Mycophenolate mofetil for autoimmune cytopenias in children: high rates of response in inborn errors of immunity

Second-line treatments of autoimmune cytopenias (AC) are not well-defined in children. Mycophenolate mofetil (MMF) is an immunosuppressant agent that has been demonstrated to be safe and effective in this setting. A retrospective observational study was conducted in 18 children with prolonged AC who...

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Main Authors: Rubén Berrueco (Author), Elisa González-Forster (Author), Angela Deya-Martinez (Author), María Solsona (Author), Ana García-García (Author), Joan Calzada-Hernández (Author), Luo Yiyi (Author), Alexandru Vlagea (Author), Anna Ruiz-Llobet (Author), Laia Alsina (Author)
Format: Book
Published: Frontiers Media S.A., 2023-10-01T00:00:00Z.
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100 1 0 |a Rubén Berrueco  |e author 
700 1 0 |a Rubén Berrueco  |e author 
700 1 0 |a Rubén Berrueco  |e author 
700 1 0 |a Elisa González-Forster  |e author 
700 1 0 |a Elisa González-Forster  |e author 
700 1 0 |a Angela Deya-Martinez  |e author 
700 1 0 |a Angela Deya-Martinez  |e author 
700 1 0 |a Angela Deya-Martinez  |e author 
700 1 0 |a María Solsona  |e author 
700 1 0 |a María Solsona  |e author 
700 1 0 |a Ana García-García  |e author 
700 1 0 |a Ana García-García  |e author 
700 1 0 |a Ana García-García  |e author 
700 1 0 |a Joan Calzada-Hernández  |e author 
700 1 0 |a Luo Yiyi  |e author 
700 1 0 |a Luo Yiyi  |e author 
700 1 0 |a Alexandru Vlagea  |e author 
700 1 0 |a Alexandru Vlagea  |e author 
700 1 0 |a Anna Ruiz-Llobet  |e author 
700 1 0 |a Anna Ruiz-Llobet  |e author 
700 1 0 |a Anna Ruiz-Llobet  |e author 
700 1 0 |a Laia Alsina  |e author 
700 1 0 |a Laia Alsina  |e author 
700 1 0 |a Laia Alsina  |e author 
700 1 0 |a Laia Alsina  |e author 
245 0 0 |a Mycophenolate mofetil for autoimmune cytopenias in children: high rates of response in inborn errors of immunity 
260 |b Frontiers Media S.A.,   |c 2023-10-01T00:00:00Z. 
500 |a 2296-2360 
500 |a 10.3389/fped.2023.1174671 
520 |a Second-line treatments of autoimmune cytopenias (AC) are not well-defined in children. Mycophenolate mofetil (MMF) is an immunosuppressant agent that has been demonstrated to be safe and effective in this setting. A retrospective observational study was conducted in 18 children with prolonged AC who received MMF, in order to describe clinical and biological markers of response. The overall response rate of MMF at 20-30 mg/kg per day was 73.3%. All patients with Evans syndrome (n = 9) achieved complete response. Among the patients with monolineage AC (n = 9), those with an underlying inborn errors of immunity (IEI), tended to respond better to MMF. No biological markers related to treatment response were found. Rather, lymphocyte subpopulations proved useful for patient selection as a marker suggestive of IEI along with immunoglobulin-level determination. 
546 |a EN 
690 |a pediatrics 
690 |a autoimmune hemolytic anemia 
690 |a autoimmune thrombocytopenia 
690 |a Evans syndrome 
690 |a autoimmune diseases 
690 |a mycophenolate mofetil 
690 |a Pediatrics 
690 |a RJ1-570 
655 7 |a article  |2 local 
786 0 |n Frontiers in Pediatrics, Vol 11 (2023) 
787 0 |n https://www.frontiersin.org/articles/10.3389/fped.2023.1174671/full 
787 0 |n https://doaj.org/toc/2296-2360 
856 4 1 |u https://doaj.org/article/c1cf8f55a80f457ea9aee86ea7dab839  |z Connect to this object online.