Hematologic malignancies following immune checkpoint inhibition for solid tumors

被引:6
|
作者
van Eijs, Mick J. M. [1 ,2 ]
van der Wagen, Lotte E. [3 ]
Mous, Rogier [3 ]
Leguit, Roos J. [4 ]
van de Corput, Lisette [5 ]
van Lindert, Anne S. R. [6 ]
Suelmann, Britt B. M. [1 ]
Kamphuis, Anna M. [1 ]
Nierkens, Stefan [2 ,7 ]
Suijkerbuijk, Karijn P. M. [1 ]
机构
[1] Univ Med Ctr Utrecht, Dept Med Oncol, POB 85500, NL-3508 GA Utrecht, Netherlands
[2] Univ Med Ctr Utrecht, Ctr Translat Immunol, Utrecht, Netherlands
[3] Univ Med Ctr Utrecht, Dept Hematol, Utrecht, Netherlands
[4] Univ Med Ctr Utrecht, Dept Pathol, Utrecht, Netherlands
[5] Univ Med Ctr Utrecht, Cent Diagnost Lab, Utrecht, Netherlands
[6] Univ Med Ctr Utrecht, Dept Pulmonol, Utrecht, Netherlands
[7] Princess Maxima Ctr Pediat Oncol, Utrecht, Netherlands
关键词
Case series; Immune checkpoint inhibitor; Leukemia; Myeloid neoplasms; Second primary cancer; INTRINSIC PD-1 RECEPTOR; BLOCKADE; CANCER; SUPPRESSOR; EXPRESSION; RISK;
D O I
10.1007/s00262-022-03230-4
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Immune checkpoint inhibition (ICI) can induce durable responses in patients with advanced malignancies. Three cases of hematological neoplasia following ICI for solid tumors have been reported to date. We present five patients treated at our tertiary referral center between 2017 and 2021 who developed chronic myeloid leukemia (two patients), acute myeloid leukemia, myelodysplastic syndrome and chronic eosinophilic leukemia during or after anti-PD-1-based treatment. Molecular analyses were performed on pre-ICI samples to identify baseline variants in myeloid genes. We hypothesize that PD-1 blockade might accelerate progression to overt myeloid malignancies and discuss potential underlying mechanisms.
引用
收藏
页码:249 / 255
页数:7
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