Titre :

JAK inhibition for CD3− CD4+ lymphocytic-variant hypereosinophilic syndrome

Auteur(s) :

Faguer, Stanislas [Auteur]
Institut des Maladies Métaboliques et Casdiovasculaires [UPS/Inserm U1297 - I2MC]
Centre Hospitalier Universitaire de Toulouse [CHU Toulouse]
Groh, Matthieu [Auteur]
Hôpital Foch [Suresnes]
Vergez, François [Auteur]
Institut National de la Santé et de la Recherche Médicale [INSERM]
Hunault-Berger, Mathilde [Auteur]
Centre de Recherche en Cancérologie et Immunologie Intégrée Nantes-Angers [CRCI2NA ]
Duployez, Nicolas [Auteur]
Hétérogénéité, Plasticité et Résistance aux Thérapies des Cancers = Cancer Heterogeneity, Plasticity and Resistance to Therapies - UMR 9020 - U 1277 [CANTHER]
Renaudineau, Yves [Auteur]
Institut Fédératif de Biologie (IFB)
Paul, Carle [Auteur]
Institut Toulousain des Maladies Infectieuses et Inflammatoires [Infinity]
Lefevre, Guillaume [Auteur]
Institute of Chemistry for Life and Health Sciences [iCLeHS]
Kahn, Jean-Emmanuel [Auteur]
Hôpital Ambroise Paré [AP-HP]

Titre de la revue :

Clinical Immunology

Pagination :

109275

Éditeur :

Elsevier

Date de publication :

2023-03

ISSN :

1521-6616

Mot(s)-clé(s) en anglais :

Hypereosinophilic syndrome
JAK inhibition
Lymphocytic variant
Ruxolitinib
T-cell clone. Copyright © 2023. Published by Elsevier Inc.

Discipline(s) HAL :

Sciences du Vivant [q-bio]

Résumé en anglais : [en]

Alternatives are urgently needed in patients with CD3- CD4+ lymphocytic-variant hypereosinophilic syndrome (L-HES) requiring high-level steroids or who are unresponsive and/or intolerant to conventional alternative therapies. ...
Lire la suite >Alternatives are urgently needed in patients with CD3- CD4+ lymphocytic-variant hypereosinophilic syndrome (L-HES) requiring high-level steroids or who are unresponsive and/or intolerant to conventional alternative therapies. We report five L-HES patients (44-66 years) with cutaneous involvement (n = 5) and persistent eosinophilia (n = 3) despite conventional therapies, who successfully received JAK inhibitors (tofacitinib n = 1, ruxolitinib n = 4). JAKi led to complete clinical remission in the first 3 months in all (with prednisone withdrawal in four). Absolute eosinophil counts normalized in cases receiving ruxolitinib, while reduction was partial under tofacitinib. After switch from tofacitinib to ruxolitinib, complete clinical response persisted despite prednisone withdrawal. The clone size remained stable in all patients. After 3-13 months of follow-up, no adverse event was reported. Randomized controlled trials are now mandatory to optimize the use of JAKi in L-HES.Lire moins >

Langue :

Anglais

Comité de lecture :

Oui

Audience :

Internationale

Vulgarisation :

Non

Collections :

• Cancer Heterogeneity, Plasticity and Resistance to Therapies (CANTHER) - UMR 9020 - UMR 1277

Source :

Harvested from HAL