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Combined Hypophysitis and Type 1 Diabetes Mellitus Related to Immune Checkpoint Inhibitors

Fujita, Yasunori Kamitani, Fumika Yamamoto, Masaaki Fukuoka, Hidenori Hirota, Yushi Nishiyama, Nobuharu Goda, Naho Okada, Yuko Inaba, Yuiko Nakajima, Hiroki Kurematsu, Yukako Kanie, Keitaro Shichi, Hiroki Urai, Shin Suzuki, Masaki Yamamoto, Naoki Bando, Hironori Iguchi, Genzo Suto, Hirotaka Funakoshi, Yohei Kiyota, Naomi Takahashi, Yutaka Ogawa, Wataru 神戸大学

2023.03

概要

Context The occurrence of multiple endocrinopathies due to immune checkpoint inhibitors (ICIs) is a relatively common adverse event. However, the occurrence of a combination of hypophysitis and type 1 diabetes mellitus (T1DM) is extremely rare, and its clinical features are unclear. Objective We comparatively analyzed the clinical features of this combination and each individual ICI-induced endocrinopathy. Methods We reported 3 cases that we encountered and reviewed previously reported cases of patients with combined hypophysitis and T1DM due to ICIs. Results Anti-programmed cell death-1 (anti-PD-1) antibodies were prescribed to all 3 cases. The duration from ICI initiation to the onset of endocrine disease was 12 to 48 weeks. Several human leukocyte antigen (HLA) haplotypes that have disease susceptibility to hypophysitis were detected in all 3 patients. With the 17 previously reported cases, combined endocrinopathies were more common in men (85%). The onset age was in the 60s for both combined and single endocrinopathies. Anti-PD-1 antibodies were used in most of the cases (90%). The time from ICI initiation to the onset of endocrinopathies was 24 (8-76) weeks for hypophysitis and 32 (8-76) weeks for T1DM in patients with combined endocrinopathies, which was not significantly different from that for each single endocrinopathy. Conclusion We presented 3 cases of patients with combined endocrinopathies of hypophysitis and T1DM that may have been caused by anti-PD-1 antibodies. There was no difference in the time from ICI initiation to the onset of endocrinopathies between combined and single endocrinopathies. Further case accumulation and pathogenic investigations are required.

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参考文献

1. Pardoll DM. The blockade of immune checkpoints in cancer im­

munotherapy. Nat Rev Cancer. 2012;12(4):252-264.

2. Ribas A, Wolchok JD. Cancer immunotherapy using checkpoint

blockade. Science. 2018;359(6382):1350-1355.

3. Willsmore ZN, Coumbe BGT, Crescioli S, et al. Combined

anti-PD-1 and anti-CTLA-4 checkpoint blockade: treatment of

melanoma and immune mechanisms of action. Eur J Immunol.

2021;51(3):544-556.

4. Hellmann MD, Paz-Ares L, Bernabe Caro R, et al. Nivolumab plus

ipilimumab in advanced non-small-cell lung cancer. N Engl J Med.

2019;381(21):2020-2031.

5. Postow MA, Sidlow R, Hellmann MD. Immune-related adverse

events associated with immune checkpoint blockade. N Engl J

Med. 2018;378(2):158-68.

6. Chang LS, Barroso-Sousa R, Tolaney SM, Hodi FS, Kaiser UB, Min

L. Endocrine toxicity of cancer immunotherapy treating immune

checkpoints. Endocr Rev. 2019;40(1):17-65.

7. Barroso-Sousa R, Barry WT, Garrido-Castro AC, et al. Incidence of

endocrine dysfunction following the use of different immune check­

point inhibitor regimens: a systematic review and meta-analysis.

JAMA Oncol. 2018;4(2):173-182.

8. Takahashi Y. Mechanisms in endocrinology: autoimmune hypo­

pituitarism: novel mechanistic insights. Eur J Endocrinol.

2020;182(4):R59-R66.

9. Arima H, Iwama S, Inaba H, et al. Management of immune-related

adverse events in endocrine organs induced by immune checkpoint

inhibitors: clinical guidelines of the Japan Endocrine Society.

Endocr J. 2019;66(7):581-586.

10. Marshall S, Kizuki A, Kitaoji T, et al. Type 1 diabetes, ACTH defi­

ciency, and hypothyroidism simultaneously induced by nivolumab

therapy in a patient with gastric cancer: a case report. Case Rep

Oncol. 2020;13(3):1185-1190.

