Anti-integrin αvβ6 autoantibodies are a potential biomarker for ulcerative colitis-like immune checkpoint inhibitor-induced colitis

© 2024. The Author(s)..

BACKGROUND: No specific biomarker for immune checkpoint inhibitor (ICI)-induced colitis has been established. Previously, we identified anti-integrin αvβ6 autoantibodies in >90% of patients with ulcerative colitis (UC). Given that a subset of ICI-induced colitis is similar to UC, we aimed to clarify the relationship between such autoantibodies and ICI-induced colitis.

METHODS: Serum anti-integrin αvβ6 autoantibody levels were compared between 26 patients with ICI-induced colitis and 157 controls. Endoscopic images of ICI-induced colitis were centrally reviewed. Characteristics of anti-integrin αvβ6 autoantibodies in the ICI-induced colitis patients were compared with those of UC patients.

RESULTS: Anti-integrin αvβ6 autoantibodies were found in 8/26 (30.8%) patients with ICI-induced colitis and 3/157 (1.9%) controls (P < 0.001). Patients with anti-integrin αvβ6 autoantibodies had significantly more typical UC endoscopic features than those without the autoantibodies (P < 0.001). Anti-integrin αvβ6 autoantibodies in ICI-induced colitis patients were associated with grade ≥3 colitis (P = 0.001) and steroid resistance (P = 0.005). Anti-integrin αvβ6 autoantibody titers correlated with ICI-induced colitis disease activity. Anti-integrin αvβ6 autoantibodies of ICI-induced colitis exhibited similar characteristics to those of UC.

CONCLUSIONS: Anti-integrin αvβ6 autoantibodies may serve as potential biomarkers for the diagnosis, classification, risk management, and monitoring the disease activity, of ICI-induced colitis.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

British journal of cancer - (2024) vom: 09. März

Sprache:

Englisch

Beteiligte Personen:

Yokode, Masataka [VerfasserIn]
Shiokawa, Masahiro [VerfasserIn]
Kawakami, Hisato [VerfasserIn]
Kuwada, Takeshi [VerfasserIn]
Nishikawa, Yoshihiro [VerfasserIn]
Muramoto, Yuya [VerfasserIn]
Kitamoto, Hiroki [VerfasserIn]
Okabe, Makoto [VerfasserIn]
Yamazaki, Hajime [VerfasserIn]
Okamoto, Norihiro [VerfasserIn]
Morita, Toshihiro [VerfasserIn]
Ohno, Kazuya [VerfasserIn]
Nakanishi, Risa [VerfasserIn]
Takimoto, Ikuhisa [VerfasserIn]
Yasuda, Muneji [VerfasserIn]
Chikugo, Koki [VerfasserIn]
Matsumoto, Shimpei [VerfasserIn]
Yoshida, Hiroyuki [VerfasserIn]
Ota, Sakiko [VerfasserIn]
Nakamura, Takeharu [VerfasserIn]
Okada, Hirokazu [VerfasserIn]
Hirano, Tomonori [VerfasserIn]
Kakiuchi, Nobuyuki [VerfasserIn]
Matsumori, Tomoaki [VerfasserIn]
Yamamoto, Shuji [VerfasserIn]
Uza, Norimitsu [VerfasserIn]
Ooi, Makoto [VerfasserIn]
Kodama, Yuzo [VerfasserIn]
Chiba, Tsutomu [VerfasserIn]
Hayashi, Hidetoshi [VerfasserIn]
Seno, Hiroshi [VerfasserIn]

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Date Revised 13.03.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1038/s41416-024-02647-1

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369508955