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. 2018 Jun 6;57(21):3135–3139. doi: 10.2169/internalmedicine.0444-17

Table.

Tubulointerstitial Infiltrating Cells in Immune Checkpoint Inhibitor-induced Acute Tubulointerstitial Nephritis.

No. Age Sex ICIs PPI Period between initiation of ICIs and AKI (months) S-Cr (mg/dL) Infiltrating cells in the kidney*1 Treatment Outcome Ref.
peak CD3 CD4 CD8 CD20 CD68 CD163 Others
1 75 Male Ipi+Nivo - 1 7.31 NA ++ ++ NA NA NA granzyme B+, perforin+, Foxp3+ PSL / MMF Dead 10
2 75 Male Ipi+Nivo - 1.5 7.3 ++ ++ ++ + NA NA PSL PR 8
3 67 Female Nivo + 1.5 4.00 ++ ++ ++ NA NA NA PSL PR 11
4 52 Female Pem + 4 1.64 ++ ++ + NA NA NA PSL PR
5 68 Female Ipi + 4 1.83 + + + NA NA NA PSL CR
6 78 Female Nivo + 2 3.14*2 ++ ++ ++ NA + NA PSL CR 12
7 64 Male Pem + 4 4.3*2 ++ ++ + NA ++ NA PSL PR
8 67 Female Nivo + 1 5.0 ++ ++ ++ + ++ NA CD38++, CD1a+, Foxp3+ PSL PR 13
9 57 Male Nivo + 2 3.48 ++ ++ + + ++ ++ CD1c+ PSL CR Our case

ICI: immune checkpoint inhibitor, Ipi: Ipilimumab, PPI: proton pump inhibitor, NA: not available, AKI: acute kidney injury, Nivo: nivolumab, Pem: pembrolizumab, S-Cr: serum creatinine, PSL: prednisolone or prednisone, MMF: micophenolate mofetil, PR: patial recovery of serum creatinine, CR: normalization of serum creatinine

*1 The degree of infiltrating cells are expressed as follows, based upon the presented photos in the manuscript:++, strong; ’+mild.

*2 At presentation