The Overlooked Nucleocapsid Response: A Cohort Study of SARS-CoV-2 Vaccines in Brazil.

Publication date: Apr 30, 2025

SARS-CoV-2 has caused global disruptions, prompting studies on immune responses to COVID-19 vaccines, particularly antibodies against the Spike (S) protein. However, responses to the Nucleocapsid (N) protein remain less explored. This study evaluated whether CoronaVac induces anti-N antibodies, and analyzed antibody dynamics after a BNT162b2 booster, given that CoronaVac targets both S and N proteins, while BNT162b2 targets only the S protein. Serum samples were collected at multiple intervals post-vaccination. The percentage of participants with positive anti-N antibodies increased from 40. 26% to 62. 09% after two doses of CoronaVac, but declined over time, reaching 29. 07% and 18. 87% after the second and third doses, respectively. However, seropositivity rose to 43. 48% three months after the booster. Anti-S antibody levels peaked at 31,394 AU/mL after the booster, compared to 723. 4 AU/mL after the first dose. These findings indicate that CoronaVac stimulates antibody responses against both S and N proteins. Monitoring antibody dynamics is crucial for optimizing vaccination strategies, particularly for high-risk populations, to help control COVID-19.

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Concepts Keywords
Bnt162b2 Adult
Brazil Antibodies, Viral
Pathogens Antibodies, Viral
Vaccination antibody response
BNT162 Vaccine
BNT162 Vaccine
BNT162b2
Brazil
Cohort Studies
CoronaVac
Coronavirus Nucleocapsid Proteins
Coronavirus Nucleocapsid Proteins
COVID-19
COVID-19 Vaccines
COVID-19 Vaccines
Female
healthcare workers
Humans
Immunization, Secondary
Male
Middle Aged
nucleocapsid phosphoprotein, SARS-CoV-2
Phosphoproteins
Phosphoproteins
SARS-CoV-2
SARS-CoV-2
Spike Glycoprotein, Coronavirus
Spike Glycoprotein, Coronavirus
spike protein, SARS-CoV-2
Vaccination
Young Adult

Semantics

Type Source Name
disease IDO protein
disease MESH COVID-19
drug DRUGBANK Coenzyme M
disease IDO host
pathway REACTOME Release
disease IDO production
disease IDO blood
disease IDO history
disease MESH infection
disease MESH infectious disease
pathway REACTOME Infectious disease
disease IDO assay

Original Article

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