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10.1007/s13730-017-0269-y

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suck abstract from ncbi


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pmid28849361
      CEN+Case+Rep 2017 ; 6 (2 ): 169-174
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  • Tubulointerstitial nephritis as adverse effect of programmed cell death 1 inhibitor, nivolumab, showed distinct histological findings #MMPMID28849361
  • Uchida A ; Watanabe M ; Nawata A ; Ikari Y ; Sasaki M ; Shigemoto K ; Hisano S ; Nakashima H
  • CEN Case Rep 2017[Nov]; 6 (2 ): 169-174 PMID28849361 show ga
  • 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.
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