Impairment of the immune response to influenza vaccination in renal transplant recipients by cyclosporine, but not azathioprine.

Abstract:

:Influenza vaccination has been strongly recommended for immunosuppressed renal transplant recipients. However, immunosuppression may lead to impaired antibody responses. We studied the antibody response to an inactivated trivalent influenza vaccine in 59 renal transplant recipients with life-sustaining kidney function: 21 were on cyclosporine and prednisone, 38 on azathioprine and prednisone. Healthy volunteers (n = 29) and patients on hemodialysis (n = 28) served as controls. Despite comparable renal allograft function, cyclosporine-treated patients had a significantly lower immune response against influenza A viruses than azathioprine-treated patients, whether mean antibody levels, fourfold titer rise, or seroconversion to protective titers was analyzed. No significant differences in antibody responses were found between healthy controls and patients on azathioprine. The patients on hemodialysis showed an impaired response to vaccination. However, in contrast to the cyclosporine-treated patients, booster immunization proved valuable in this group.

journal_name

Transplantation

journal_title

Transplantation

authors

Versluis DJ,Beyer WE,Masurel N,Wenting GJ,Weimar W

doi

10.1097/00007890-198610000-00009

subject

Has Abstract

pub_date

1986-10-01 00:00:00

pages

376-9

issue

4

eissn

0041-1337

issn

1534-6080

journal_volume

42

pub_type

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