Microarray profile of the humoral immune response to influenza vaccination in breast cancer patients treated with chemotherapy

Vaccine. 2017 Mar 1;35(9):1299-1305. doi: 10.1016/j.vaccine.2017.01.039. Epub 2017 Feb 3.

Abstract

Background: Patients treated with chemotherapy have an impaired response to influenza virus vaccination compared to healthy controls. Little is known about the broadness of the antibody response in these patients.

Methods: Breast cancer patients on FEC (5-fluorouracil, epirubicin and cyclophosphamide) chemotherapy regimens were vaccinated with influenza virus vaccine. Sera were obtained before and three weeks after vaccination. In addition to the determination of virus-specific antibody titres by hemagglutination inhibition assay, the broadness of the response was assessed by the use of a protein microarray and baseline titres were compared with an age-matched reference group.

Results: We included 38 breast cancer patients and found a wide variety in serum antibody response after vaccination. Patients with a history of influenza vaccination had higher pre-vaccination titres, which were comparable to the reference group. Increasing number of cycles of chemotherapy did not have a negative effect on influenza array antibody levels, nor on the HI antibody response.

Conclusions: Overall there was a broad serum antibody response to the influenza virus vaccine in patients treated with chemotherapy for breast cancer.

Keywords: Antigen microarray; Breast cancer; Chemotherapy; Influenza vaccination; Profiling immune response.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Aged
  • Antibodies, Viral / blood*
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Breast Neoplasms / drug therapy*
  • Breast Neoplasms / immunology*
  • Cyclophosphamide / therapeutic use
  • Epirubicin / therapeutic use
  • Female
  • Fluorouracil / therapeutic use
  • Hemagglutination Inhibition Tests
  • Humans
  • Immunity, Humoral*
  • Influenza A Virus, H1N1 Subtype / immunology
  • Influenza A virus / immunology*
  • Influenza Vaccines / administration & dosage
  • Influenza Vaccines / adverse effects
  • Influenza Vaccines / immunology*
  • Influenza, Human / prevention & control
  • Middle Aged
  • Protein Array Analysis
  • Vaccination

Substances

  • Antibodies, Viral
  • Influenza Vaccines
  • Epirubicin
  • Cyclophosphamide
  • Fluorouracil

Supplementary concepts

  • FEC protocol