11. Okahata S, Sakamoto K, Mitsumatsu T, et al. Fuluminant type 1

diabetes associated with isolated ACTH deficiency induced by anti-

20.

21.

22.

23.

24.

25.

26.

27.

28.

29.

30.

31.

programmed cell death 1 antibody-insight into the pathogenesis of

autoimmune endocrinopathy. Endocr J. 2019;66(4):295-300.

Saisho Y, Kou K, Tanaka K, et al. Postprandial serum C-peptide to

plasma glucose ratio as a predictor of subsequent insulin treatment

in patients with type 2 diabetes. Endocr J. 2011;58(4):315-322.

Funakoshi S, Fujimoto S, Hamasaki A, et al. Utility of indices using

C-peptide levels for indication of insulin therapy to achieve good

glycemic control in Japanese patients with type 2 diabetes. J

Diabetes Investig. 2011;2(4):297-303.

Inaba H, Ariyasu H, Iwakura H, et al. Comparative analysis of hu­

man leucocyte antigen between idiopathic and anti-PD-1 antibody

induced isolated adrenocorticotropic hormone deficiency: a pilot

study. Clin Endocrinol (Oxf). 2019;91(6):786-792.

Kawabata Y, Ikegami H, Awata T, et al. Differential association of

HLA with three subtypes of type 1 diabetes: fulminant, slowly pro­

gressive and acute-onset. Diabetologia. 2009;52(12):2513-2521.

Yano S, Ashida K, Sakamoto R, et al. Human leucocyte antigen

DR15, a possible predictive marker for immune checkpoint

inhibitor-induced secondary adrenal insufficiency. Eur J Cancer.

2020;130:198-203.

Menconi F, Monti MC, Greenberg DA, et al. Molecular amino acid

signatures in the MHC class II peptide-binding pocket predispose to

autoimmune thyroiditis in humans and in mice. Proc Natl Acad Sci

U S A. 2008;105(37):14034-14039.

Inaba H, Ariyasu H, Iwakura H, et al. Distinct clinical features and

prognosis between persistent and temporary thyroid dysfunctions

by immune-checkpoint inhibitors. Endocr J. 2021;68(2):231-241.

Brahmer J, Reckamp KL, Baas P, et al. Nivolumab versus docetaxel

in advanced squamous-cell non-small-cell lung cancer. N Engl J

Med. 2015;373(2):123-135.

Robert C, Schachter J, Long G V, et al. Pembrolizumab versus ipi­

limumab in advanced melanoma. N Engl J Med. 2015;372(26):

2521-2532.

Albarel F, Castinetti F, Brue T. Management of endocrine disease:

immune check point inhibitors-induced hypophysitis. Eur J

Endocrinol. 2019;181(3):R107-R118.

Albarel F, Gaudy C, Castinetti F, et al. Long-term follow-up of

ipilimumab-induced hypophysitis, a common adverse event of the

anti-CTLA-4 antibody in melanoma. Eur J Endocrinol.

2015;172(2):195-204.

Faje AT, Sullivan R, Lawrence D, et al. Ipilimumab-induced hypo­

physitis: a detailed longitudinal analysis in a large cohort of patients

with metastatic melanoma. J Clin Endocrinol Metab. 2014;99(11):

4078-85.

Kanie K, Iguchi G, Bando H, et al. Two cases of atezolizumabinduced hypophysitis. J Endocr Soc. 2017;2(1):91-95.

Yamazaki N, Kiyohara Y, Uhara H, et al. Phase II study of ipilimu­

mab monotherapy in Japanese patients with advanced melanoma.

Cancer Chemother Pharmacol. 2015;76(5):997-1004.

Ohara N, Kobayashi M, Ohashi K, et al. Isolated adrenocortico­

tropic hormone deficiency and thyroiditis associated with nivolu­

mab therapy in a patient with advanced lung adenocarcinoma: a

case report and review of the literature. J Med Case Rep.

2019;13(1):88.

Paepegaey AC, Lheure C, Ratour C, et al. Polyendocrinopathy re­

sulting from pembrolizumab in a patient with a malignant melan­

oma. J Endocr Soc. 2017;1(6):646-649.

Min L, Ibrahim N. Ipilimumab-induced autoimmune adrenalitis.

Lancet Diabetes Endocrinol. 2013;1(3):e15.

