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PD 1 checkpoint inhibition in solid organ transplants: 2 sides of a coin – case report

BACKGROUND: The management of malignancy post kidney transplantation includes reduction in immunosuppression and referral to an oncologist management of their malignancy. Recent advances in oncology have resulted in the approval of several classes of drugs with immune-modulatory activity. However, a...

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Detalles Bibliográficos
Autores principales: Goldman, Jonathan W., Abdalla, Basmah, Mendenhall, Melody A., Sisk, Anthony, Hunt, Jaime, Danovitch, Gabriel M., Lum, Erik L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6102916/
https://www.ncbi.nlm.nih.gov/pubmed/30126374
http://dx.doi.org/10.1186/s12882-018-1003-5
Descripción
Sumario:BACKGROUND: The management of malignancy post kidney transplantation includes reduction in immunosuppression and referral to an oncologist management of their malignancy. Recent advances in oncology have resulted in the approval of several classes of drugs with immune-modulatory activity. However, activation of the immune system against malignant cells may precipitate allograft rejection in solid organ transplant recipients. CASE PRESENTATION: Herein we present a case of acute kidney allograft rejection in a 50 year old man following administration of the novel immune-modulatory agent nivolumab for the treatment of metastatic squamous cell carcinoma. CONCLUSION: The management of malignancy in solid organ transplant recipients requires a heightened awareness of the potential for allograft rejection in this new era of cancer therapeutics.