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Related Concept Videos

Tumor Immunotherapy01:27

Tumor Immunotherapy

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Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
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Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
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Crohn's disease is an inflammatory bowel disorder marked by chronic inflammation of the GI tract. Various treatment strategies for Crohn's disease are employed, such as immunomodulatory agents, glucocorticoids, and biologics or anti-TNF therapy. Azathioprine (Imuran), a commonly used immunomodulatory drug for Crohn's disease, is converted in the body to mercaptopurine, which inhibits purine biosynthesis and cell proliferation. Both are utilized in severe cases of Inflammatory Bowel...
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Tumor Necrosis Factor (TNF), a proinflammatory cytokine, contributes significantly to the inflammation seen in Crohn's disease. It exists as soluble TNF and membrane-bound TNF, with actions mediated through TNF receptors (TNFR). TNFR activation leads to the release of proinflammatory cytokines, T-cell activation, collagen production, and leukocyte migration, all contributing to inflammation in Crohn's disease. Anti-TNF monoclonal antibodies, namely infliximab (Remicade), adalimumab...
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Updated: May 28, 2025

Preparation of Mouse Pituitary Immunogen for the Induction of Experimental Autoimmune Hypophysitis
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Immunotherapy-Related Hypophysitis: A Narrative Review.

Vincenza Di Stasi1, Domenico La Sala2, Renato Cozzi3

  • 1Center of Nutrition for the Research and the Care of Obesity and Metabolic Diseases, National Institute of Gastroentherology IRCCS Saverio De Bellis, 70013 Castellana Grotte, Italy.

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|February 13, 2025
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Summary

Immune checkpoint inhibitors (ICIs) can cause hypophysitis, a detrimental endocrine side effect. Early diagnosis and hormone replacement are crucial for managing this condition and preserving patient quality of life.

Keywords:
hypophysitisimmune checkpoint inhibitorsimmunotherapy

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Area of Science:

  • Oncology
  • Endocrinology
  • Immunology

Background:

  • Immune checkpoint inhibitors (ICIs) have transformed cancer treatment.
  • Immune-related adverse events (irAEs) are a significant concern with ICIs.
  • Hypophysitis is a detrimental endocrine irAE affecting the pituitary gland.

Purpose of the Study:

  • To synthesize current knowledge on ICI-induced hypophysitis (IH).
  • To review the pathogenesis, clinical features, diagnosis, and management of IH.
  • To enhance awareness and guide clinical practice for IH.

Main Methods:

  • Narrative review of recent literature and clinical trials.
  • In-depth analysis of diagnostic challenges and overlapping symptoms.
  • Synthesis of management strategies including hormone replacement and monitoring.

Main Results:

  • IH diagnosis is challenging due to symptom overlap with malignancy.
  • Diagnostic evaluation involves clinical assessment, hormonal profiling, and MRI.
  • Management requires a multidisciplinary approach with hormone replacement and monitoring.

Conclusions:

  • Early recognition and timely intervention are vital for managing IH.
  • Personalized, multidisciplinary care is essential for optimal patient outcomes.
  • Effective management can mitigate long-term effects on quality of life.