Infection, Immunity and Global Health Theme Murdoch Children's Research Institute Parkville VIC Australia.ORCID https://orcid.org/0000-0001-8404-4462
Susie GermanoInfectious Diseases Group, Infection, Immunity and Global Health Theme Murdoch Children's Research Institute Parkville VIC Australia.ORCID https://orcid.org/0000-0001-9924-7545
Amy W ChungDepartment of Microbiology and Immunology, The Peter Doherty Institute for Infection and Immunity The University of Melbourne Parkville VIC Australia.ORCID https://orcid.org/0000-0003-0020-9704
Carolien E van de SandtDepartment of Microbiology and Immunology, The Peter Doherty Institute for Infection and Immunity The University of Melbourne Parkville VIC Australia.ORCID https://orcid.org/0000-0002-4155-7433
Natalie E StevensPrecision Medicine Theme South Australian Health and Medical Research Institute Adelaide SA Australia.ORCID https://orcid.org/0000-0002-7637-8013
Lilith F AllenDepartment of Microbiology and Immunology, The Peter Doherty Institute for Infection and Immunity The University of Melbourne Parkville VIC Australia.ORCID https://orcid.org/0000-0002-4197-2573
Rhian BonniciInfectious Diseases Group, Infection, Immunity and Global Health Theme Murdoch Children's Research Institute Parkville VIC Australia.ORCID https://orcid.org/0000-0002-6721-288X
Julio CrodaUniversidade Federal de Mato Grosso do Sul-UFMS Campo Grande MS Brazil.ORCID https://orcid.org/0000-0002-6665-6825
Claudio CounoupasSchool of Medical Sciences, Faculty of Medicine and Health The University of Sydney Camperdown NSW Australia.
Branka Grubor-BaukViral Immunology Group, Adelaide Medical School, Basil Hetzel Institute for Translational Health Research University of Adelaide Adelaide SA Australia.ORCID https://orcid.org/0000-0002-4642-105X
Ebene R HaycroftDepartment of Microbiology and Immunology, The Peter Doherty Institute for Infection and Immunity The University of Melbourne Parkville VIC Australia.ORCID https://orcid.org/0000-0002-5059-3030
Katherine KedzierskaDepartment of Microbiology and Immunology, The Peter Doherty Institute for Infection and Immunity The University of Melbourne Parkville VIC Australia.ORCID https://orcid.org/0000-0001-6141-335X
Ellie McDonaldInfectious Diseases Group, Infection, Immunity and Global Health Theme Murdoch Children's Research Institute Parkville VIC Australia.ORCID https://orcid.org/0000-0003-2295-4641
Rebecca McElroyInfectious Diseases Group, Infection, Immunity and Global Health Theme Murdoch Children's Research Institute Parkville VIC Australia.
Mihai G NeteaDepartment of Internal Medicine and Radboud Institute for Molecular Life Sciences Radboud University Medical Center Nijmegen The Netherlands.ORCID https://orcid.org/0000-0003-2421-6052
Boris NovakovicDepartment of Paediatrics The University of Melbourne Parkville VIC Australia.ORCID https://orcid.org/0000-0002-5623-9008
Kirsten P PerrettDepartment of Paediatrics The University of Melbourne Parkville VIC Australia.ORCID https://orcid.org/0000-0002-5683-996X
Laure F PittetInfectious Diseases Group, Infection, Immunity and Global Health Theme Murdoch Children's Research Institute Parkville VIC Australia.ORCID https://orcid.org/0000-0002-2395-4574
Ruth A PurcellDepartment of Microbiology and Immunology, The Peter Doherty Institute for Infection and Immunity The University of Melbourne Parkville VIC Australia.ORCID https://orcid.org/0000-0001-6378-5114
Kanta SubbaraoDepartment of Microbiology and Immunology, The Peter Doherty Institute for Infection and Immunity The University of Melbourne Parkville VIC Australia.ORCID https://orcid.org/0000-0003-1713-3056
James A TriccasSchool of Medical Sciences, Faculty of Medicine and Health The University of Sydney Camperdown NSW Australia.ORCID https://orcid.org/0000-0003-3730-2339
David J LynnPrecision Medicine Theme South Australian Health and Medical Research Institute Adelaide SA Australia.ORCID https://orcid.org/0000-0003-4664-1404
Nigel CurtisInfectious Diseases Group, Infection, Immunity and Global Health Theme Murdoch Children's Research Institute Parkville VIC Australia.ORCID https://orcid.org/0000-0003-3446-4594
BRACE Trial Consortium Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Bacille Calmette-Guérin (BCG) vaccination has off-target effects on disease risk for unrelated infections and immune responses to vaccines. This study aimed to determine the immunomodulatory effects of BCG vaccination on immune responses to vaccines against SARS-CoV-2. Methods: Blood samples, from a subset of 275 SARS-CoV-2-naïve healthcare workers randomised to BCG vaccination (BCG group) or no BCG vaccination (Control group) in the BRACE trial, were collected before and 28 days after the primary course (two doses) of ChAdOx1-S (Oxford-AstraZeneca) or BNT162b2 (Pfizer-BioNTech) vaccination. SARS-CoV-2-specific antibodies were measured using ELISA and multiplex bead array, whole blood cytokine responses to γ-irradiated SARS-CoV-2 (iSARS) stimulation were measured by multiplex bead array, and SARS-CoV-2-specific T-cell responses were measured by activation-induced marker and intracellular cytokine staining assays. Results: After randomisation (mean 11 months) but prior to COVID-19 vaccination, the BCG group had lower cytokine responses to iSARS stimulation than the Control group. After two doses of ChAdOx1-S, differences in iSARS-induced cytokine responses between the BCG group and Control group were found for three cytokines (CTACK, TRAIL and VEGF). No differences were found between the groups after BNT162b2 vaccination. There were also no differences between the BCG and Control groups in COVID-19 vaccine-induced antigen-specific antibody responses, T-cell activation or T-cell cytokine production. Conclusion: BCG vaccination induced a broad and persistent reduction in

Indexed as

Bacille Calmette–Guérin (BCG) vaccineCOVID‐19heterologousimmunityimmunomodulation

Identifiers

PMID39872402
PMCPMC11761716

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.