Rheumatic disorders associated with immune checkpoint inhibitors in patients with cancer-clinical aspects and relationsh

Post Reply
D.ap
Senior Member
Posts: 4137
Joined: Fri Jan 18, 2013 11:19 am

Rheumatic disorders associated with immune checkpoint inhibitors in patients with cancer-clinical aspects and relationsh

Post by D.ap »

Olga shared with me
Thank you !

Rheumatic disorders associated with immune checkpoint inhibitors in patients with cancer-clinical aspects and relationship with tumour response: a single-centre prospective cohort study.

https://www.ncbi.nlm.nih.gov/m/pubmed/29146737/
Debbie
D.ap
Senior Member
Posts: 4137
Joined: Fri Jan 18, 2013 11:19 am

Re: Rheumatic disorders associated with immune checkpoint inhibitors in patients with cancer-clinical aspects and relati

Post by D.ap »

The blood tests to dx’d rheumatoid arthritis

https://www.rheumatoidarthritis.org/ra/ ... ood-tests/
Debbie
D.ap
Senior Member
Posts: 4137
Joined: Fri Jan 18, 2013 11:19 am

Re: Rheumatic disorders associated with immune checkpoint inhibitors in patients with cancer-clinical aspects and relati

Post by D.ap »

Antigen presentation by dendritic cells in rheumatoid arthritis.



Abstract
Rheumatoid Arthritis (RA) is a chronic autoimmune inflammatory disease that affects largely synovial joints. It has been postulated that activated autoreactive CD4 T cells play a key role in triggering and/or maintaining the chronic inflammatory process in RA. Dendritic cells (DCs) are antigen-presenting cells that activate cognate clonal CD4 T cells in the lymph nodes. The activation process involves the formation of a molecular structure at the DC-CD4 T cell contact zone called immunological synapse (IS). In RA, the synovium, a thin layer of tissue below the capsule in the joints, shows a massive infiltration of DCs and CD4 T cells. Subjects bearing HLA-DRB1 alleles of the Major Histocompatibility Complex II gene displaying a motif called RA "shared epitope (SE)", have an enhanced susceptibility to suffer RA. Interestingly, the SE-containing HLA-DRB1 molecules display a pocket with a high affinity for citrullinated antigens, which are found at higher levels in subjects prone to develop RA. Thus, it is possible that the DCs of susceptible individuals may form IS with particular features that may present citrullinated peptides to autorreactive naïve CD4 T clones that, after being activated, contribute to the initiation or development of the disease. Herein I put forward a model of RA initiation based on current information on the immune response and RA.

https://www.ncbi.nlm.nih.gov/m/pubmed/23574520/
Debbie
D.ap
Senior Member
Posts: 4137
Joined: Fri Jan 18, 2013 11:19 am

Re: Rheumatic disorders associated with immune checkpoint inhibitors in patients with cancer-clinical aspects and relati

Post by D.ap »

Immunoprofiling in alveolar soft part sarcoma.: Journal of Clinical Oncology: Vol 35, No 15_suppl



Background: Alveolar Soft Part Sarcoma (ASPS) is a distinctive tumor characterized by a canonical ASPL-TFE3 fusion. Treatment options are limited. We assessed tumor immune cell infiltrates, and correlated this with patients receiving PD-1 blockade. Methods: A retrospective institutional review was performed for 18 cases of ASPS. Immunohistochemistry was performed on paraffin-embedded tissue (PET) for T-lymphocyte markers (CD3/CD4/CD8), and PD-1/PD-L1 (Ventana). Expression was quantified by standard methods: (total cells per high power field: score; 0:0; 1-10:1; 11-50:2; 50-99:3; 100:4). Select cases underwent DNA sequencing analysis using whole exome (WES, > 80X, n = 4) and genome (WGS, > 30X, n = 1) sequencing. Indel analysis was conducted via mutect2 ( > 5% variant allele frequency) and mutational signature was performed using deconstructSigs. Results: The median age was 27 (15-54). Disease status at diagnosis was: 44% localized; 56% metastatic. The median overall survival was 17 yrs (2.9-31). Four patients (pts) received immunotherapy with PD-1 blockade with 1 complete response (CR), 2 durable partial responses (PR) and 1 stable disease (SD). PET was available in 12 cases. PD-1/PD-L1 expression (≥1) was seen in 50% and 17%, respectively. Composite CD3, CD4 and CD8 infiltration were 2, 1, and 1, respectively

http://ascopubs.org/doi/abs/10.1200/JCO ... uppl.11059


http://www.cureasps.org/forum/viewtopic ... 529#p11723
Thus ASPS provides a number of CD or CD-like antigens that can be targeted by means of immunotherapy
.
Debbie
Post Reply

Return to “Opdivo”