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特定人类白细胞抗原等位基因与甲状腺免疫相关不良事件发展的关联。

Association between specific human leukocyte antigen alleles and development of thyroid immune-related adverse event.

机构信息

Department of Medical Oncology, Fukushima Medical University, Fukushima, 960-1295, Japan.

Division of Cancer Genome Medicine, Cancer Center, Kyoto University Hospital, Kyoto, 606-8507, Japan.

出版信息

Immunotherapy. 2024;16(11):723-732. doi: 10.1080/1750743X.2024.2353539. Epub 2024 Jun 18.

Abstract

Inherent variations in human leukocyte antigen (HLA) alleles have been revealed epidemiologically to influence the development of autoimmune diseases. HLA alleles may thus also be associated with the development of immune-related adverse events (irAEs), such as thyroid irAE. In this case-control study, 71 cancer patients who received immune checkpoint inhibitors were enrolled and HLA-genotyped and the frequency of HLA alleles was compared. , and were significantly more frequent in patients with thyroid irAE than in patients without any irAEs (35.0 vs 3.2% [ = 0.004], 80.0 vs 45.2% [ = 0.020] and 55.0 vs 25.8% [ = 0.044], respectively). , and appear to be associated with thyroid irAE.

摘要

人类白细胞抗原(HLA)等位基因的固有变异已在流行病学上被揭示会影响自身免疫性疾病的发展。因此,HLA 等位基因也可能与免疫相关不良事件(irAE)的发展相关,例如甲状腺 irAE。在这项病例对照研究中,纳入了 71 名接受免疫检查点抑制剂治疗的癌症患者,并对 HLA 基因分型,比较了 HLA 等位基因的频率。与无任何 irAE 的患者相比,患有甲状腺 irAE 的患者中 、 和 的频率显著更高(35.0 比 3.2%[=0.004]、80.0 比 45.2%[=0.020]和 55.0 比 25.8%[=0.044])。 、 和 似乎与甲状腺 irAE 相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbd3/11421297/bc6664e8c7c6/IIMY_A_2353539_F0001_B.jpg

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