Evidence map›Paper›PMID 40694517›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2025

Hybrid Immunity in a Mozambican Cohort After 1 or 2 Doses of the BBIBP-CorV Vaccine.

Raquel Matavele Chissumba, Gaurav Kwatra, Patrícia Ramgi, Maria Enosse, Adérito Sigaúque, Celso Khosa, Edna Viegas, Odete Bule, José Langa, Nisha Dhar and 10 more

Abstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

20 authors.

Raquel Matavele ChissumbaInstituto Nacional de Saúde, Marracuene, Mozambique.ORCID 0000-0003-1957-340X
Gaurav KwatraDepartment of Clinical Microbiology, Christian Medical College, Vellore, India.
Patrícia RamgiInstituto Nacional de Saúde, Marracuene, Mozambique.ORCID 0000-0002-0474-3317
Maria EnosseInstituto Nacional de Saúde, Marracuene, Mozambique.
Adérito SigaúqueInstituto Nacional de Saúde, Marracuene, Mozambique.
Celso KhosaInstituto Nacional de Saúde, Marracuene, Mozambique.ORCID 0000-0001-6701-4202
Edna ViegasInstituto Nacional de Saúde, Marracuene, Mozambique.
Odete BuleInstituto Nacional de Saúde, Marracuene, Mozambique.ORCID 0009-0005-7374-9877
José LangaInstituto Nacional de Saúde, Marracuene, Mozambique.
Nisha DharSouth African Medical Research Council, Vaccines and Infectious Diseases Analytics Research Unit, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Christian MukendiSouth African Medical Research Council, Vaccines and Infectious Diseases Analytics Research Unit, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Denise LangaInstituto Nacional de Saúde, Marracuene, Mozambique.
Esperança SeveneDepartment of Physiological Science, Clinical Pharmacology, Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique.
Tandile HermanusSouth African Medical Research Council Antibody Immunity Research Unit, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Nelia ManamelaSouth African Medical Research Council Antibody Immunity Research Unit, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Simone RichardsonSouth African Medical Research Council Antibody Immunity Research Unit, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.ORCID 0000-0001-7678-2609
Penny MooreSouth African Medical Research Council Antibody Immunity Research Unit, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Shabir MadhiSouth African Medical Research Council, Vaccines and Infectious Diseases Analytics Research Unit, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Ilesh V JaniInstituto Nacional de Saúde, Marracuene, Mozambique.ORCID 0000-0002-6880-6655
SIVCOV study group

Funding

Bill and Melinda Gates Foundation #INV-033882
6 · The paper itself

Abstract

backgroundMore than half of the BBIBP-CorV vaccines, outside of Pacific Asia, were distributed in Africa. Nevertheless, there are limited data on the immunogenicity of BBIBP-CorV from Africa. We compared the antibody response, after 1 and 2 doses of the BBIBP-CorV vaccine, in individuals seropositive or seronegative to severe acute respiratory syndrome coronavirus 2 prior to vaccination.

methodsFrom March to May 2021, blood samples were obtained at first and second doses of the BBIBP-CorV, and 2 weeks later. Antibody titers against the full-length spike, receptor binding domain and nucleocapsid protein (anti-NC) of severe acute respiratory syndrome coronavirus 2 were measured. Pseudovirus neutralization assays and antibody-dependent cellular cytotoxicity (ADCC) against the D614G, BA.2, and BA.4 variants were also evaluated.

resultsAt the second dose, the immunoglobulin G titers for full-length spike and anti-nucleocapsid protein, the ADCC against BA-2, and the neutralizing activity against the D614G and BA.2 were higher in individuals seropositive to any of the epitopes at the first dose (n = 26) compared to the levels observed 2 weeks later in the seronegative group (n = 25). We did not observe an increase on magnitude of binding antibodies, ADCC, and neutralizing activities, in those seropositive, after the second homologous dose of the BBIBP-CorV vaccine.

conclusionsWe suggest that 1 dose of the BBIBP-CorV vaccine in seropositive individuals induced better antibodies response including against variant of concerns compared to that observed after 2 doses in seronegative individuals. A further homologous dose of the BBIBP-CorV vaccine, in those who are seropositive, does not improve the antibody response observed after the first dose.

Indexed as

Antibodies, ViralCOVID-19COVID-19 VaccinesSARS-CoV-2AdolescentAdultAntibodies, NeutralizingAntibody-Dependent Cell CytotoxicityCohort StudiesFemaleHumansImmunogenicity, VaccineMaleMiddle AgedMozambiqueSpike Glycoprotein, CoronavirusAntibodies, NeutralizingAntibodies, ViralBIBP COVID-19 vaccineCOVID-19 VaccinesSpike Glycoprotein, Coronavirusspike protein, SARS-CoV-2Vaccines, InactivatedantibodiesBBIBP-CorVCOVID-19 vaccinehybrid immunityinactivated vaccine

Identifiers

PMID40694517
PMCPMC12282517

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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.