Matsuo Toshihiko, Yamasaki Osamu
Department of Ophthalmology Okayama University Hospital and Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences Okayama City Japan.
Department of Dermatology Okayama University Hospital and Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences Okayama City Japan.
Clin Case Rep. 2017 Mar 31;5(5):694-700. doi: 10.1002/ccr3.911. eCollection 2017 May.
A patient with metastatic cutaneous malignant melanoma developed Vogt-Koyanagi-Harada disease-like posterior uveitis after two nivolumab (anti-PD-1 antibody) injections. Vogt-Koyanagi-Harada disease, with the background of autoimmunity against choroidal melanocytes, suggests nivolumab be working by disintegrating inhibition circuit of T cells against a common epitope shared between melanoma cells and normal melanocytes.
一名转移性皮肤恶性黑色素瘤患者在注射两次纳武单抗(抗程序性死亡蛋白1抗体)后发生了类葡萄膜炎-小柳-原田病样后葡萄膜炎。葡萄膜炎-小柳-原田病以针对脉络膜黑素细胞的自身免疫为背景,提示纳武单抗可能是通过破坏T细胞针对黑色素瘤细胞和正常黑素细胞共有的共同表位的抑制回路而发挥作用。