Hematologic malignancies following immune checkpoint inhibition for solid tumors

被引:0
|
作者
Mick J. M. van Eijs
Lotte E. van der Wagen
Rogier Mous
Roos J. Leguit
Lisette van de Corput
Anne S. R. van Lindert
Britt B. M. Suelmann
Anna M. Kamphuis
Stefan Nierkens
Karijn P. M. Suijkerbuijk
机构
[1] University Medical Center Utrecht,Department of medical oncology
[2] University Medical Center Utrecht,Center for Translational Immunology
[3] University Medical Center Utrecht,Department of hematology
[4] University Medical Center Utrecht,Department of pathology
[5] University Medical Center Utrecht,Central Diagnostic Laboratory
[6] University Medical Center Utrecht,Department of pulmonology
[7] Princess Máxima Center for Pediatric Oncology,undefined
来源
Cancer Immunology, Immunotherapy | 2023年 / 72卷
关键词
Case series; Immune checkpoint inhibitor; Leukemia; Myeloid neoplasms; Second primary cancer;
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学科分类号
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.
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页码:249 / 255
页数:6
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