Evidence map›Paper›PMID 31137683›Full record

ReviewInternational journal of molecular sciences2019

Autoimmune Endocrine Dysfunctions Associated with Cancer Immunotherapies.

Silvia Martina Ferrari, Poupak Fallahi, Giusy Elia, Francesca Ragusa, Ilaria Ruffilli, Armando Patrizio, Maria Rosaria Galdiero, Enke Baldini, Salvatore Ulisse, Gianni Marone and 1 more

Abstract readReview
In one paragraph

Review in International journal of molecular sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

67 citing papers in PubMed, 1 synthesis or guideline pooled it.

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7 more citing papers are in PubMed but not listed here.

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

11 authors.

Silvia Martina FerrariDepartment of Clinical and Experimental Medicine, University of Pisa, Via Savi 10, 56126 Pisa, Italy. sm.ferrari@int.med.unipi.it.
Poupak FallahiDepartment of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Via Savi 10, 56126 Pisa, Italy. poupak.fallahi@unipi.it.
Giusy EliaDepartment of Clinical and Experimental Medicine, University of Pisa, Via Savi 10, 56126 Pisa, Italy. e.giusy_87@hotmail.it.
Francesca RagusaDepartment of Clinical and Experimental Medicine, University of Pisa, Via Savi 10, 56126 Pisa, Italy. francescaragusa86@gmail.com.
Ilaria RuffilliDepartment of Clinical and Experimental Medicine, University of Pisa, Via Savi 10, 56126 Pisa, Italy. ilaria.ruffilli@gmail.com.
Armando PatrizioDepartment of Clinical and Experimental Medicine, University of Pisa, Via Savi 10, 56126 Pisa, Italy. armandopatrizio125@gmail.com.
Maria Rosaria GaldieroDepartment of Translational Medical Sciences and Center for Basic and Clinical Immunology Research (CISI), University of Naples Federico II, 80131 Naples, Italy. mrgaldiero@libero.it.
Enke BaldiniDepartment of Experimental Medicine, 'Sapienza' University of Rome, 00161 Rome, Italy. enke.baldini@uniroma1.it.ORCID 0000-0002-8999-1386
Salvatore UlisseDepartment of Experimental Medicine, 'Sapienza' University of Rome, 00161 Rome, Italy. salvatore.ulisse@uniroma1.it.ORCID 0000-0002-7573-0759
Gianni MaroneDepartment of Translational Medical Sciences and Center for Basic and Clinical Immunology Research (CISI), University of Naples Federico II, 80131 Naples, Italy. marone@unina.it.ORCID 0000-0002-9849-4701
Alessandro AntonelliDepartment of Clinical and Experimental Medicine, University of Pisa, Via Savi 10, 56126 Pisa, Italy. alessandro.antonelli@med.unipi.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune checkpoint inhibitors block the checkpoint molecules. Different types of cancer immune checkpoint inhibitors have been approved recently: CTLA-4 monoclonal antibodies (as ipilimumab); anti-PD-1 monoclonal antibodies (as pembrolizumab and nivolumab); and anti-PD-L1 monoclonal antibodies (as atezolizumab, avelumab, and durmalumab). We collect recent published results about autoimmune endocrine dysfunctions associated with cancer antibody immunotherapies. These agents cause a raised immune response leading to immune-related adverse events (irAEs), varying from mild to fatal, based on the organ system and severity. Immune-related endocrine toxicities are usually irreversible in 50% of cases, and include hypophysitis, thyroid dysfunctions, type 1 diabetes mellitus, and adrenal insufficiency. Anti-PD-1-antibodies are more frequently associated with thyroid dysfunctions (including painless thyroiditis, hypothyroidism, thyrotoxicosis, or thyroid storm), while the most frequent irAE related to anti-CTLA-4-antibodies is hypophysitis. The combination of anti-CTLA-4 and anti-PD-1 antibodies is associated with a 30% chance of irAEs. Symptoms and clinical signs vary depending on the target organ. IrAEs are usually managed by an oncological therapist, but in more challenging circumstances (i.e., for new onset insulin-dependent diabetes, hypoadrenalism, gonadal hormones dysfunctions, or durable hypophysitis) an endocrinologist is needed.

Indexed as

AnimalsAntibodies, MonoclonalAntineoplastic AgentsAutoimmune DiseasesEndocrine System DiseasesHumansImmunotherapyNeoplasmsAntibodies, MonoclonalAntineoplastic AgentsCTLA-4hypophysitisimmune checkpoint inhibitorsPD-1PD-L1thyroid disorders

Identifiers

PMID31137683
PMCPMC6566424

What OpenQuestion holds

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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.