Neutralizing antibody response to different COVID-19 vaccines in Brazil: the impact of previous infection and booster doses

IntroductionIn Brazil, three COVID-19 vaccines were among the first widely used (CoronaVac, ChAdOx1, and BNT162b2), which aimed to induce neutralizing antibodies (NAbs) against the original SARS-CoV-2 strain. Although effective against severe disease, they showed waning NAb levels and reduced effica...

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Main Authors: Beatriz L. L. Caetano, Paolla B. A. Pinto, Agatha R. Pacheco, Agnes R. Lage, Aline S. G. Pereira, Amanda V. P. Nascimento, Thiago R. Machado, Anderson Paulino, Thiago L. Medeiros, Lorena O. Fernandes-Siqueira, Andrea T. Da Poian, Ingrid S. Horbach, Adriana S. Azevedo, Simone M. Costa, Ada M. B. Alves
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-08-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2025.1603612/full
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author Beatriz L. L. Caetano
Paolla B. A. Pinto
Agatha R. Pacheco
Agnes R. Lage
Aline S. G. Pereira
Amanda V. P. Nascimento
Thiago R. Machado
Anderson Paulino
Thiago L. Medeiros
Lorena O. Fernandes-Siqueira
Andrea T. Da Poian
Ingrid S. Horbach
Adriana S. Azevedo
Simone M. Costa
Ada M. B. Alves
author_facet Beatriz L. L. Caetano
Paolla B. A. Pinto
Agatha R. Pacheco
Agnes R. Lage
Aline S. G. Pereira
Amanda V. P. Nascimento
Thiago R. Machado
Anderson Paulino
Thiago L. Medeiros
Lorena O. Fernandes-Siqueira
Andrea T. Da Poian
Ingrid S. Horbach
Adriana S. Azevedo
Simone M. Costa
Ada M. B. Alves
author_sort Beatriz L. L. Caetano
collection DOAJ
description IntroductionIn Brazil, three COVID-19 vaccines were among the first widely used (CoronaVac, ChAdOx1, and BNT162b2), which aimed to induce neutralizing antibodies (NAbs) against the original SARS-CoV-2 strain. Although effective against severe disease, they showed waning NAb levels and reduced efficacy against variants, prompting booster doses. Thus, it is important to investigate and compare the response induced by these vaccines and boosters.MethodsIn this study, we compare the magnitude, durability, and cross-reactivity of NAbs among vaccinated volunteers in Brazil using an enzyme-linked immunosorbent assay (ELISA)-based assay that measures Abs capable of blocking the interaction between the receptor binding domain (RBD) and human angiotensin-converting enzyme 2 (ACE2) receptor.ResultsThe BNT162b2 two-dose regimen resulted in the highest and most durable NAb levels, followed by ChAdOx1, while those induced by CoronaVac significantly declined over time. Breakthrough infections boosted NAb levels, especially for CoronaVac and ChAdOx1. All vaccines showed reduced neutralizing capacity against Gamma, Delta, and Omicron variants. Booster doses, particularly the first one, significantly increased and maintained NAb levels, including those against Omicron.DiscussionOur findings provide valuable population-based comparison of NAb levels elicited by different vaccines following primary inoculation and booster doses. Notably, the mRNA vaccine exhibited a strong primary and initial booster NAb response against SARS-CoV-2.
