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Immunologic Correlates of the Abscopal Effect in a Patient with Melanoma
Author(s) -
Michael A. Postow,
Margaret K. Callahan,
Christopher A. Barker,
Yoshiya Yamada,
Jianda Yuan,
Shigehisa Kitano,
Zhenyu Mu,
Teresa Rasalan,
Matthew Adamow,
Erika Ritter,
Christine Sedrak,
Achim A. Jungbluth,
Ramon Chua,
Arvin Yang,
Ruth-Ann Roman,
Samuel Rosner,
Brenna Benson,
James P. Allison,
Alexander M. Lesokhin,
Sacha Gnjatic,
Jedd D. Wolchok
Publication year - 2012
Publication title -
new england journal of medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 19.889
H-Index - 1030
eISSN - 1533-4406
pISSN - 0028-4793
DOI - 10.1056/nejmoa1112824
Subject(s) - ipilimumab , abscopal effect , medicine , melanoma , antigen , immune system , immunology , radiation therapy , cytotoxic t cell , monoclonal antibody , immunotherapy , antibody , cancer research , oncology , biology , biochemistry , in vitro
The abscopal effect is a phenomenon in which local radiotherapy is associated with the regression of metastatic cancer at a distance from the irradiated site. The abscopal effect may be mediated by activation of the immune system. Ipilimumab is a monoclonal antibody that inhibits an immunologic checkpoint on T cells, cytotoxic T-lymphocyte-associated antigen 4 (CTLA-4). We report a case of the abscopal effect in a patient with melanoma treated with ipilimumab and radiotherapy. Temporal associations were noted: tumor shrinkage with antibody responses to the cancer-testis antigen NY-ESO-1, changes in peripheral-blood immune cells, and increases in antibody responses to other antigens after radiotherapy. (Funded by the National Institutes of Health and others.).

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