Glioblastoma following treatment with fingolimod for relapsing-remitting multiple sclerosis

Autor: Nader Pouratian, Nima Golzy, Justin Sharim, Randy S. Tashjian
Rok vydání: 2016
Předmět:
Zdroj: Journal of Clinical Neuroscience. 30:166-168
ISSN: 0967-5868
DOI: 10.1016/j.jocn.2016.02.003
Popis: Glioblastoma is an uncommon and aggressive primary brain tumor with incidence of 3 per 100,000 annually. We report a 50-year-old woman diagnosed with glioblastoma within threeyears of induction of fingolimod therapy for relapsing-remitting multiple sclerosis. Fingolimod, an immunomodulating agent used in the treatment of relapsing-remitting multiple sclerosis, has also been suggested to impart a cardioprotective role in heart failure and arrhythmia via activation of P21-activated kinase-1 (Pak1). In the brain, Pak1 activation has been shown to correlate with decreased survival time amongst patients with glioblastoma. A molecular mechanism underlying a link between fingolimod use and glioblastoma development may involve activation of Pak1. To our knowledge, this is the first report of a potential association between fingolimod use and glioblastoma development.
Databáze: OpenAIRE