Clinical and tumor features of patients with immune checkpoint inhibitor-related neurological disorders and anti-Yo antibodies

Post-ICI anti-Yo neurological syndromes may occur with atypical cancer associations, but mostly manifest with a RCPS indistinguishable from spontaneous anti-Yo paraneoplastic neurological syndromes, suggesting a similar immune-mediated attack on the cerebellum. The CDR2L antigen overexpression and the pre-ICI anti-Yo antibody positivity in the patient with ovarian cancer suggest that the ICI boosted a pre-formed, tumor-driven anti-Yo autoimmunity. Further studies are needed to clarify whether this mechanism applies to all patients and if other types of tumor alterations and/or immune dysfunctions could be involved.

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Publication Details

Journal
Therapeutic Advances in Neurological Disorders
Published
2025-01-01
DOI
https://doi.org/10.1177/17562864251377559
Primary Topic
Cancer Immunotherapy and Biomarkers
Type
article
Field-Weighted Citation Impact
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article

Clinical and tumor features of patients with immune checkpoint inhibitor-related neurological disorders and anti-Yo antibodies

Antonio Farina, Virginie Desestret, David Meyronet, Marie Bénaiteau et al.
Therapeutic Advances in Neurological Disorders
Cancer Immunotherapy and Biomarkers
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Clinical and tumor features of patients with immune checkpoint inhibitor-related neurological disorders and anti-Yo antibodies

Antonio Farina, Virginie Desestret, David Meyronet, Marie Bénaiteau, Elise Peter, Valentin Wucher, Géraldine Picard, Le Duy, Celeste Nicola, Marine Villard, Macarena Villagrán‐García, Véronique Rogemond, Jérôme Honnorat, Isabelle Treilleux, Bastien Joubert, Daniel Pissaloux, Nolwenn Billet
article en

Abstract

Post-ICI anti-Yo neurological syndromes may occur with atypical cancer associations, but mostly manifest with a RCPS indistinguishable from spontaneous anti-Yo paraneoplastic neurological syndromes, suggesting a similar immune-mediated attack on the cerebellum. The CDR2L antigen overexpression and the pre-ICI anti-Yo antibody positivity in the patient with ovarian cancer suggest that the ICI boosted a pre-formed, tumor-driven anti-Yo autoimmunity. Further studies are needed to clarify whether this mechanism applies to all patients and if other types of tumor alterations and/or immune dysfunctions could be involved.

Therapeutic Advances in Neurological DisordersVol. 18
Université Claude Bernard Lyon 1 (FR), Centre National de la Recherche Scientifique (FR), Inserm (FR), Hospices Civils de Lyon (FR), Centre Léon Bérard (FR), Hôpital Pierre Wertheimer (FR), Centre de Recherche en Cancérologie de Lyon (FR), Institut NeuroMyoGène (FR)
Openalex Percentile: Top 58%
Cancer Immunotherapy and Biomarkers
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