Autoimmune Cardiotoxicity of Cancer Immunotherapy

Trends Immunol. 2017 Feb;38(2):77-78. doi: 10.1016/j.it.2016.11.007. Epub 2016 Dec 2.

Abstract

Contemporary immunotherapies (e.g., immune checkpoint inhibitors), which enhance the immune response to cancer cells, improve clinical outcomes in several malignancies. A recent study reported the cases of two patients with metastatic melanoma who developed fatal myocarditis during ipilimumab and nivolumab combination immunotherapy; these examples highlight the risk of unbridled activation of the immune system.

Keywords: cardio-oncology; immune checkpoint; immunotherapy.; ipilimumab; nivolumab.

MeSH terms

  • Animals
  • Antibodies, Monoclonal / therapeutic use*
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Autoimmune Diseases / etiology
  • Autoimmune Diseases / immunology*
  • Costimulatory and Inhibitory T-Cell Receptors / antagonists & inhibitors
  • Costimulatory and Inhibitory T-Cell Receptors / immunology
  • Humans
  • Immunotherapy / adverse effects
  • Immunotherapy / methods*
  • Ipilimumab
  • Myocarditis / etiology
  • Myocarditis / immunology*
  • Neoplasms / immunology
  • Neoplasms / therapy*
  • Nivolumab
  • Risk

Substances

  • Antibodies, Monoclonal
  • Costimulatory and Inhibitory T-Cell Receptors
  • Ipilimumab
  • Nivolumab