Abstract:
:Programmed cell death-1 protein (PD-1) is an immune checkpoint that has gained popularity in the treatment of several advanced cancers. Inhibiting this checkpoint is known to enhance immune response, but is also known to diminish immune tolerance and to increase autoimmune toxicity. We discuss a case of rapid onset fulminant Type 1 diabetes induced by treatment with anti-programmed cell death-1 monoclonal antibody, nivolumab, in a patient with late-stage non-small-cell lung adenocarcinoma. The patient had no history of previous diabetes but did reveal a high-risk genotype for Type 1 diabetes development (DR3-DQ2; DR4-DQ8). This finding supports that acute Type 1 diabetes can be an important adverse effect of immunotherapies targeting T-cell activation regulation. Because of the severity of this adverse effect, physicians should be aware of it, and studies directed to the detection of new biomarkers for early risk stratification (e.g., HLA) should be sought.
journal_name
Immunotherapyjournal_title
Immunotherapyauthors
Araújo M,Ligeiro D,Costa L,Marques F,Trindade H,Correia JM,Fonseca Cdoi
10.2217/imt-2017-0020subject
Has Abstractpub_date
2017-06-01 00:00:00pages
531-535issue
7eissn
1750-743Xissn
1750-7448journal_volume
9pub_type
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