Evidence map›Paper›PMID 42625910›Full record

ArticleFrontiers in immunology2026

Differential functional immune recall across homologous and heterologous COVID-19 vaccination regimens.

Naim Che-Kamaruddin, Jefree Johari, Hasmawati Yahaya, Nurhafiza Zainal, Huy C Nguyen, Robert D Hontz, Andrew G Letizia, Sazaly AbuBakar

Abstract read
In one paragraph

Article in Frontiers in immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Naim Che-KamaruddinTropical Infectious Diseases Research and Education Centre (TIDREC), Higher Institution Centre of Excellence (HICoE), Universiti Malaya, Kuala Lumpur, Malaysia.
Jefree JohariTropical Infectious Diseases Research and Education Centre (TIDREC), Higher Institution Centre of Excellence (HICoE), Universiti Malaya, Kuala Lumpur, Malaysia.
Hasmawati YahayaTropical Infectious Diseases Research and Education Centre (TIDREC), Higher Institution Centre of Excellence (HICoE), Universiti Malaya, Kuala Lumpur, Malaysia.
Nurhafiza ZainalDepartment of Medical Microbiology, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Huy C NguyenU.S. Naval Medical Research Unit INDO PACIFIC, Singapore, Singapore.
Robert D HontzU.S. Naval Medical Research Unit INDO PACIFIC, Singapore, Singapore.
Andrew G LetiziaU.S. Naval Medical Research Unit INDO PACIFIC, Singapore, Singapore.
Sazaly AbuBakarTropical Infectious Diseases Research and Education Centre (TIDREC), Higher Institution Centre of Excellence (HICoE), Universiti Malaya, Kuala Lumpur, Malaysia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Understanding how different COVID-19 vaccine combinations shape long-term immunity is essential for improving durability and guiding booster strategies. Despite extensive characterization of neutralizing antibodies, long-term memory B and T cell responses after homologous and heterologous vaccination regimens remain poorly understood. Methods: In this study, peripheral blood mononuclear cells (PBMCs) from 50 individuals were analyzed 12 months after completion of a homologous two-dose primary COVID-19 vaccination series and had received a single booster dose (12-month follow-up). Participants initially received BNT162b2, ChAdOx1 nCoV-19, or CoronaVac as the primary vaccination series, followed by either a homologous booster or a heterologous BNT162b2 booster (ChAdOx1 nCoV-19/BNT162b2 and CoronaVac/BNT162b2). Unvaccinated individuals served as controls. B cell phenotypes were assessed using flow cytometry, while B and T cell recall responses were determined using ELISpot. IgG levels and cytokine/chemokine/growth factor profiles were evaluated using ELISA and Bio-Plex multiplex before and after Results: The homologous BNT162b2 vaccination regimen exhibited significantly higher frequencies of memory B cells recognizing the ancestral (Wuhan strain-derived) SARS-CoV-2 Spike protein compared to the ChAdOx1 nCoV-19, CoronaVac, and unvaccinated controls. The CoronaVac/BNT162b2 vaccination regimen demonstrated significantly elevated RBD-specific IgG+ memory B cells and higher stimulated IgG levels, together with the highest IFN-γ-producing T cell responses. Homologous CoronaVac and CoronaVac/BNT162b2 vaccination regimens showed broader cytokine activation, including IL-6, IL-9, IL-15, TNF-α, and other cytokines. IL-6 levels were positively associated with memory B cell frequencies, suggesting a potential association with memory B cell differentiation and maintenance. Discussion: Different vaccination regimens were associated with distinct long-term cellular immune profiles under real-world conditions, with both homologous BNT162b2 and heterologous CoronaVac/BNT162b2 vaccination regimens maintaining robust memory B cell signatures and functional recall responses. The results highlight how priming combinations shape the durability and quality of immune memory, supporting the potential utility of mixed-platform booster strategies for sustaining long-term immunity.

Indexed as

COVID-19COVID-19 VaccinesImmunologic MemoryMemory B CellsSARS-CoV-2AdultAntibodies, NeutralizingAntibodies, ViralB-LymphocytesBNT162 VaccineChAdOx1 nCoV-19CytokinesFemaleHumansImmunization, SecondaryImmunoglobulin GAntibodies, NeutralizingAntibodies, ViralBNT162 VaccineChAdOx1 nCoV-19COVID-19 VaccinesCytokinesImmunoglobulin Gcellular immune responsesCOVID-19 booster vaccinationheterologous vaccination strategiesmemory B cellsSARS-CoV-2 immunity

Identifiers

PMID42625910
PMCPMC13490157

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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.