Evidence map›Paper›PMID 34975913›Full record

ArticleFrontiers in immunology2021

Celiac Disease After Administration of Immune Checkpoint Inhibitors: A Case Report.

Julie Leblanc, Solene Hoibian, Agathe Boucraut, Jean-Philippe Ratone, Louis Stoffaes, Domitille Dano, Delphine Louvel-Perrot, Brice Chanez, Anne-Sophie Chretien, Anne Madroszyk and 1 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 19% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Review
  4. Review
  5. Article
  6. Review
  7. Review
  8. Article
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 at 3 institutions in 1 country.

Julie LeblancMedical Oncology Department, Paoli-Calmettes Institute, Aix-Marseille University, Marseille, France.
Solene HoibianGastroenterology Department, Paoli-Calmettes Institute, Aix-Marseille University, Marseille, France.
Agathe BoucrautPathology Department, Paoli-Calmettes Institute, Aix-Marseille University, Marseille, France.
Jean-Philippe RatoneGastroenterology Department, Paoli-Calmettes Institute, Aix-Marseille University, Marseille, France.
Louis StoffaesMedical Oncology Department, Paoli-Calmettes Institute, Aix-Marseille University, Marseille, France.
Domitille DanoMedical Oncology Department, Paoli-Calmettes Institute, Aix-Marseille University, Marseille, France.
Delphine Louvel-PerrotMedical Oncology Department, Paoli-Calmettes Institute, Aix-Marseille University, Marseille, France.
Brice ChanezMedical Oncology Department, Paoli-Calmettes Institute, Aix-Marseille University, Marseille, France.
Anne-Sophie ChretienTeam Immunity and Cancer, Centre de Recherche en Cancérologie de Marseille (CRCM), Inserm, U1068, CNRS, UMR7258, Paoli-Calmettes Institute, Aix-Marseille University, Marseille, France.
Anne MadroszykMedical Oncology Department, Paoli-Calmettes Institute, Aix-Marseille University, Marseille, France.
Philippe RochigneuxMedical Oncology Department, Paoli-Calmettes Institute, Aix-Marseille University, Marseille, France.
Aix-Marseille Université · FRInstitut Paoli-Calmettes · FRCentre National de la Recherche Scientifique · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune checkpoint inhibitors (ICI) reinvigorate the immune system to recognize and destroy tumor cells. Because of this biological mechanism, patients might develop autoimmune toxicities, notably in the digestive tract (most frequently, hepatitis or colitis). A 70-year-old man with relapsed mesothelioma was treated with nivolumab in 3rd line. He was hospitalized for watery and foul-smelling diarrhea. He underwent gastrointestinal endoscopy, showing duodenitis and villous atrophy and measurement of serum IgA antibodies to tissue transglutaminase (tTG-IgA+), leading to the diagnosis of ICI-induced celiac disease. He was treated with steroids, proton pump inhibitors, and a gluten-free diet. If ICI-induced celiac disease is rare in the literature, increasing reports suggest that celiac disease might represent an underestimated ICI toxicity. This case highlights the necessity of complementary investigation (including tTG-IgA and endoscopic biopsies) in patients with atypical digestive symptoms during immunotherapy.

Indexed as

AgedAutoantibodiesCeliac DiseaseDiet, Gluten-FreeGlucocorticoidsHumansImmune Checkpoint InhibitorsImmunoglobulin AMaleMesotheliomaNivolumabPleural NeoplasmsProgrammed Cell Death 1 ReceptorProtein Glutamine gamma Glutamyltransferase 2Proton Pump InhibitorsTreatment OutcomeAutoantibodiesGlucocorticoidsImmune Checkpoint InhibitorsImmunoglobulin ANivolumabPDCD1 protein, humanProgrammed Cell Death 1 ReceptorProtein Glutamine gamma Glutamyltransferase 2Proton Pump InhibitorsTGM2 protein, humancase reportceliac diseasedigestive toxicityimmune checkpoint inhibitorsimmune toxicitynivolumab

Identifiers

PMID34975913
PMCPMC8718638
OpenAlexW4200162596

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.