Clinical characteristics and potential biomarkers of thyroid and pituitary immune-related adverse events

Immune checkpoint inhibitors (ICIs) can cause immune-related adverse events (irAEs) in several organs including endocrine glands. Among endocrine irAEs, thyroid and pituitary irAEs are frequently observed, followed by primary adrenal insufficiency, insulin-dependent diabetes mellitus, and hypoparath...

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Main Authors: Tomoko Kobayashi, Shintaro Iwama, Hiroshi Arima
Format: Article
Language:English
Published: The Japan Endocrine Society 2024-01-01
Series:Endocrine Journal
Subjects:
Online Access:https://www.jstage.jst.go.jp/article/endocrj/71/1/71_EJ23-0524/_html/-char/en
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author Tomoko Kobayashi
Shintaro Iwama
Hiroshi Arima
author_facet Tomoko Kobayashi
Shintaro Iwama
Hiroshi Arima
author_sort Tomoko Kobayashi
collection DOAJ
description Immune checkpoint inhibitors (ICIs) can cause immune-related adverse events (irAEs) in several organs including endocrine glands. Among endocrine irAEs, thyroid and pituitary irAEs are frequently observed, followed by primary adrenal insufficiency, insulin-dependent diabetes mellitus, and hypoparathyroidism. These conditions could lead to life-threatening consequences, such as adrenal crisis and diabetic ketoacidosis. On the other hand, several types of irAEs including thyroid and pituitary irAEs are reported to be associated with better overall survival. Therefore, it is important to understand and manage endocrine irAEs, which differ depending on the ICI regimen used. In this review, we describe the clinical features, potential biomarkers, management strategies, and possible mechanisms of thyroid and pituitary irAEs.
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series Endocrine Journal
spelling doaj-art-711cb5a3651140c6a4e328d032deb79f2025-01-22T06:31:09ZengThe Japan Endocrine SocietyEndocrine Journal1348-45402024-01-01711232910.1507/endocrj.EJ23-0524endocrjClinical characteristics and potential biomarkers of thyroid and pituitary immune-related adverse eventsTomoko Kobayashi0Shintaro Iwama1Hiroshi Arima2Department of Endocrinology and Diabetes, Nagoya University Hospital, Nagoya 466-8550, JapanDepartment of Endocrinology and Diabetes, Nagoya University Hospital, Nagoya 466-8550, JapanDepartment of Endocrinology and Diabetes, Nagoya University Graduate School of Medicine, Nagoya 466-8550, JapanImmune checkpoint inhibitors (ICIs) can cause immune-related adverse events (irAEs) in several organs including endocrine glands. Among endocrine irAEs, thyroid and pituitary irAEs are frequently observed, followed by primary adrenal insufficiency, insulin-dependent diabetes mellitus, and hypoparathyroidism. These conditions could lead to life-threatening consequences, such as adrenal crisis and diabetic ketoacidosis. On the other hand, several types of irAEs including thyroid and pituitary irAEs are reported to be associated with better overall survival. Therefore, it is important to understand and manage endocrine irAEs, which differ depending on the ICI regimen used. In this review, we describe the clinical features, potential biomarkers, management strategies, and possible mechanisms of thyroid and pituitary irAEs.https://www.jstage.jst.go.jp/article/endocrj/71/1/71_EJ23-0524/_html/-char/enthyroidpituitaryimmune checkpoint inhibitors (icis)immune-related adverse events (iraes)biomarkers
spellingShingle Tomoko Kobayashi
Shintaro Iwama
Hiroshi Arima
Clinical characteristics and potential biomarkers of thyroid and pituitary immune-related adverse events
Endocrine Journal
thyroid
pituitary
immune checkpoint inhibitors (icis)
immune-related adverse events (iraes)
biomarkers
title Clinical characteristics and potential biomarkers of thyroid and pituitary immune-related adverse events
title_full Clinical characteristics and potential biomarkers of thyroid and pituitary immune-related adverse events
title_fullStr Clinical characteristics and potential biomarkers of thyroid and pituitary immune-related adverse events
title_full_unstemmed Clinical characteristics and potential biomarkers of thyroid and pituitary immune-related adverse events
title_short Clinical characteristics and potential biomarkers of thyroid and pituitary immune-related adverse events
title_sort clinical characteristics and potential biomarkers of thyroid and pituitary immune related adverse events
topic thyroid
pituitary
immune checkpoint inhibitors (icis)
immune-related adverse events (iraes)
biomarkers
url https://www.jstage.jst.go.jp/article/endocrj/71/1/71_EJ23-0524/_html/-char/en
work_keys_str_mv AT tomokokobayashi clinicalcharacteristicsandpotentialbiomarkersofthyroidandpituitaryimmunerelatedadverseevents
AT shintaroiwama clinicalcharacteristicsandpotentialbiomarkersofthyroidandpituitaryimmunerelatedadverseevents
AT hiroshiarima clinicalcharacteristicsandpotentialbiomarkersofthyroidandpituitaryimmunerelatedadverseevents