Seminars in Immunopathology

, Volume 39, Issue 3, pp 327–331 | Cite as

Inflammatory bowel disease and cancer response due to anti-CTLA-4: is it in the flora?

  • Franck Carbonnel
  • Emilie Soularue
  • Clélia Coutzac
  • Nathalie Chaput
  • Christine Mateus
  • Patricia Lepage
  • Caroline RobertEmail author


Checkpoint inhibitors blocking CTLA-4 (ipilimumab) and PD-1 (nivolumab, pembrolizumab) have transfigured our cancer treatment paradigm. However, these drugs can induce immune-related adverse events that share clinical and pathological characteristics with immune-mediated diseases. One of the most severe immune-related adverse event observed with anti-CTLA-4 is an enterocolitis that mirrors naturally occurring inflammatory bowel disease. This paper reviews the clinical, immunological, and microbiota data associated with the immune-related enterocolitis induced by the cancer immunotherapy blocking CTLA-4, ipilimumab. A parallel analysis of the mechanisms underlying inflammatory bowel diseases on the one hand, and anti-CTLA-4-induced colitis on the other hand, stresses the crucial role of the gut microbiota and of resident Treg in the genesis of both iatrogenic and spontaneous inflammatory bowel diseases.


Inflammatory Bowel Disease Treg Cell Ipilimumab Abatacept Intestinal Inflammation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag Berlin Heidelberg 2017

Authors and Affiliations

  • Franck Carbonnel
    • 1
    • 2
  • Emilie Soularue
    • 1
    • 2
  • Clélia Coutzac
    • 3
  • Nathalie Chaput
    • 3
    • 4
  • Christine Mateus
    • 5
  • Patricia Lepage
    • 6
  • Caroline Robert
    • 5
    Email author
  1. 1.Department of Gastroenterology, Kremlin Bicêtre Hospital, Assistance Publique-Hôpitaux de Paris (AP-HP)Le Kremlin BicêtreFrance
  2. 2.Université Paris-Sud, Faculté de MédecineLe Kremlin BicêtreFrance
  3. 3.Gustave Roussy, Laboratoire d’Immunomonitoring en Oncologie, and CNRS-UMS 3655 and INSERM-US23VillejuifFrance
  4. 4.Université Paris-Sud, Faculté de pharmacie, Chatenay-MalabryChâtenay-MalabryFrance
  5. 5.Gustave Roussy, Département de Médecine, Service de Dermatologie, et Université Paris-Sud VillejuifVillejuifFrance
  6. 6.Micalis Institute, INRA, AgroParisTechUniversité Paris-SaclayJouy-en-JosasFrance

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