Endocrine side effects of immune checkpoint inhibitors

Immune checkpoint inhibitors (ICIs) have increasingly been the mainstay of treatment for numerous malignancies. However, due to their association with autoimmunity, ICIs have resulted in a variety of side effects that involve multiple organs including the endocrine system. In this review article, we...

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Main Authors: Zulma Cardona, Jeffrey A. Sosman, Sunandana Chandra, Wenyu Huang
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-05-01
Series:Frontiers in Endocrinology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2023.1157805/full
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author Zulma Cardona
Jeffrey A. Sosman
Sunandana Chandra
Wenyu Huang
author_facet Zulma Cardona
Jeffrey A. Sosman
Sunandana Chandra
Wenyu Huang
author_sort Zulma Cardona
collection DOAJ
description Immune checkpoint inhibitors (ICIs) have increasingly been the mainstay of treatment for numerous malignancies. However, due to their association with autoimmunity, ICIs have resulted in a variety of side effects that involve multiple organs including the endocrine system. In this review article, we describe our current understanding of the autoimmune endocrinopathies as a result of the use of ICIs. We will review the epidemiology, pathophysiology, clinical presentation, diagnosis, and management of the most commonly encountered endocrinopathies, including thyroiditis, hypophysitis, Type 1 diabetes, adrenalitis, and central diabetes insipidus.
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spelling doaj.art-517e94373a8e404db7b5de93e9ff9be22023-05-11T12:28:44ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922023-05-011410.3389/fendo.2023.11578051157805Endocrine side effects of immune checkpoint inhibitorsZulma Cardona0Jeffrey A. Sosman1Sunandana Chandra2Wenyu Huang3Division of Endocrinology, Metabolism and Molecular Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesDivision of Hematology and Oncology, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesDivision of Hematology and Oncology, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesDivision of Endocrinology, Metabolism and Molecular Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United StatesImmune checkpoint inhibitors (ICIs) have increasingly been the mainstay of treatment for numerous malignancies. However, due to their association with autoimmunity, ICIs have resulted in a variety of side effects that involve multiple organs including the endocrine system. In this review article, we describe our current understanding of the autoimmune endocrinopathies as a result of the use of ICIs. We will review the epidemiology, pathophysiology, clinical presentation, diagnosis, and management of the most commonly encountered endocrinopathies, including thyroiditis, hypophysitis, Type 1 diabetes, adrenalitis, and central diabetes insipidus.https://www.frontiersin.org/articles/10.3389/fendo.2023.1157805/fullimmune checkpoint inhibitor (ICI)endocrine side effectshypophysitisthyroiditistype1 diabetesadrenalitis
spellingShingle Zulma Cardona
Jeffrey A. Sosman
Sunandana Chandra
Wenyu Huang
Endocrine side effects of immune checkpoint inhibitors
Frontiers in Endocrinology
immune checkpoint inhibitor (ICI)
endocrine side effects
hypophysitis
thyroiditis
type1 diabetes
adrenalitis
title Endocrine side effects of immune checkpoint inhibitors
title_full Endocrine side effects of immune checkpoint inhibitors
title_fullStr Endocrine side effects of immune checkpoint inhibitors
title_full_unstemmed Endocrine side effects of immune checkpoint inhibitors
title_short Endocrine side effects of immune checkpoint inhibitors
title_sort endocrine side effects of immune checkpoint inhibitors
topic immune checkpoint inhibitor (ICI)
endocrine side effects
hypophysitis
thyroiditis
type1 diabetes
adrenalitis
url https://www.frontiersin.org/articles/10.3389/fendo.2023.1157805/full
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