Cancer immunotherapy - Immune checkpoint blockade and associated endocrinopathies Journal Article


Authors: Byun, D. J.; Wolchok, J. D.; Rosenberg, L. M.; Girotra, M.
Article Title: Cancer immunotherapy - Immune checkpoint blockade and associated endocrinopathies
Abstract: Advances in cancer therapy in the past few years include the development of medications that modulate immune checkpoint proteins. Cytotoxic T-lymphocyte antigen 4 (CTLA4) and programmed cell death protein 1 (PD1) are two co-inhibitory receptors that are expressed on activated T cells against which therapeutic blocking antibodies have reached routine clinical use. Immune checkpoint blockade can induce inflammatory adverse effects, termed immune-related adverse events (IRAEs), which resemble autoimmune disease. In this Review, we describe the current data regarding immune-related endocrinopathies, including hypophysitis, thyroid dysfunction and diabetes mellitus. We discuss the clinical management of these endocrinopathies within the context of our current understanding of the mechanisms of IRAEs.
Keywords: clinical presentation; phase-ii trial; metastatic melanoma; cell lung-cancer; hypophysitis; adverse events; autoimmune; advanced melanoma; t-lymphocyte antigen-4; long-term safety; ipilimumab-induced hypophysitis; thyroid-disease
Journal Title: Nature Reviews Endocrinology
Volume: 13
Issue: 4
ISSN: 1759-5029
Publisher: Nature Publishing Group  
Date Published: 2017-04-01
Start Page: 195
End Page: 207
Language: English
ACCESSION: WOS:000396002800003
DOI: 10.1038/nrendo.2016.205
PROVIDER: wos
PUBMED: 28106152
PMCID: PMC5629093
Notes: Review -- Source: Wos
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  1. Monica Girotra
    22 Girotra
  2. Jedd D Wolchok
    905 Wolchok
  3. David Jaihun Byun
    3 Byun