Title |
Inflammatory bowel disease and cancer response due to anti-CTLA-4: is it in the flora?
|
---|---|
Published in |
Seminars in Immunopathology, January 2017
|
DOI | 10.1007/s00281-016-0613-x |
Pubmed ID | |
Authors |
Franck Carbonnel, Emilie Soularue, Clélia Coutzac, Nathalie Chaput, Christine Mateus, Patricia Lepage, Caroline Robert |
Abstract |
Checkpoint inhibitors blocking CTLA-4 (ipilimumab) and PD-1 (nivolumab, pembrolizumab) have transfigured our cancer treatment paradigm. However, these drugs can induce immune-related adverse events that share clinical and pathological characteristics with immune-mediated diseases. One of the most severe immune-related adverse event observed with anti-CTLA-4 is an enterocolitis that mirrors naturally occurring inflammatory bowel disease. This paper reviews the clinical, immunological, and microbiota data associated with the immune-related enterocolitis induced by the cancer immunotherapy blocking CTLA-4, ipilimumab. A parallel analysis of the mechanisms underlying inflammatory bowel diseases on the one hand, and anti-CTLA-4-induced colitis on the other hand, stresses the crucial role of the gut microbiota and of resident Treg in the genesis of both iatrogenic and spontaneous inflammatory bowel diseases. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United States | 1 | 50% |
Unknown | 1 | 50% |
Demographic breakdown
Type | Count | As % |
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Practitioners (doctors, other healthcare professionals) | 1 | 50% |
Members of the public | 1 | 50% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 81 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Ph. D. Student | 12 | 15% |
Researcher | 10 | 12% |
Student > Master | 10 | 12% |
Student > Bachelor | 9 | 11% |
Student > Doctoral Student | 7 | 9% |
Other | 15 | 19% |
Unknown | 18 | 22% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 28 | 35% |
Immunology and Microbiology | 9 | 11% |
Biochemistry, Genetics and Molecular Biology | 7 | 9% |
Agricultural and Biological Sciences | 6 | 7% |
Nursing and Health Professions | 1 | 1% |
Other | 5 | 6% |
Unknown | 25 | 31% |