Title |
Tubulointerstitial nephritis as adverse effect of programmed cell death 1 inhibitor, nivolumab, showed distinct histological findings
|
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Published in |
CEN Case Reports, August 2017
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DOI | 10.1007/s13730-017-0269-y |
Pubmed ID | |
Authors |
Ai Uchida, Maho Watanabe, Aya Nawata, Yosuke Ikari, Masaru Sasaki, Kana Shigemoto, Satoshi Hisano, Hitoshi Nakashima |
Abstract |
Immune-checkpoint inhibitor nivolumab (anti-PD-1 antibody) blocks T cell inhibition and stimulate immunologic response toward cancer cells. It was also revealed that PD-1/PD-L1 interaction crucially controls the effector differentiation of auto-reactive T cells to maintain self-tolerance. Therefore, potential autoimmunological side-effect can occur in any organ. Here, we report a case of 67-year-old Japanese male with lung adenocarcinoma treated with nivolumab who developed acute tubulointerstitial nephritis after the third infusion of nivolumab. Kidney biopsy showed distinct histological findings: Proliferation of CD38 positive and IgG positive plasma cells, and affluent infiltration of FoxP3(+) regulatory T cells. Herein, we do pathological discussion concerning acute tubulointerstitial nephritis occurred in this case based on these histological findings. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Japan | 1 | 33% |
Unknown | 2 | 67% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 3 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 20 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Other | 4 | 20% |
Student > Ph. D. Student | 3 | 15% |
Researcher | 2 | 10% |
Professor > Associate Professor | 2 | 10% |
Student > Master | 2 | 10% |
Other | 4 | 20% |
Unknown | 3 | 15% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 12 | 60% |
Computer Science | 1 | 5% |
Chemistry | 1 | 5% |
Immunology and Microbiology | 1 | 5% |
Unknown | 5 | 25% |