Journal Information
Vol. 101. Issue S1.
Experiencia clínica con etanercept. Nuevas perspectivas en la psoriasis y otras áreas de inflamación
Pages 88-96 (May 2010)
Vol. 101. Issue S1.
Experiencia clínica con etanercept. Nuevas perspectivas en la psoriasis y otras áreas de inflamación
Pages 88-96 (May 2010)
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Etanercept y neoplasias
Etanercept and neoplasms
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A. García-Rabasco
Corresponding author
anagrabasco@gmail.com

Autor para correspondencia.
, J.L. Sánchez-Carazo, A. Esteve
Servicio de Dermatología. Consorcio Hospital General Universitario. Valencia. España
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Resumen

La introducción de los fármacos bloqueadores del factor de necrosis tumoral (TNF) ha permitido un gran avance en el control y conocimiento de ciertas enfermedades inflamatorias, entre las que se incluye la psoriasis.

El TNF es una citocina que desempeña un papel clave en el control de infecciones y neoplasias.

El incremento del riesgo de desarrollar una neoplasia durante el empleo de este grupo de fármacos es uno de los efectos adversos más discutidos en la literatura.

Presentamos el caso clínico de una paciente con psoriasis de larga evolución que desarrolló un adenocarcinoma de mama tras iniciar el tratamiento con etanercept.

En este artículo realizamos una breve revisión acerca de la posible asociación existente entre el empleo de terapia anti-TNF y el riesgo de aparición de ciertas neoplasias, entre las que destacan las leucemias, los linfomas y determinados tumores sólidos.

Palabras clave:
Psoriasis
Neoplasia
TNF
Etanercept
Abstract

The introduction of tumor necrosis factor (TNF) beta blockers has make it possible to obtain a significant advance in the control and knowledge of some inflammatory diseases, among them psoriasis.

TNF is a cytokine that plays a key role in the control of infections and neoplasms.

The increase of the risk of developing a neoplasm during the use of this group of drugs is one of the more debated adverse effects in the literature.

We present the clinical case of one patient with long-course psoriasis who developed a breast adenocarcinoma after initiating treatment with etanercept.

In this article, we provide a brief review on the possible associations existing between the use of anti-TNF therapy and the risk of the appearance of come neoplasms, among which leukemias, lymphomas and some solid tumors stand out.

