Evidence map›Paper›PMID 42273283›Full record

ArticleJCEM case reports2026

Severe autoimmunity after checkpoint inhibitor therapy in a patient with autoimmune polyglandular syndrome type 1.

Alexandra Lim, Esther M Peluso, Ian A Downs, Brian H Horwich, Maria A Velez-Velez, Melissa G Lechner

Abstract readCase Reports
In one paragraph

Article in JCEM case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Alexandra LimDivision of Endocrinology, UCLA David Geffen School of Medicine, Los Angeles, CA 90095, USA.
Esther M PelusoUCLA/California Institute of Technology Medical Scientist Training Program, UCLA David Geffen School of Medicine, Los Angeles, CA 90095, USA.ORCID https://orcid.org/0000-0002-0252-6327
Ian A DownsDivision of Endocrinology, UCLA David Geffen School of Medicine, Los Angeles, CA 90095, USA.
Brian H HorwichDivision of Transplant Hepatology, UCLA David Geffen School of Medicine, Los Angeles, CA 90095, USA.ORCID https://orcid.org/0000-0002-5287-0089
Maria A Velez-VelezDivision of Hematology Oncology, UCLA David Geffen School of Medicine, Los Angeles, CA 90095, USA.
Melissa G LechnerDivision of Endocrinology, UCLA David Geffen School of Medicine, Los Angeles, CA 90095, USA.ORCID https://orcid.org/0000-0002-4744-6566

Funding

UCLA ACE Administrative CoreU19AI181729 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Maureen A Su · 2024 to 2026
$3.2M
Mechanisms of Thyroid Autoimmunity in Checkpoint ImmunotherapyK08DK129829 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI LECHNER, MELISSA G · 2021 to 2025
$878k
NIAID NIH HHS U19 AI181729NIDDK NIH HHS K08 DK129829
6 · The paper itself

Abstract

Immune checkpoint inhibitor (ICI) cancer therapies targeting programmed cell death protein 1 and cytotoxic T-lymphocyte-associated protein 4 enhance antitumor immunity in many cancers. Despite its efficacy, ICI therapy can trigger severe autoimmune attacks across various organ systems, termed immune-related adverse events (irAEs). Antitumor immunity and autoimmunity are tightly linked as demonstrated by the enhanced efficacy of ICI therapy in patients who develop irAEs. Whether patients with preexisting autoimmunity or genetic risk factors for autoimmunity should be offered ICI therapies remains uncertain. We present the case of a patient with autoimmune polyglandular syndrome type 1, caused by a pathogenic autoimmune regulator (

Indexed as

APS-1autoimmune polyglandular syndrome type 1diabetes mellitushepatitisICIimmune checkpoint inhibitorimmune-related adverse eventirAEthyroiditis

Identifiers

PMID42273283
PMCPMC13247532

What OpenQuestion holds

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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.