Case report: Low-dose interleukin-2: a treatment of bullous pemphigoid with predominantly perifollicular blistering caused by PD-1/PD-L1 inhibitor

ObjectivesThis study aimed to evaluate the efficacy of low-dose interleukin (IL-2) treatment for bullous pemphigoid (BP) caused by anti-programmed cell death protein 1/ligand 1 (PD-1/PD-L1) inhibitors.MethodsLow-dose IL-2 treatment was standardized for BP. The Bullous Pemphigoid Disease Area Index (...

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Main Authors: Yingyue Zhang, Xianwei Cao, Jianbo Tong
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-12-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2024.1496413/full
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author Yingyue Zhang
Yingyue Zhang
Xianwei Cao
Xianwei Cao
Jianbo Tong
Jianbo Tong
author_facet Yingyue Zhang
Yingyue Zhang
Xianwei Cao
Xianwei Cao
Jianbo Tong
Jianbo Tong
author_sort Yingyue Zhang
collection DOAJ
description ObjectivesThis study aimed to evaluate the efficacy of low-dose interleukin (IL-2) treatment for bullous pemphigoid (BP) caused by anti-programmed cell death protein 1/ligand 1 (PD-1/PD-L1) inhibitors.MethodsLow-dose IL-2 treatment was standardized for BP. The Bullous Pemphigoid Disease Area Index (BPDAI), 5D-Itch Scale (5D-IS), and Dermatology Life Quality Index (DLQI) were recorded before and after treatment, and hexachromatic lymphocytes, regulatory T cells (Treg cells), and cytokines were measured.ResultsA significant decline in the BPDAI score, 5D-IS, and DLQI score was observed following treatment. The count of B-cells, CD4+ T-cells, CD8+ T-cells, Treg cells, and the levels of cytokines (IL-4, -8, and -10) were significantly downregulated in comparison to baseline measurements.ConclusionLow-dose IL-2 could be an effective therapeutic choice for treating BP caused by PD-1/PD-L1 inhibitors.
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issn 1664-3224
language English
publishDate 2024-12-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Immunology
spelling doaj-art-50a5dad4aee9438e8e80eb8bc281aed22025-08-20T02:38:29ZengFrontiers Media S.A.Frontiers in Immunology1664-32242024-12-011510.3389/fimmu.2024.14964131496413Case report: Low-dose interleukin-2: a treatment of bullous pemphigoid with predominantly perifollicular blistering caused by PD-1/PD-L1 inhibitorYingyue Zhang0Yingyue Zhang1Xianwei Cao2Xianwei Cao3Jianbo Tong4Jianbo Tong5Department of Dermatology, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, ChinaInstitute of Dermatology, Jiangxi Academy of Clinical Medical Sciences, Nanchang, ChinaDepartment of Dermatology, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, ChinaInstitute of Dermatology, Jiangxi Academy of Clinical Medical Sciences, Nanchang, ChinaDepartment of Dermatology, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, ChinaInstitute of Dermatology, Jiangxi Academy of Clinical Medical Sciences, Nanchang, ChinaObjectivesThis study aimed to evaluate the efficacy of low-dose interleukin (IL-2) treatment for bullous pemphigoid (BP) caused by anti-programmed cell death protein 1/ligand 1 (PD-1/PD-L1) inhibitors.MethodsLow-dose IL-2 treatment was standardized for BP. The Bullous Pemphigoid Disease Area Index (BPDAI), 5D-Itch Scale (5D-IS), and Dermatology Life Quality Index (DLQI) were recorded before and after treatment, and hexachromatic lymphocytes, regulatory T cells (Treg cells), and cytokines were measured.ResultsA significant decline in the BPDAI score, 5D-IS, and DLQI score was observed following treatment. The count of B-cells, CD4+ T-cells, CD8+ T-cells, Treg cells, and the levels of cytokines (IL-4, -8, and -10) were significantly downregulated in comparison to baseline measurements.ConclusionLow-dose IL-2 could be an effective therapeutic choice for treating BP caused by PD-1/PD-L1 inhibitors.https://www.frontiersin.org/articles/10.3389/fimmu.2024.1496413/fullbullous pemphigoidLow-dose IL-2PD-1/PD-L1 inhibitorperifollicular blisteringimmunotherapy
spellingShingle Yingyue Zhang
Yingyue Zhang
Xianwei Cao
Xianwei Cao
Jianbo Tong
Jianbo Tong
Case report: Low-dose interleukin-2: a treatment of bullous pemphigoid with predominantly perifollicular blistering caused by PD-1/PD-L1 inhibitor
Frontiers in Immunology
bullous pemphigoid
Low-dose IL-2
PD-1/PD-L1 inhibitor
perifollicular blistering
immunotherapy
title Case report: Low-dose interleukin-2: a treatment of bullous pemphigoid with predominantly perifollicular blistering caused by PD-1/PD-L1 inhibitor
title_full Case report: Low-dose interleukin-2: a treatment of bullous pemphigoid with predominantly perifollicular blistering caused by PD-1/PD-L1 inhibitor
title_fullStr Case report: Low-dose interleukin-2: a treatment of bullous pemphigoid with predominantly perifollicular blistering caused by PD-1/PD-L1 inhibitor
title_full_unstemmed Case report: Low-dose interleukin-2: a treatment of bullous pemphigoid with predominantly perifollicular blistering caused by PD-1/PD-L1 inhibitor
title_short Case report: Low-dose interleukin-2: a treatment of bullous pemphigoid with predominantly perifollicular blistering caused by PD-1/PD-L1 inhibitor
title_sort case report low dose interleukin 2 a treatment of bullous pemphigoid with predominantly perifollicular blistering caused by pd 1 pd l1 inhibitor
topic bullous pemphigoid
Low-dose IL-2
PD-1/PD-L1 inhibitor
perifollicular blistering
immunotherapy
url https://www.frontiersin.org/articles/10.3389/fimmu.2024.1496413/full
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