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. 2022 Jun;17(6):922–933. doi: 10.2215/CJN.14671121

Table 1.

Mechanisms of hyponatremia associated with cancer immunotherapy according to agent class

Immune Checkpoint Inhibitors T Cell Transfer Therapy mAbs Immunomodulators
Programmed Cell Death Protein 1/Programmed Cell Death Ligand 1 Inhibitors/Anticytotoxic T Lymphocyte–Associated Protein 4 Tumor-Infiltrating Lymphocyte Therapy Chimeric Antigen Receptor T Cell Therapy IL-2 IFNα
SIAD Cortisol deficiency (1) Hypophysitis: panhypopituitarism,a isolated ACTH deficiencyb (2) Adrenalitis,b primary adrenal insufficiency Hypothyroidism, thyroiditisb SIAD Hypovolemia, capillary leak syndrome SIAD Hypovolemia, capillary leak syndrome SIAD

SIAD, syndrome of inappropriate antidiuresis; ACTH, adrenocorticotropic hormone.

a

More common with anticytotoxic T lymphocyte–associated protein 4.

b

More common with programmed cell death protein 1/programmed cell death ligand 1 inhibitors.