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spelling doaj-art-e91f114fb3344a23a7abed6328f10c082025-08-20T03:01:30ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-08-011610.3389/fimmu.2025.16036121603612Neutralizing antibody response to different COVID-19 vaccines in Brazil: the impact of previous infection and booster dosesBeatriz L. L. Caetano0Paolla B. A. Pinto1Agatha R. Pacheco2Agnes R. Lage3Aline S. G. Pereira4Amanda V. P. Nascimento5Thiago R. Machado6Anderson Paulino7Thiago L. Medeiros8Lorena O. Fernandes-Siqueira9Andrea T. Da Poian10Ingrid S. Horbach11Adriana S. Azevedo12Simone M. Costa13Ada M. B. Alves14Laboatório de Biotecnologia e Fisiologia de Infecções Virais, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, BrazilLaboatório de Biotecnologia e Fisiologia de Infecções Virais, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, BrazilLaboatório de Biotecnologia e Fisiologia de Infecções Virais, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, BrazilLaboatório de Biotecnologia e Fisiologia de Infecções Virais, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, BrazilLaboatório de Biotecnologia e Fisiologia de Infecções Virais, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, BrazilLaboatório de Biotecnologia e Fisiologia de Infecções Virais, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, BrazilLaboatório de Biotecnologia e Fisiologia de Infecções Virais, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, BrazilLaboatório de Biotecnologia e Fisiologia de Infecções Virais, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, BrazilLaboatório de Biotecnologia e Fisiologia de Infecções Virais, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, BrazilInstituto de Bioquímica Médica Leopoldo de Meis, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, BrazilInstituto de Bioquímica Médica Leopoldo de Meis, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, BrazilLaboratório de Análise Imunomolecular, Instituto de Tecnologia em Imunobiológicos, Bio-Maguinhos, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, BrazilLaboratório de Análise Imunomolecular, Instituto de Tecnologia em Imunobiológicos, Bio-Maguinhos, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, BrazilLaboatório de Biotecnologia e Fisiologia de Infecções Virais, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, BrazilLaboatório de Biotecnologia e Fisiologia de Infecções Virais, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, BrazilIntroductionIn Brazil, three COVID-19 vaccines were among the first widely used (CoronaVac, ChAdOx1, and BNT162b2), which aimed to induce neutralizing antibodies (NAbs) against the original SARS-CoV-2 strain. Although effective against severe disease, they showed waning NAb levels and reduced efficacy against variants, prompting booster doses. Thus, it is important to investigate and compare the response induced by these vaccines and boosters.MethodsIn this study, we compare the magnitude, durability, and cross-reactivity of NAbs among vaccinated volunteers in Brazil using an enzyme-linked immunosorbent assay (ELISA)-based assay that measures Abs capable of blocking the interaction between the receptor binding domain (RBD) and human angiotensin-converting enzyme 2 (ACE2) receptor.ResultsThe BNT162b2 two-dose regimen resulted in the highest and most durable NAb levels, followed by ChAdOx1, while those induced by CoronaVac significantly declined over time. Breakthrough infections boosted NAb levels, especially for CoronaVac and ChAdOx1. All vaccines showed reduced neutralizing capacity against Gamma, Delta, and Omicron variants. Booster doses, particularly the first one, significantly increased and maintained NAb levels, including those against Omicron.DiscussionOur findings provide valuable population-based comparison of NAb levels elicited by different vaccines following primary inoculation and booster doses. Notably, the mRNA vaccine exhibited a strong primary and initial booster NAb response against SARS-CoV-2.https://www.frontiersin.org/articles/10.3389/fimmu.2025.1603612/fullCOVID-19vaccineneutralizing antibodiesbooster doseSARS-CoV-2
spellingShingle Beatriz L. L. Caetano
Paolla B. A. Pinto
Agatha R. Pacheco
Agnes R. Lage
Aline S. G. Pereira
Amanda V. P. Nascimento
Thiago R. Machado
Anderson Paulino
Thiago L. Medeiros
Lorena O. Fernandes-Siqueira
Andrea T. Da Poian
Ingrid S. Horbach
Adriana S. Azevedo
Simone M. Costa
Ada M. B. Alves
Neutralizing antibody response to different COVID-19 vaccines in Brazil: the impact of previous infection and booster doses
Frontiers in Immunology
COVID-19
vaccine
neutralizing antibodies
booster dose
SARS-CoV-2
title Neutralizing antibody response to different COVID-19 vaccines in Brazil: the impact of previous infection and booster doses
title_full Neutralizing antibody response to different COVID-19 vaccines in Brazil: the impact of previous infection and booster doses
title_fullStr Neutralizing antibody response to different COVID-19 vaccines in Brazil: the impact of previous infection and booster doses
title_full_unstemmed Neutralizing antibody response to different COVID-19 vaccines in Brazil: the impact of previous infection and booster doses
title_short Neutralizing antibody response to different COVID-19 vaccines in Brazil: the impact of previous infection and booster doses
title_sort neutralizing antibody response to different covid 19 vaccines in brazil the impact of previous infection and booster doses
topic COVID-19
vaccine
neutralizing antibodies
booster dose
SARS-CoV-2
url https://www.frontiersin.org/articles/10.3389/fimmu.2025.1603612/full
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