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增加了对动脉样硬化和免疫检查点抑制剂之间的关联的理解
Judah M Ellison1, Anju Nohria2
1Cardiovascular Division, Brigham and Women's Hospital, Boston, MA, 02115, USA.
Current cardiology reports
|July 3, 2023
概括
免疫检查点抑制剂 (ICI) 可能通过激活免疫系统来加速动脉样硬化. 新出现的证据表明,ICI使用增加了心血管事件,需要进一步的研究来证实这一联系.
科学领域:
- 心血管研究研究心血管研究
- 免疫学 免疫学 免疫学
- 在瘤学瘤学.
背景情况:
- 免疫检查点抑制剂 (ICI) 治疗利用免疫系统对抗癌症,但可能导致与免疫相关的不良事件 (irAEs).
- 炎症是动脉样硬化的一个已知的贡献者,这种疾病涉及动脉中斑块的积累.
研究的目的:
- 审查有关ICI治疗与动脉样硬化之间潜在关联的现有文献.
- 综合有关ICI诱导的心血管风险的现有证据.
主要方法:
- 临床前研究的文献综述.
- 追溯临床研究的分析.
- 检查使用成像模式的观察性队列研究.
主要成果:
- 临床前数据表明,ICI治疗的T细胞介导动脉样硬化进展.
- 回顾性研究表明,ICI患者的心肌梗塞和中风发生率增加,特别是患有心血管风险因素的患者.
- 观察性研究表明,ICI治疗的动脉样硬化进展率更高.
结论:
- 初步证据表明ICI治疗与动脉样硬化进展之间存在联系.
- 需要进一步进行足够强大的前性研究才能确定最终的关联.
- 鉴于ICI在癌症治疗中的广泛使用,评估和减轻ICI潜在的动脉样硬化影响至关重要.
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