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黑色素瘤患者免疫检查点抑制剂治疗相关脑炎。

Encephalitis Associated With Immune Checkpoint Inhibitor Treatment in Patients With Melanoma.

机构信息

Medical Oncology Department, Hospital Clinic.

Medical Oncology Department, Hospital Althaia, Manresa, Spain.

出版信息

J Immunother. 2021 Jun 1;44(5):204-207. doi: 10.1097/CJI.0000000000000369.


DOI:10.1097/CJI.0000000000000369
PMID:33950029
Abstract

Since the approval of immune checkpoint anti-programmed cell death protein 1 antibodies (pembrolizumab and nivolumab) and anti-cytotoxic T-lymphocyte-associated protein 4 (ipilimumab) in combination or monotherapy, significant advances have been made in the treatment of metastatic melanoma. The nonspecific immune stimulation resulting from these drugs can case a wide range of side effects in many organs including the nervous system, named immune-related adverse events. Few immune-related encephalitis associated with these antibodies have been described in the literature. It is a rare complication (<1% of the total of immune-related adverse events) but it can be fatal if not diagnosed and treated on time. We describe 3 cases of patients with melanoma, which were treated with a combination of ipilimumab-nivolumab (case 1), ipilimumab monotherapy (case 2), and nivolumab monotherapy (case 3), who developed an encephalitis which was related to immune checkpoint therapy.

摘要

自免疫检查点抗程序性细胞死亡蛋白 1 抗体(pembrolizumab 和 nivolumab)和抗细胞毒性 T 淋巴细胞相关蛋白 4(ipilimumab)联合或单药治疗转移性黑色素瘤获得批准以来,治疗方面取得了重大进展。这些药物引起的非特异性免疫刺激可导致包括神经系统在内的许多器官发生广泛的副作用,称为免疫相关不良事件。文献中很少描述与这些抗体相关的免疫性脑炎。这是一种罕见的并发症(<1%的免疫相关不良事件总数),但如果不及时诊断和治疗,可能是致命的。我们描述了 3 例接受 ipilimumab-nivolumab 联合治疗(病例 1)、ipilimumab 单药治疗(病例 2)和 nivolumab 单药治疗(病例 3)的黑色素瘤患者发生与免疫检查点治疗相关的脑炎。

相似文献

[1]
Encephalitis Associated With Immune Checkpoint Inhibitor Treatment in Patients With Melanoma.

J Immunother. 2021-6-1

[2]
Encephalitis in a Patient With Melanoma Treated With Immune Checkpoint Inhibitors: Case Presentation and Review of the Literature.

J Immunother. 2020-9

[3]
Neurologic Serious Adverse Events Associated with Nivolumab Plus Ipilimumab or Nivolumab Alone in Advanced Melanoma, Including a Case Series of Encephalitis.

Oncologist. 2017-6

[4]
Combination Therapy of Ipilimumab and Nivolumab-associated Toxic Epidermal Necrolysis (TEN) in a Patient With Metastatic Melanoma: A Case Report and Literature Review.

J Immunother. 2020-4

[5]
Association of Anti-Programmed Cell Death 1 Antibody Treatment With Risk of Recurrence of Toxic Effects After Immune-Related Adverse Events of Ipilimumab in Patients With Metastatic Melanoma.

JAMA Dermatol. 2020-9-1

[6]
Case Report: Simultaneous Hyperprogression and Fulminant Myocarditis in a Patient With Advanced Melanoma Following Treatment With Immune Checkpoint Inhibitor Therapy.

Front Immunol. 2020

[7]
Risk Factors for Relapse after Intentional Discontinuation of Immune Checkpoint Inhibitors in Melanoma Patients.

J Immunother.

[8]
Ipilimumab alone or ipilimumab plus anti-PD-1 therapy in patients with metastatic melanoma resistant to anti-PD-(L)1 monotherapy: a multicentre, retrospective, cohort study.

Lancet Oncol. 2021-6

[9]
Response to combined ipilimumab and nivolumab after development of a nephrotic syndrome related to PD-1 monotherapy.

J Immunother Cancer. 2019-7-12

[10]
Primary Biliary Cirrhosis and Granulomatous Hepatitis After Immune Checkpoint Blockade in Patients With Metastatic Melanoma: Report of 2 Cases and Literature Discussion.

J Immunother.

引用本文的文献

[1]
Unusual Presentation of a Rare Case of Immunotherapy Combination-Induced Encephalitis: A Case Report.

Case Rep Oncol. 2025-1-17

[2]
Encephalitis in a patient with hypopharynx cancer treated with immune checkpoint inhibitors and radiotherapy: a case report and review of the literature.

J Cancer Res Clin Oncol. 2023-11

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