A T cell inflammatory phenotype is associated with autoimmune toxicity of the PI3K inhibitor duvelisib in chronic lymphocytic leukemia.

Author: ArmandPhilippe, ArnasonJon, BrownJennifer R, DavidsMatthew S, FernandesStacey M, FisherDavid C, GadiDeepti, GriffithAlec, LedererJames A, LeeBrandon, LehmbergTimothy Z, MachadoJohn-Hanson, MartindaleStephen P, OdejideOreofe, RaiVanessa, ThrashEmily, TyekuchevaSvitlana, VartanovAlexander, WangZixu

Paper Details 
Original Abstract of the Article :
Several PI3Kδ inhibitors are approved for the therapy of B cell malignancies, but their clinical use has been limited by unpredictable autoimmune toxicity. We have recently reported promising efficacy results in treating chronic lymphocytic leukemia (CLL) patients with combination therapy with the P...See full text at original site
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引用元:
https://pubmed.ncbi.nlm.nih.gov/34743191

データ提供:米国国立医学図書館(NLM)

Unveiling the Autoimmune Toxicity of Duvelisib

The field of [cancer therapy] is constantly evolving, with new drugs offering hope for patients with [chronic lymphocytic leukemia (CLL)]. However, the development of [autoimmune toxicity] is a significant concern associated with [PI3K inhibitors], a class of drugs commonly used in treating [B cell malignancies]. This study investigates the [immunological mechanisms] underlying [autoimmune toxicity] associated with [duvelisib], a PI3K inhibitor, in patients with [CLL]. The authors examined the [T cell phenotypes] and [inflammatory cytokine levels] in patients receiving [duvelisib] in combination with [fludarabine cyclophosphamide rituximab (FCR)] chemoimmunotherapy, identifying potential factors contributing to the development of [autoimmune toxicity]. This study offers valuable insights into the complex interplay between [drug therapy] and the [immune system], guiding the development of safer and more effective treatment strategies for [CLL].

The Immune System's Response to Duvelisib

The study found that [duvelisib FCR treatment] significantly modulates [CD4 and CD8 T cell subsets] and [pro-inflammatory cytokines]. The researchers observed an increase in [activated CD8 T cells, granzyme positive Tregs, and Th17 CD4 and CD8 T cells] in patients receiving duvelisib, particularly those experiencing [autoimmune toxicity]. This suggests that the [activation of T cells] may play a role in the development of [autoimmune toxicity] associated with duvelisib therapy.

Understanding the Risks of PI3K Inhibitors

The study highlights the importance of recognizing the potential for [autoimmune toxicity] in patients receiving [PI3K inhibitors], such as [duvelisib]. The findings emphasize the need for careful monitoring of patients for [immunological changes] and the development of strategies to manage potential [autoimmune complications]. It is crucial to consult with a qualified healthcare professional to weigh the benefits and risks of [PI3K inhibitor therapy] and to discuss any concerns or questions about potential side effects.

Dr. Camel's Conclusion

The realm of [cancer treatment] is a vast and intricate landscape, where the immune system plays a critical role. This study unveils the complex interplay between [drug therapy] and the [immune system], shedding light on the mechanisms that contribute to the development of [autoimmune toxicity]. The research offers valuable insights into the potential risks associated with [PI3K inhibitors] and encourages ongoing efforts to develop safer and more effective treatments for patients with [CLL].

Date :
  1. Date Completed 2022-03-11
  2. Date Revised 2022-05-07
Further Info :

Pubmed ID

34743191

DOI: Digital Object Identifier

NIHMS1743884

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English

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