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本文引用的文献

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Hepatitis B reactivation in a long-term nonprogressor due to nivolumab therapy.由于 nivolumab 治疗导致长期非进展者的乙型肝炎病毒再激活。
AIDS. 2017 Sep 24;31(15):2115-2118. doi: 10.1097/QAD.0000000000001599.
2
PD1 signal transduction pathways in T cells.T细胞中的PD1信号转导通路。
Oncotarget. 2017 Apr 19;8(31):51936-51945. doi: 10.18632/oncotarget.17232. eCollection 2017 Aug 1.
3
Hepatitis B reactivation in patients receiving immunosuppressive therapy: a hidden menace.接受免疫抑制治疗患者的乙型肝炎再激活:一种潜在威胁。
Hepatol Int. 2017 Jan;11(1):31-33. doi: 10.1007/s12072-016-9782-x. Epub 2017 Jan 5.
4
Hepatitis B virus reactivation in patients with solid tumors receiving systemic anticancer treatment.乙型肝炎病毒在接受全身抗肿瘤治疗的实体瘤患者中的再激活。
Ann Oncol. 2016 Dec;27(12):2172-2184. doi: 10.1093/annonc/mdw414. Epub 2016 Nov 1.
5
Screening and Prevention of Hepatitis B Virus Reactivation During Chemotherapy.化疗期间乙肝病毒再激活的筛查与预防
Oncology (Williston Park). 2015 Dec;29(12):937, 940, 943.
6
Pembrolizumab: PD-1 inhibition as a therapeutic strategy in cancer.帕博利珠单抗:PD -1抑制作为癌症治疗策略
Drugs Today (Barc). 2015 Jan;51(1):7-20. doi: 10.1358/dot.2015.51.1.2250387.
7
Entecavir vs lamivudine for prevention of hepatitis B virus reactivation among patients with untreated diffuse large B-cell lymphoma receiving R-CHOP chemotherapy: a randomized clinical trial.恩替卡韦与拉米夫定预防未治疗弥漫性大 B 细胞淋巴瘤接受 R-CHOP 化疗患者乙型肝炎病毒再激活:一项随机临床试验。
JAMA. 2014 Dec 17;312(23):2521-30. doi: 10.1001/jama.2014.15704.
8
CRTC2 enhances HBV transcription and replication by inducing PGC1α expression.CRTC2 通过诱导 PGC1α 表达增强 HBV 转录和复制。
Virol J. 2014 Feb 14;11:30. doi: 10.1186/1743-422X-11-30.
9
Reactivation of hepatitis B virus associated with chemotherapy and immunosuppressive agent.与化疗和免疫抑制剂相关的乙型肝炎病毒再激活
Acta Med Indones. 2013 Jan;45(1):61-6.
10
Role of T cell death in maintaining immune tolerance during persistent viral hepatitis.T 细胞死亡在持续性病毒性肝炎中维持免疫耐受中的作用。
World J Gastroenterol. 2013 Mar 28;19(12):1877-89. doi: 10.3748/wjg.v19.i12.1877.

帕博利珠单抗诱发乙型肝炎再激活的罕见病例。

A Rare Case of Pembrolizumab-Induced Reactivation of Hepatitis B.

作者信息

Pandey Anita, Ezemenari Susan, Liaukovich Maksim, Richard Ivan, Boris Avezbakiyev

机构信息

Department of Hematology and Oncology, Brookdale University Hospital, Medical Center, Brooklyn, USA.

出版信息

Case Rep Oncol Med. 2018 Oct 17;2018:5985131. doi: 10.1155/2018/5985131. eCollection 2018.

DOI:10.1155/2018/5985131
PMID:30416833
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6207901/
Abstract

Hepatitis B virus (HBV) infection is common across the world, especially in Asia, Africa, Southern Europe, and Latin America. The association of HBV infection in patients suffering from different oncological conditions is well established. Many cases of HBV reactivation have been reported in patients on immunosuppressive chemotherapy and in patients undergoing hematopoietic bone marrow transplantations. Only one case has been reported so far of HBV reactivation in a patient treated with programmed cell death receptor 1 (PD-1) checkpoint inhibitors in the setting of HIV status. We report a case of a 51-year-old male, former smoker, diagnosed with stage IV poorly differentiated adenocarcinoma of the lung, and started on pembrolizumab, who developed reactivation of chronic hepatitis requiring antiviral therapy.

摘要

乙型肝炎病毒(HBV)感染在全球范围内都很常见,尤其是在亚洲、非洲、南欧和拉丁美洲。HBV感染与患有不同肿瘤疾病的患者之间的关联已得到充分证实。免疫抑制化疗患者和接受造血骨髓移植的患者中已报告了许多HBV再激活病例。迄今为止,仅报告了1例在HIV感染状态下接受程序性细胞死亡受体1(PD-1)检查点抑制剂治疗的患者发生HBV再激活的病例。我们报告了1例51岁男性,既往吸烟者,被诊断为IV期低分化肺腺癌,开始使用派姆单抗治疗,该患者发生了慢性肝炎再激活,需要抗病毒治疗。