Abounouh Karima, Tajudeen Raji, Majidi Hind, Redwane Soad, Laazaazia Oumaima, Aqillouch Safaa, Ouma Ahmed E Ogwell, Abdulaziz Mohammed, Aragaw Merawi, Fallah Mosoka Papa, Sembuche Senga, Batcho Serge, Kabwe Patrick, Gonese Elizabeth, Ainahi Abdelhakim, Sarih M'hammed, Kaseya Jean, Maaroufi Abderrahmane, Ezzikouri Sayeh
Virology Unit, Viral Hepatitis Laboratory, Institut Pasteur du Maroc, 1 Place Louis Pasteur, Casablanca, 20360, Morocco.
Africa Centres for Disease Control and Prevention (Africa CDC), African Union, Addis Ababa, Ethiopia.
BMC Infect Dis. 2024 Dec 28;24(1):1470. doi: 10.1186/s12879-024-10345-9.
To assess the impact of the SARS-CoV-2 booster dose on the immune response against COVID-19, we conducted a cross-sectional study in the Casablanca-Settat region of Morocco. The study included 2,802 participants from 16 provinces, all of whom had received three doses of a SARS-CoV-2 vaccine. IgG antibodies targeting the S1 RBD subunit of the SARS-CoV-2 spike protein were quantified using the SARS-CoV-2 IgG II Quant assay and measured on the Abbott Architect i2000SR instrument. Adjusted seroprevalence of anti-RBD antibodies showed that participants who received two doses of ChAdOx1-S followed by a BBIBP-CorV booster had a seroprevalence rate of 99.68% (95% CI: 99.39-99.83%), while those who received a BNT162b2 booster had a rate of 99.67% (95% CI: 99.38-99.82%). Both rates were higher than those observed with other vaccination regimens. The evaluation of booster dose effects revealed significant differences in anti-RBD antibody levels across various vaccination regimens: two doses of BBIBP-CorV compared to three doses of BBIBP-CorV (P < 0.0001), two doses of BNT162b2 versus three doses of BNT162b2 (P = 0.023), two doses of ChAdOx1-S versus two doses of ChAdOx1-S with a BNT162b2 booster (P = 0.023), and two doses of BBIBP-CorV versus two doses of BBIBP-CorV with a BNT162b2 booster (P < 0.0001). However, no significant difference was found between two doses of ChAdOx1-S and three doses of ChAdOx1-S (P = 0.23). Participants with prior SARS-CoV-2 exposure who received two doses of ChAdOx1-S followed by either a BBIBP-CorV or BNT162b2 booster showed higher levels of anti-RBD IgG antibodies (P = 0.042 and P = 0.001, respectively). Interestingly, individuals with comorbidities who received the BNT162b2 booster dose exhibited a significantly stronger humoral response (P < 0.05). In conclusion, our findings highlight the effectiveness of the BNT162b2 booster dose in eliciting a strong immune response. The high seroprevalence rates achieved with both BNT162b2 and BBIBP-CorV boosters reflect the country's robust vaccination strategy.
Nat Rev Immunol. 2023-3
BMC Public Health. 2022-8-20
N Engl J Med. 2022-4-28
Vaccines (Basel). 2022-3-18