Immunotherapy-Related Cardiotoxicity Re-Emergence in Non-Small Cell Lung Cancer – A Case Report

Yuanxiang Li,* Yang Hu,* Bin Yang, Caibao Jin, Hui Ren, Jingyi Wu, Zhijun Wang, Youying Wei, Ling Yang, Yanping Hu Department of Oncology, Hubei Cancer Hospital, TongJi Medical College, Huazhong University of Science and Technology, Wuhan, 430079, Hubei, People’s Republic of China&am...

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Autores principales: Li Y, Hu Y, Yang B, Jin C, Ren H, Wu J, Wang Z, Wei Y, Yang L
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Publicado: Dove Medical Press 2021
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spelling oai:doaj.org-article:bad2ceccf85643c5801d75cad00798022021-11-23T18:43:00ZImmunotherapy-Related Cardiotoxicity Re-Emergence in Non-Small Cell Lung Cancer – A Case Report1178-6930https://doaj.org/article/bad2ceccf85643c5801d75cad00798022021-11-01T00:00:00Zhttps://www.dovepress.com/immunotherapy-related-cardiotoxicity-re-emergence-in-non-small-cell-lu-peer-reviewed-fulltext-article-OTThttps://doaj.org/toc/1178-6930Yuanxiang Li,* Yang Hu,* Bin Yang, Caibao Jin, Hui Ren, Jingyi Wu, Zhijun Wang, Youying Wei, Ling Yang, Yanping Hu Department of Oncology, Hubei Cancer Hospital, TongJi Medical College, Huazhong University of Science and Technology, Wuhan, 430079, Hubei, People’s Republic of China*These authors contributed equally to this workCorrespondence: Yanping HuDepartment of Oncology, Hubei Cancer Hospital, TongJi Medical College, Huazhong University of Science and Technology, Wuhan, 430079, Hubei, People’s Republic of ChinaEmail h-y-p@126.comAbstract: PD-1/PD-L1 inhibitors activate immunological response and have become one of the main modalities of cancer treatment. However, they may result in the immune-related adverse events (irAEs). Immune-related cardiotoxicity is relatively rare but may become fatal. We will present a case of a male patient who experienced immunotherapy-related cardiotoxicity one year after received pembrolizumab treatment. The patient had atypical symptom presentation initially, but his condition deteriorated worsened rapidly and he developed severe cardiac disease. The patient experienced significant relief after corticosteroid treatment. Unfortunately, he experienced a reoccurence of the severe adverse event when discontinuing the use of corticosteroids. Ultimately, larger doses and longer courses of corticosteroid treatment cured the heart damage. Fortunately, we observed that lesions were stable and maintained for a long time after cessation of using pembrolizumab for eight months.Keywords: PD-1/PD-L1 inhibitors, immune-related cardiotoxicity, non-small cell lung cancerLi YHu YYang BJin CRen HWu JWang ZWei YYang LHu YDove Medical Pressarticlepd-1/pd-l1 inhibitorsimmune-related cardiotoxicitynon-small cell lung cancerNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENOncoTargets and Therapy, Vol Volume 14, Pp 5309-5314 (2021)
institution DOAJ
collection DOAJ
language EN
topic pd-1/pd-l1 inhibitors
immune-related cardiotoxicity
non-small cell lung cancer
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle pd-1/pd-l1 inhibitors
immune-related cardiotoxicity
non-small cell lung cancer
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Li Y
Hu Y
Yang B
Jin C
Ren H
Wu J
Wang Z
Wei Y
Yang L
Hu Y
Immunotherapy-Related Cardiotoxicity Re-Emergence in Non-Small Cell Lung Cancer – A Case Report
description Yuanxiang Li,* Yang Hu,* Bin Yang, Caibao Jin, Hui Ren, Jingyi Wu, Zhijun Wang, Youying Wei, Ling Yang, Yanping Hu Department of Oncology, Hubei Cancer Hospital, TongJi Medical College, Huazhong University of Science and Technology, Wuhan, 430079, Hubei, People’s Republic of China*These authors contributed equally to this workCorrespondence: Yanping HuDepartment of Oncology, Hubei Cancer Hospital, TongJi Medical College, Huazhong University of Science and Technology, Wuhan, 430079, Hubei, People’s Republic of ChinaEmail h-y-p@126.comAbstract: PD-1/PD-L1 inhibitors activate immunological response and have become one of the main modalities of cancer treatment. However, they may result in the immune-related adverse events (irAEs). Immune-related cardiotoxicity is relatively rare but may become fatal. We will present a case of a male patient who experienced immunotherapy-related cardiotoxicity one year after received pembrolizumab treatment. The patient had atypical symptom presentation initially, but his condition deteriorated worsened rapidly and he developed severe cardiac disease. The patient experienced significant relief after corticosteroid treatment. Unfortunately, he experienced a reoccurence of the severe adverse event when discontinuing the use of corticosteroids. Ultimately, larger doses and longer courses of corticosteroid treatment cured the heart damage. Fortunately, we observed that lesions were stable and maintained for a long time after cessation of using pembrolizumab for eight months.Keywords: PD-1/PD-L1 inhibitors, immune-related cardiotoxicity, non-small cell lung cancer
format article
author Li Y
Hu Y
Yang B
Jin C
Ren H
Wu J
Wang Z
Wei Y
Yang L
Hu Y
author_facet Li Y
Hu Y
Yang B
Jin C
Ren H
Wu J
Wang Z
Wei Y
Yang L
Hu Y
author_sort Li Y
title Immunotherapy-Related Cardiotoxicity Re-Emergence in Non-Small Cell Lung Cancer – A Case Report
title_short Immunotherapy-Related Cardiotoxicity Re-Emergence in Non-Small Cell Lung Cancer – A Case Report
title_full Immunotherapy-Related Cardiotoxicity Re-Emergence in Non-Small Cell Lung Cancer – A Case Report
title_fullStr Immunotherapy-Related Cardiotoxicity Re-Emergence in Non-Small Cell Lung Cancer – A Case Report
title_full_unstemmed Immunotherapy-Related Cardiotoxicity Re-Emergence in Non-Small Cell Lung Cancer – A Case Report
title_sort immunotherapy-related cardiotoxicity re-emergence in non-small cell lung cancer – a case report
publisher Dove Medical Press
publishDate 2021
url https://doaj.org/article/bad2ceccf85643c5801d75cad0079802
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