HLA analysis of immune checkpoint inhibitor-induced and idiopathic isolated ACTH deficiency

Purpose Isolated adrenocorticotropic hormone deficiency is a rare disease; however, since immune check point inhibitors (ICIs) have become widely used, many more cases have been reported. In this study, we compared the human leukocyte antigen (HLA) signatures between ICI-induced isolated adrenocorti...

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Veröffentlicht in:Pituitary 2022-08, Vol.25 (4), p.615-621
Hauptverfasser: Ono, Mayo, Fukuda, Izumi, Nagao, Mototsugu, Tomiyama, Keiko, Okazaki-Hada, Mikiko, Shuto, Yuki, Kobayashi, Shunsuke, Yamaguchi, Yuji, Nagamine, Tomoko, Nakajima, Yasushi, Inagaki-Tanimura, Kyoko, Sugihara, Hitoshi
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container_end_page 621
container_issue 4
container_start_page 615
container_title Pituitary
container_volume 25
creator Ono, Mayo
Fukuda, Izumi
Nagao, Mototsugu
Tomiyama, Keiko
Okazaki-Hada, Mikiko
Shuto, Yuki
Kobayashi, Shunsuke
Yamaguchi, Yuji
Nagamine, Tomoko
Nakajima, Yasushi
Inagaki-Tanimura, Kyoko
Sugihara, Hitoshi
description Purpose Isolated adrenocorticotropic hormone deficiency is a rare disease; however, since immune check point inhibitors (ICIs) have become widely used, many more cases have been reported. In this study, we compared the human leukocyte antigen (HLA) signatures between ICI-induced isolated adrenocorticotropic hormone deficiency (IAD) and idiopathic IAD (IIAD). Design and methods: Clinical features and HLA frequencies were compared among 13 patients with ICI-induced IAD, 8 patients with IIAD, and healthy controls. HLA frequencies of healthy controls were adopted from a HLA database of Japanese population. Results Age and body mass index were higher, while the rate of weight loss was lower, in patients with ICI-induced IAD than in those with IIAD. No HLA alleles had a significantly higher frequency in patients with ICI-induced IAD than in healthy controls, whereas the frequencies of HLA-DRB1*09:01, HLA-DQA1*03:02, and DQB1*03:03 were significantly higher in patients with IIAD than in healthy controls. Conclusions ICI-induced IAD and IIAD were different in terms of HLA frequencies. There were no specific HLAs related to ICI-induced IAD, whereas several HLAs in strong linkage disequilibrium were associated with IIAD. This might suggest that the two diseases have different pathological mechanisms. HLAs unique to IIAD may be helpful in predicting its pathophysiology.
doi_str_mv 10.1007/s11102-022-01231-1
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In this study, we compared the human leukocyte antigen (HLA) signatures between ICI-induced isolated adrenocorticotropic hormone deficiency (IAD) and idiopathic IAD (IIAD). Design and methods: Clinical features and HLA frequencies were compared among 13 patients with ICI-induced IAD, 8 patients with IIAD, and healthy controls. HLA frequencies of healthy controls were adopted from a HLA database of Japanese population. Results Age and body mass index were higher, while the rate of weight loss was lower, in patients with ICI-induced IAD than in those with IIAD. No HLA alleles had a significantly higher frequency in patients with ICI-induced IAD than in healthy controls, whereas the frequencies of HLA-DRB1*09:01, HLA-DQA1*03:02, and DQB1*03:03 were significantly higher in patients with IIAD than in healthy controls. Conclusions ICI-induced IAD and IIAD were different in terms of HLA frequencies. There were no specific HLAs related to ICI-induced IAD, whereas several HLAs in strong linkage disequilibrium were associated with IIAD. This might suggest that the two diseases have different pathological mechanisms. HLAs unique to IIAD may be helpful in predicting its pathophysiology.</description><identifier>ISSN: 1386-341X</identifier><identifier>EISSN: 1573-7403</identifier><identifier>DOI: 10.1007/s11102-022-01231-1</identifier><identifier>PMID: 35653047</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adrenocorticotropic hormone ; Antibodies ; Antigens ; Apoptosis ; Bladder cancer ; Body mass index ; Body weight loss ; Diabetes ; Disease ; DQA1 protein ; Drb1 protein ; Endocrinology ; Histocompatibility antigen HLA ; Human Physiology ; Immune checkpoint ; Kidney cancer ; Linkage disequilibrium ; Medicine ; Medicine &amp; Public Health ; Melanoma ; Pathophysiology ; Patients ; Rare diseases ; Thyroid gland</subject><ispartof>Pituitary, 2022-08, Vol.25 (4), p.615-621</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022</rights><rights>2022. 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In this study, we compared the human leukocyte antigen (HLA) signatures between ICI-induced isolated adrenocorticotropic hormone deficiency (IAD) and idiopathic IAD (IIAD). Design and methods: Clinical features and HLA frequencies were compared among 13 patients with ICI-induced IAD, 8 patients with IIAD, and healthy controls. HLA frequencies of healthy controls were adopted from a HLA database of Japanese population. Results Age and body mass index were higher, while the rate of weight loss was lower, in patients with ICI-induced IAD than in those with IIAD. No HLA alleles had a significantly higher frequency in patients with ICI-induced IAD than in healthy controls, whereas the frequencies of HLA-DRB1*09:01, HLA-DQA1*03:02, and DQB1*03:03 were significantly higher in patients with IIAD than in healthy controls. Conclusions ICI-induced IAD and IIAD were different in terms of HLA frequencies. There were no specific HLAs related to ICI-induced IAD, whereas several HLAs in strong linkage disequilibrium were associated with IIAD. This might suggest that the two diseases have different pathological mechanisms. 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however, since immune check point inhibitors (ICIs) have become widely used, many more cases have been reported. In this study, we compared the human leukocyte antigen (HLA) signatures between ICI-induced isolated adrenocorticotropic hormone deficiency (IAD) and idiopathic IAD (IIAD). Design and methods: Clinical features and HLA frequencies were compared among 13 patients with ICI-induced IAD, 8 patients with IIAD, and healthy controls. HLA frequencies of healthy controls were adopted from a HLA database of Japanese population. Results Age and body mass index were higher, while the rate of weight loss was lower, in patients with ICI-induced IAD than in those with IIAD. No HLA alleles had a significantly higher frequency in patients with ICI-induced IAD than in healthy controls, whereas the frequencies of HLA-DRB1*09:01, HLA-DQA1*03:02, and DQB1*03:03 were significantly higher in patients with IIAD than in healthy controls. Conclusions ICI-induced IAD and IIAD were different in terms of HLA frequencies. There were no specific HLAs related to ICI-induced IAD, whereas several HLAs in strong linkage disequilibrium were associated with IIAD. This might suggest that the two diseases have different pathological mechanisms. HLAs unique to IIAD may be helpful in predicting its pathophysiology.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>35653047</pmid><doi>10.1007/s11102-022-01231-1</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-9115-9591</orcidid></addata></record>
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subjects Adrenocorticotropic hormone
Antibodies
Antigens
Apoptosis
Bladder cancer
Body mass index
Body weight loss
Diabetes
Disease
DQA1 protein
Drb1 protein
Endocrinology
Histocompatibility antigen HLA
Human Physiology
Immune checkpoint
Kidney cancer
Linkage disequilibrium
Medicine
Medicine & Public Health
Melanoma
Pathophysiology
Patients
Rare diseases
Thyroid gland
title HLA analysis of immune checkpoint inhibitor-induced and idiopathic isolated ACTH deficiency
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