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2017 ; 6
(2
): 169-174
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gab.com Text
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English Wikipedia
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.