Instituto de Virología "Dr. J. M. Vanella", Facultad de Ciencias Médicas, Universidad Nacional de Córdoba, Córdoba, Argentina.
Instituto de Virología "Dr. J. M. Vanella", Facultad de Ciencias Médicas, Universidad Nacional de Córdoba, Córdoba, Argentina.
Vaccine. 2022 Nov 8;40(47):6706-6710. doi: 10.1016/j.vaccine.2022.10.021. Epub 2022 Oct 20.
Heterologous Covid-19 vaccination strategies arose due to interruption of vaccination programs plus delay and shortage of vaccine supplies. We analysed neutralizing response against ancestral SARS-CoV-2 B.1 and P.1, C.37 and B.1.67.2 variants elicited by 16 homologous and heterologous protocols combining Gam-COVID-Vac, ChAdOx1-S, Ad5-nCorV, BBIBP-CorV and mRNA-1273 vaccines. Homologous mRNA-1273 and heterologous schemes of a non-replicative viral vector/inactivated virus-based vaccine combined with mRNA-1273 induced significantly broader and greater neutralizing antibody-response. Moreover, serum from participants vaccinated with combinations of ChAdOx1-S/Ad5-nCorV and BBIBP-CorV/non-replicative viral vector-based vaccines showed higher or equivalent neutralizing response compared to homologous protocols, pointing them as good alternative platforms. BBIBP-CorV used as second dose exhibited significantly lower neutralizing response compared to other protocols, demonstrating that it should not be recommended as second dose. The information provided herein is valuable to redesign vaccination strategies, especially for low-income countries that still struggle with low percentages of immunized populations and vaccine supply shortage.
由于疫苗接种计划中断以及疫苗供应延迟和短缺,出现了异源 COVID-19 疫苗接种策略。我们分析了由 Gam-COVID-Vac、ChAdOx1-S、Ad5-nCorV、BBIBP-CorV 和 mRNA-1273 疫苗组合的 16 种同源和异源方案引发的针对原始 SARS-CoV-2 B.1 和 P.1、C.37 和 B.1.67.2 变体的中和反应。同源的 mRNA-1273 和异源的非复制性病毒载体/灭活病毒疫苗与 mRNA-1273 相结合的方案诱导了更广泛和更强的中和抗体反应。此外,接种 ChAdOx1-S/Ad5-nCorV 和 BBIBP-CorV/非复制性病毒载体疫苗组合的参与者的血清显示出比同源方案更高或相当的中和反应,表明它们是良好的替代平台。与其他方案相比,作为第二剂使用的 BBIBP-CorV 表现出明显较低的中和反应,表明不建议将其作为第二剂使用。本文提供的信息对于重新设计疫苗接种策略非常有价值,特别是对于那些仍在努力提高免疫人口比例和应对疫苗供应短缺的低收入国家。