免疫检查点抑制剂的内分泌免疫相关不良影响
Viola Trevisani1, Lorenzo Iughetti1, Laura Lucaccioni1
1Post Graduate School of Pediatrics, Department of Medical and Surgical Sciences of the Mothers, Children and Adults, University of Modena and Reggio Emilia, Modena, Italy.
Expert review of endocrinology & metabolism
|September 8, 2023
概括
免疫检查点抑制剂 (ICI) 治疗可以导致内分泌免疫相关不良事件 (irAEs). 本综述详细介绍了这些irAEs,包括甲状腺功能障碍和缺血炎,强调了对诊断和治疗策略的需求.
科学领域:
- 内分泌学 在内分泌学.
- 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) 疗法通过向CTLA4和PD-1/PD-L1通路,利用免疫系统对抗癌症.
- ICI治疗可以诱导自身免疫性副作用,称为免疫相关不良事件 (irAEs).
研究的目的:
- 审查影响内分泌系统的免疫相关不良事件.
- 阐明内分泌IRAE的假设病原性.
- 检查特定的内分泌IRAE,包括甲状腺功能障碍,低体质炎,糖尿病,上腺功能不足和低甲状腺功能障碍.
主要方法:
- 文献综述侧重于与ICI治疗相关的内分泌IRAE.
- 分析涉及自身免疫,细胞因子,化学因子和遗传学的假设病原体机制.
- 收集有关特定内分泌IRAE的数据.
主要成果:
- 内分泌IRAE代表了与ICI治疗相关的显著类不良事件.
- 病理生理学涉及免疫成分和遗传因素之间的复杂相互作用.
- 讨论的特定内分泌iRAE包括甲状腺功能障碍,低血糖炎,糖尿病,上腺功能不全和低甲状腺功能障碍.
结论:
- 进一步的研究对于充分理解和管理内分泌IRAE至关重要.
- 随着ICI疗法变得越来越普遍,建立对irAEs的诊断和治疗方案至关重要.
- 内分泌IRAE可能是不可逆转的,需要终身激素替代疗法.
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