Evidence map›Paper›PMID 36457511›Full record

ArticleFrontiers in oncology2022

Immune-related keratitis is a rare complication associated with nivolumab treatment in a patient with advanced colorectal cancer: A case report.

Yuqi Su, Guoquan Li, Jiaxin Xu, Jiale Zheng, Jiapeng Jiao, Jianhui Zhang, Xiaokang Gu, Zhai Cai, Hongyu Luo, Zhou Li and 1 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Frontiers in oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.2field-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

7 citing papers in PubMed, 11 citations in OpenAlex.

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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

11 authors at 3 institutions in 1 country.

Yuqi SuThe Second School of Clinical Medicine, Southern Medical University, Guangzhou, China.
Guoquan LiDepartment of General Surgery, Guangdong Province Huizhou Sixth Hospital, Huizhou, China.
Jiaxin XuThe Second School of Clinical Medicine, Southern Medical University, Guangzhou, China.
Jiale ZhengThe Second School of Clinical Medicine, Southern Medical University, Guangzhou, China.
Jiapeng JiaoThe Second School of Clinical Medicine, Southern Medical University, Guangzhou, China.
Jianhui ZhangThe Second School of Clinical Medicine, Southern Medical University, Guangzhou, China.
Xiaokang GuThe Second School of Clinical Medicine, Southern Medical University, Guangzhou, China.
Zhai CaiDepartment of Gastrointestinal Surgery, General Surgery Center, Zhujiang Hospital, Southern Medical University, Guangzhou, China.
Hongyu LuoDepartment of General Surgery, Guangdong Province Huizhou Sixth Hospital, Huizhou, China.
Zhou LiDepartment of Gastrointestinal Surgery, General Surgery Center, Zhujiang Hospital, Southern Medical University, Guangzhou, China.
Shuai HanDepartment of Gastrointestinal Surgery, General Surgery Center, Zhujiang Hospital, Southern Medical University, Guangzhou, China.
Southern Medical University · CNShenzhen Sixth People's Hospital · CNZhujiang Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Immunotherapy has been widely used to treat Colorectal cancer but has also observe some immune-related adverse effects. With proper treatment, most irAE can be solved and the effect of immunotherapy will not be affected by temporary immunosuppression. However, there are few reports about corneal irAE, and the current understanding of irAE is incomplete. Here we report a metastatic colorectal cancer case of immune-related keratitis caused by nivolumab and to explore the occurrence of immune-related keratitis. Case description: Here we report the case of a 49-year-old man with mCRC who had no previous ocular disease but developed immune-related ulcerative keratitis after treatment with nivolumab. We summarize a large amount of literature to discuss the mechanism of immune-related keratitis. In addition, we conclude a method that may be used to detect the occurrence of immune keratitis, by monitoring MMPs and maspin in patients treated with nivolumab. We believe immune-related keratitis may be a rare complication of nivolumab in the treatment of mCRC. The effect of simple anti-infective therapy and repair-promoting drugs was not obvious, but the effect of glucocorticoid combined with autologous serum was significant. Conclusion: The mechanism of immune-related keratitis is that nivolumab destroys the immune microenvironment and ACAID, and affects corneal healing. Patients who use nivolumab can prevent immune keratitis by testing MMPs and maspin. The occurrence of immune keratitis may be a good indicator of the efficacy of ICI, and further study can be done in the follow-up.

Indexed as

corneal ulcerationimmune checkpoint inhibitorsimmune-related keratitismaspinmatrix metalloproteinasesmetastatic colorectal cancernivolumab

Identifiers

PMID36457511
PMCPMC9706189
OpenAlexW4309212006

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.