Evidence map›Paper›PMID 29619406›Full record

ArticleGenes & diseases2018

Unique Cytologic Features of Thyroiditis Caused by Immune Checkpoint Inhibitor Therapy for Malignant Melanoma.

Trevor E Angell, Le Min, Tad J Wieczorek, F Stephen Hodi

Open access · diamondAbstract read
In one paragraph

Article in Genes & diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
1.4field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 68 citations in OpenAlex.

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  11. Clonally expanded, thyrotoxic effector CD8Science translational medicine · 2023
    Article
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  17. Immune Checkpoint Inhibitor-related Endocrinopathies.Journal of translational internal medicine · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Trevor E AngellDivision of Endocrinology, Diabetes, and Hypertension, Brigham and Women's Hospital, Boston, MA.
Le MinDivision of Endocrinology, Diabetes, and Hypertension, Brigham and Women's Hospital, Boston, MA.
Tad J WieczorekDepartment of Pathology, Brigham and Women's Hospital, Boston, MA.
F Stephen HodiDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
Brigham and Women's Hospital · USDana-Farber Cancer Institute · US

Funding

Characterization of KISS1R, a G Protein Coupled Receptor in ReproductionK08HD070957 · NICHD · BRIGHAM AND WOMEN'S HOSPITAL · PI MIN, LE · 2012 to 2016
$690k
NICHD NIH HHS K08 HD070957
6 · The paper itself

Abstract

Blockade of immune checkpoint molecules to reverse cancer-induced immune suppression can improve anti-tumor immune responses in cancer patients. Monoclonal antibodies targeting two such molecules, Programmed cell death protein 1 (PD-1) and cytotoxic T-lymphocyte associated protein 4 (CTLA-4) have shown clinical benefit in the treatment of advanced malignancies, including metastatic melanoma. Adverse effects of these immune checkpoint inhibitors include immune-related adverse events (irAE) and the inducing of new autoimmunity, of which one of the most common is autoimmune thyroiditis. Though thyroiditis is increasingly recognized, there are no reports of the pathological findings that occur in immunotherapy-induced thyroiditis. We present a case of immunotherapy-induced thyroiditis demonstrating its unique cytopathologic features. A 51-year-old woman with metastatic melanoma was found to have a suppressed TSH and elevated free thyroxine concentration 14 days after starting treatment with nivolumab (PD-1 antagonist) plus ipilimumab (CTLA-4 antagonist) therapy. A thyroid biopsy was performed based on ultrasound findings and cytopathology revealed unique features including abundant clusters of necrotic cells, lymphocytes and CD163-positive histiocytes. This case reports cytopathologic features found in immune checkpoint inhibitor related thyroiditis. These appear to be unique findings and may help inform future research regarding the pathophysiology and mechanisms of this condition.

Indexed as

CTLA-4cytologyipilimumabnivolumabPD-1thyroiditis

Identifiers

PMID29619406
PMCPMC5879785
OpenAlexW2769814019

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.