Keywords:
Psoriasis
Neoplasm
TNF
Etanercept
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Bibliografía
[1.]
B. Nair, G. Raval, P. Mehta.
TNF-a inhibitor etanercept and hematologic malignancies: Report of a case and review of the literature.
Am J Hematol, 82 (2007), pp. 1022-1024
[2.]
F. Balkwill.
Tumor necrosis factor or tumor promoting factor?.
Cytokine Growth Factor Rev, 13 (2002), pp. 135-141
[3.]
C. Comte, J.J. Guilhou, B. Guillot, O. Dereure.
Rapid onset and fatal outcome of two squamous cell carcinomas of the genitalia in a patient treated with etanercept for cutaneous psoriasis.
Dermatology, 217 (2008), pp. 284-285
[4.]
T. Bongartz, A.J. Sutton, M.J. Sweeting, I. Buchan, E.L. Matteson, V. Montori.
Anti-TNF antibody therapy in rheumatoid arthritis and the risk of serious infections and malignancies. Systematic Review and Meta-analysis of Rare Harmful Effects in Randomized Controlled Trials.
JAMA, 295 (2006), pp. 2275-2285
[5.]
S.L. Brown, M.H. Greene, S.K. Gershon, E.T. Edwards, M.M. Braun.
Tumor necrosis factor antagonist therapy and lymphoma development: Twenty-six cases reported to the Food and Drug Administration.
Arthritis Rheum, 46 (2002), pp. 3151-3158
[6.]
P. Geborek, A. Bladstrom, C. Turesson, A. Gulfe, I.F. Petersson, T. Saxne, et al.
Tumour necrosis factor blockers do not increase overall tumour risk in patients with rheumatoid arthritis, but may be associated with increased risk of lymphomas.
Ann Rheum Dis, 64 (2005), pp. 699-703
[7.]
J. Askling, C.M. Fored, E. Baecklund, L. Brandt, C. Backlin, A. Ekbom, et al.
Haematopoietic malignancies in rheumatoid arthritis: Lymphoma risk and characteristics after exposure to tumour necrosis factor antagonists.
Ann Rheum Dis, 64 (2005), pp. 1414-1420
[8.]
F. Wolfe, K. Michaud.
Lymphoma in rheumatoid arthritis: The effect of methotrexate and anti-tumor necrosis factor therapy in 18,572 patients.
Arthritis Rheum, 50 (2004), pp. 1740-1751
[9.]
J.M. Gelfand, J. Berlin, A. Van Voorhees, D.J. Margolis.
Lymphoma rates are low but increased in patients with psoriasis.
Arch Dermatol, 139 (2003), pp. 1425-1429
[10.]
Mariette X, Tubach F, Bagheri H, Bardet M, Berthelot JM, Gaudin P, et al. Lymphoma in patients treated with anti-TNF. Results of the 3-year prospective French RATIO registry. Ann Rheum Dis published online 14 Oct 2009; doi: 10.1136/ard. 2009.117762.
[11.]
E. Dommasch, J.M. Gelfand.
Is there truly a risk of lymphoma from biologic therapies?.
Dermatol Ther, 22 (2009), pp. 418-430
[12.]
P. Lafaille, D. Bouffard, N. Provost.
Exacerbation of undiagnosed mycosis fungoides during treatment with etanercept.
Arch Dermatol, 145 (2009), pp. 94-95
[13.]
J. Friedberg, E. Jacobsen, D. Neuberg, J. Kutok, O. Munoz, V. Boussiotis, et al.
Targeting the follicular lymphoma microenviroment through blockade of TNF alfa with etanercept.
Leuk Lymphoma, 49 (2008), pp. 902-909
[14.]
A.M. Tsimberidou, F.J. Giles, M. Duvic, R. Kurzrock.
Pilot study of etanercept in patients with relapsed cutaneous T-cell lymphomas.
J Am Acad Dermatol, 51 (2004), pp. 200-204
[15.]
B.F. Chong, H.K. Wong.
Treatment of psoriasis with etanercept in a patient with primary B-cell lymphoma.
Clin Exp Dermatol, 34 (2009), pp. e11-e13
[16.]
G. Bakland, H. Nossent.
Acute myelogenous leukaemia following etanercept therapy.
Rheumatology (Oxford), 42 (2003), pp. 900-901
[17.]
R.H.B. Meyboom, K. Star, J. Bate, I.R. Edwards.
TNF-a inhibitors and leukaemia: International Pharmacovigilance Reports.
Drug Safety, 31 (2008), pp. 445-447
[18.]
E.F. Chakravarty, K. Michaud, F. Wolfe.
Skin cancer, rheumatoid arthritis, and tumor necrosis factor inhibitors.
J Rheumatol, 32 (2005), pp. 2130-2135
[19.]
K.J. Smith, H.G. Skelton.
Rapid onset of cutaneous squamous cell carcinoma in patients with rheumatoid arthritis after starting tumor necrosis factor a receptor IgG1-Fc fusion complex therapy.
J Am Acad Dermatol, 45 (2001), pp. 953-956
[20.]
L. Klareskog, L. Moreland, S. Cohen, et al.
Global safety and efficacy of up to five years of etanercept (Enbrel) therapy.
Arthritis Rheum, 44 (2001), pp. S77
[21.]
D. Burge.
Etanercept and squamous cell carcinoma.
J Am Acad Dermatol, 49 (2003), pp. 358-359
[22.]
L. Ly, D. Czarnecki.
The rapid onset of multiple squamous cell carcinomas during etanercept treatment for psoriasis.
Br J Dermatol, 157 (2007), pp. 1076-1078
[23.]
R.S. Stern, S. Bagheri, K. Nichols.
PUVA Follow-Up Study: The persistent risk of genital tumors among men treated with psoralen plus ultraviolet A (PUVA) for psoriasis.
J Am Acad Dermatol, 47 (2002), pp. 33-39
[24.]
P. Jensen, S. Hansen, B. Moller, T. Leivestad, P. Pfeffer, O. Geiran, et al.
Skin cancer in kidney and heart transplant recipients and different long-term immunosuppressive therapy regimens.
J Am Acad Dermatol, 40 (1999), pp. 177-186
[25.]
G.J. Fulchiero, H. Salvaggio, J.J. Drabick, K. Staveley-O’Carroll, E.M. Billingsley, J.G. Marks, et al.
Eruptive latent metastatic melanomas after initiation of antitumor necrosis factor therapies.
J Am Acad Dermatol, 56 (2007), pp. S65-S67
[26.]
J.H. Egberts, V. Cloosters, Noack., B. Schniewind, L. Thon, S. Klose, et al.
Anti-tumor necrosis factor therapy inhibits pancreatic tumor growth and metastasis.
Cancer Res, 68 (2008), pp. 1443-1450
[27.]
B.K. Popivanova, K. Kitamura, Y. Wu, T. Kondo, T. Kagaya, S. Kaneko, et al.
Blocking TNF-α in mice reduces colorectal carcinogenesis associated with chronic colitis.
J Clin Invest, 118 (2008), pp. 560-570
[28.]
R.V. Patel, L.N. Clark, M. Lebwohl, J.M. Weinberg.
Treatments for psoriasis and the risk of malignancy.
J Am Acad Dermatol, 60 (2009), pp. 1001-1017
Copyright © 2010. Academia Española de Dermatología y Venereología
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