Early rise in brain damage markers and high ICOS expression in CD4+ and CD8+ T cells during checkpoint inhibitor-induced encephalomyelitis

We report a case of rapid eradication of melanoma brain metastases and simultaneous near-fatal encephalomyelitis following double immune checkpoint blockade. Brain damage marker S-100B and C reactive protein increased before symptoms or signs of encephalomyelitis and peaked when the patient fell into a coma. At that point, additional brain damage markers and peripheral T cell phenotype was analyzed. The analyses were repeated four times during the patient’s recovery. Axonal damage marker neurofilament light polypeptide (NFL) and astrocytic damage marker glial fibrillar acidic protein (GFAP) were very high in blood and cerebrospinal fluid and gradually normalized after immunosuppression and intensive care. The costimulatory receptor inducible T cell costimulatory receptor (ICOS) was expressed on a high proportion of CD4+ and CD8+T cells as encephalomyelitis symptoms peaked and then gradually decreased in parallel with clinical improvement. Both single and double immune checkpoint inhibitor-treated melanoma patients with other serious immune-related adverse events (irAE) (n=9) also expressed ICOS on a significantly higher proportion of CD4+ and CD8+T cells compared with controls without irAE (n=12). In conclusion, our results suggest a potential role for ICOS on CD4+ and CD8+T cells in mediating encephalomyelitis and other serious irAE. In addition, brain damage markers in blood could facilitate early diagnosis of encephalitis

DRIFTS and Knudsen cell study of the heterogeneous reactivity of SO₂ and NO₂ on mineral dust

International audienceThe heterogeneous oxidation of SO2 by NO2 on mineral dust was studied using Diffuse Reflectance Infrared Fourier Transform Spectroscopy (DRIFTS) and a Knudsen cell. This made it possible to characterise, kinetically, both the formation of sulfate and nitrate as surface products and the gas phase loss of the reactive species. The gas phase loss rate was determined to be first order in both SO2 and NO2. From the DRIFTS experiment the uptake coefficient, ?, for the formation of sulfate was determined to be of the order of 10?10 using the BET area as the reactive surface area. No significant formation of sulfate was seen in the absence of NO2. The Knudsen cell study gave uptake coefficients of the order of 10?6 and 10-7 for SO2 and NO2, respectively. There was no significant difference in uptake when SO2 or NO2 were introduced individually compared to experiments in which SO2 and NO2 were present at the same time

Hydrogen chloride-induced surface disordering on ice

Characterizing the interaction of hydrogen chloride (HCl) with polar stratospheric cloud ice particles is essential for understanding the processes responsible for ozone depletion. We studied the interaction of gas-phase HCl with ice between 243 and 186 K by using (i) ellipsometry to monitor the ice surface and (ii) coated-wall flow tube experiments, both with chemical ionization mass spectrometry detection of the gas phase. We show that trace amounts of HCl induce formation of a disordered region, or quasi-liquid layer, at the ice surface at stratospheric temperatures. We also show that surface disordering enhances the chlorine activation reaction of HCl with chlorine nitrate (ClONO(2)) and also enhances acetic acid (CH(3)COOH) adsorption. These results impact our understanding of the chemistry and physics of ice particles in the atmosphere