PMID- 28418115 OWN - NLM STAT- MEDLINE DCOM- 20180821 LR - 20240313 IS - 2040-1124 (Electronic) IS - 2040-1116 (Print) IS - 2040-1116 (Linking) VI - 9 IP - 2 DP - 2018 Mar TI - Aggravation of diabetes, and incompletely deficient insulin secretion in a case with type 1 diabetes-resistant human leukocyte antigen DRB1*15:02 treated with nivolumab. PG - 438-441 LID - 10.1111/jdi.12679 [doi] AB - Anti-programmed cell death-1 (PD-1) antibody therapy induces various adverse effects, especially in the endocrine system. Several cases of acute-onset insulin-dependent diabetes after anti-PD-1 antibody therapy have been reported. Many of these cases have a susceptible human leukocyte antigen (HLA) genotype for type 1 diabetes, possibly suggesting that HLA might be involved in the onset of diabetes with anti-PD-1 therapy. We describe an atypical case of hyperglycemia after anti-PD-1 antibody administration. A 68-year-old Japanese man with pancreatic diabetes and steroid diabetes was given nivolumab three times for chemoresistant adenocarcinoma of the lung. On day 5 after the third infusion of nivolumab, he had hyperglycemia (blood glucose 330 mg/dL and hemoglobin A1c 8.0%) without ketosis and with incompletely deficient insulin secretion. The patient had both type 1 diabetes susceptible (HLA-A*24:02 and -DRB1*09:01) and resistant (HLA-DRB1*15:02) HLA genotypes. These HLA genotypes differ from those previously reported in anti-PD-1 antibody-induced diabetes, and might have influenced the preservation of insulin secretion after nivolumab administration in the present case. CI - (c) 2017 The Authors. Journal of Diabetes Investigation published by Asian Association for the Study of Diabetes (AASD) and John Wiley & Sons Australia, Ltd. FAU - Matsumura, Kimio AU - Matsumura K AUID- ORCID: 0000-0001-7031-5014 AD - Department of Endocrinology and Metabolism, Toranomon Hospital, Tokyo, Japan. FAU - Nagasawa, Kaoru AU - Nagasawa K AD - Department of Endocrinology and Metabolism, Toranomon Hospital, Tokyo, Japan. FAU - Oshima, Yoichi AU - Oshima Y AD - Department of Endocrinology and Metabolism, Toranomon Hospital, Tokyo, Japan. FAU - Kikuno, Shouta AU - Kikuno S AD - Department of Endocrinology and Metabolism, Toranomon Hospital, Tokyo, Japan. FAU - Hayashi, Kyohei AU - Hayashi K AD - Department of Endocrinology and Metabolism, Toranomon Hospital, Tokyo, Japan. FAU - Nishimura, Akihiro AU - Nishimura A AD - Department of Endocrinology and Metabolism, Toranomon Hospital, Tokyo, Japan. FAU - Okubo, Minoru AU - Okubo M AD - Department of Endocrinology and Metabolism, Toranomon Hospital, Tokyo, Japan. AD - Okinaka Memorial Institute for Medical Research, Tokyo, Japan. FAU - Uruga, Hironori AU - Uruga H AD - Okinaka Memorial Institute for Medical Research, Tokyo, Japan. AD - Department of Respiratory Medicine, Respiratory Center, Toranomon Hospital, Tokyo, Japan. FAU - Kishi, Kazuma AU - Kishi K AD - Okinaka Memorial Institute for Medical Research, Tokyo, Japan. AD - Department of Respiratory Medicine, Respiratory Center, Toranomon Hospital, Tokyo, Japan. FAU - Kobayashi, Tetsuro AU - Kobayashi T AD - Okinaka Memorial Institute for Medical Research, Tokyo, Japan. FAU - Mori, Yasumichi AU - Mori Y AD - Department of Endocrinology and Metabolism, Toranomon Hospital, Tokyo, Japan. AD - Okinaka Memorial Institute for Medical Research, Tokyo, Japan. LA - eng PT - Case Reports DEP - 20170613 PL - Japan TA - J Diabetes Investig JT - Journal of diabetes investigation JID - 101520702 RN - 0 (Antibodies, Monoclonal) RN - 0 (Antineoplastic Agents) RN - 0 (Blood Glucose) RN - 0 (C-Peptide) RN - 0 (HLA Antigens) RN - 0 (Insulin) RN - 31YO63LBSN (Nivolumab) SB - IM MH - Aged MH - Antibodies, Monoclonal/*adverse effects MH - Antineoplastic Agents/*adverse effects MH - Blood Glucose/analysis MH - C-Peptide/analysis MH - Diabetes Mellitus, Type 1/complications/*genetics/*immunology MH - HLA Antigens/*genetics MH - Humans MH - Hyperglycemia/complications/*immunology MH - Insulin/*deficiency/metabolism MH - Insulin Secretion MH - Lung Neoplasms/complications MH - Male MH - Nivolumab PMC - PMC5835466 OTO - NOTNLM OT - Anti-programmed death 1 antibody OT - Nivolumab OT - Type 1 Diabetes EDAT- 2017/04/19 06:00 MHDA- 2018/08/22 06:00 PMCR- 2018/03/01 CRDT- 2017/04/19 06:00 PHST- 2017/02/23 00:00 [received] PHST- 2017/03/30 00:00 [revised] PHST- 2017/04/11 00:00 [accepted] PHST- 2017/04/19 06:00 [pubmed] PHST- 2018/08/22 06:00 [medline] PHST- 2017/04/19 06:00 [entrez] PHST- 2018/03/01 00:00 [pmc-release] AID - JDI12679 [pii] AID - 10.1111/jdi.12679 [doi] PST - ppublish SO - J Diabetes Investig. 2018 Mar;9(2):438-441. doi: 10.1111/jdi.12679. Epub 2017 Jun 13.