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.
Copyright © 2016 Elsevier Ltd. All rights reserved.
MeSH terms
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Animals
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Antibodies, Monoclonal / therapeutic use*
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Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
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Autoimmune Diseases / etiology
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Autoimmune Diseases / immunology*
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Costimulatory and Inhibitory T-Cell Receptors / antagonists & inhibitors
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Costimulatory and Inhibitory T-Cell Receptors / immunology
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Humans
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Immunotherapy / adverse effects
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Immunotherapy / methods*
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Ipilimumab
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Myocarditis / etiology
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Myocarditis / immunology*
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Neoplasms / immunology
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Neoplasms / therapy*
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Nivolumab
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Risk
Substances
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Antibodies, Monoclonal
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Costimulatory and Inhibitory T-Cell Receptors
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Ipilimumab
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Nivolumab