Yang JC, Hughes M, Kammula U, et al. Ipilimumab (anti-CTLA4

antibody) causes regression of metastatic renal cell cancer associ­

ated with enteritis and hypophysitis. J Immunother. 2007;30(8):

825-830.

Andrioli M, Pecori Giraldi F, Cavagnini F. Isolated corticotrophin

deficiency. Pituitary. 2006;9(4):289-295.

Imagawa A, Hanafusa T, Awata T, et al. Report of the committee of

the Japan Diabetes Society on the research of fulminant and acuteonset type 1 diabetes mellitus: new diagnostic criteria of fulminant

Downloaded from https://academic.oup.com/jes/article/7/3/bvad002/6972399 by Kobe University Library user on 14 March 2023

autoimmune thyroid disease [41]. In this case series, we could

not perform CTLA-4 gene analysis. Further studies are re­

quired, including this polymorphism, to clarify the pathology

of ICI-induced combined endocrinopathies.

In conclusion, we presented 3 cases of complicated com­

bined endocrinopathies comprising hypophysitis and T1DM

due to ICIs. The use of anti-PD-1 antibodies may be associated

with the occurrence of combined endocrinopathies. HLA

genotyping was performed in all 3 cases, and the hypophysitisor T1DM-associated haplotype was frequently found

(HLA*A 24:02). Further case accumulation and pathogenic

investigations are needed to identify the significant features

of this extremely rare occurrence of combined endocrinopa­

thies as irAEs.

Journal of the Endocrine Society, 2023, Vol. 7, No. 3

Journal of the Endocrine Society, 2023, Vol. 7, No. 3

32.

33.

34.

36.

37. Faje AT, Lawrence D, Flaherty K, et al. High-dose glucocorticoids

for the treatment of ipilimumab-induced hypophysitis is associated

with reduced survival in patients with melanoma. Cancer.

2018;124(18):3706-3714

38. Grangeon M, Tomasini P, Chaleat S, et al. Association between

immune-related adverse events and efficacy of immune checkpoint

inhibitors in non-small-cell lung cancer. Clin Lung Cancer.

2019;20(3):201-207.

39. Kim HI, Kim M, Lee SH, et al. Development of thyroid dysfunction

is associated with clinical response to PD-1 blockade treatment

in patients with advanced non-small cell lung cancer.

Oncoimmunology. 2017;7(1):e1375642.

40. Saito S, Ota S, Yamada E, Inoko H, Ota M. Allele frequencies and

haplotypic associations defined by allelic DNA typing at HLA class

I and class II loci in the Japanese population. Tissue Antigens.

2000;56(6):522-529.

41. Ikegami H, Awata T, Kawasaki E, et al. The association of CTLA4

polymorphism with type 1 diabetes is concentrated in patients compli­

cated with autoimmune thyroid disease: a multicenter collaborative

study in Japan. J Clin Endocrinol Metab. 2006;91(3):1087-1092.

Downloaded from https://academic.oup.com/jes/article/7/3/bvad002/6972399 by Kobe University Library user on 14 March 2023

35.

type 1 diabetes mellitus (2012). J Diabetes Investig. 2012;3(6):

536-539.

Stamatouli AM, Quandt Z, Perdigoto AL, et al. Collateral damage:

insulin-dependent diabetes induced with checkpoint inhibitors.

Diabetes. 2018;67(8):1471-1480.

Di Dalmazi G, Ippolito S, Lupi I, Caturegli P. Hypophysitis induced

by immune checkpoint inhibitors: a 10-year assessment. Expert Rev

Endocrinol Metab. 2019;14(6):381-398.

Tsang VHM, McGrath RT, Clifton-Bligh RJ, et al. Checkpoint

inhibitor-associated autoimmune diabetes is distinct from

type 1 diabetes. J Clin Endocrinol Metab. 2019;104(11):

5499-5506.

Kotwal A, Haddox C, Block M, Kudva YC. Immune checkpoint in­

hibitors: an emerging cause of insulin-dependent diabetes. BMJ

Open Diabetes Res Care. 2019;7(1):e000591.

Kobayashi T, Iwama S, Yasuda Y, et al. Pituitary dysfunction in­

duced by immune checkpoint inhibitors is associated with better

overall survival in both malignant melanoma and non-small cell

lung carcinoma: a prospective study. J Immunother Cancer.

2020;8(2):e000779.

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