托西利祖马布的潜在新用途:耐火检查点抑制剂肝炎
Laine Lyles1, Reagan Farmer2, Marwan Abougergi3
1Prisma Health-University of South Carolina in Columbia, Columbia, SC.
ACG case reports journal
|September 27, 2023
概括
免疫检查点抑制剂 (ICI) 越来越多地用于癌症. 这导致ICI诱导的自身免疫性肝炎的增加,这种疾病是治疗细胞癌的患者的类固醇耐药.
科学领域:
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
- 肝病学 肝病学是一种肝病学.
背景情况:
- 免疫检查点抑制剂 (ICI) 广泛用于癌症治疗.
- 增加ICI使用与免疫相关不良事件的增加相关,包括自身免疫性肝炎.
- 自身免疫性肝炎是ICI治疗的潜在并发症.
研究的目的:
- 在接受尼沃卢马布/伊皮利穆马布治疗细胞癌的患者中报告一种类固醇耐药的自身免疫性肝炎病例.
- 要突出管理ICI诱导的自身免疫性肝炎的挑战.
主要方法:
- 一个35岁妇女患有细胞癌的病例报告.
- 使用尼沃卢马布/伊皮利穆马布的治疗.
- 对自身免疫性肝炎的监测和诊断.
- 对类固醇治疗反应的评估.
主要成果:
- 患者在ICI治疗期间发生了自身免疫性肝炎.
- 这种自身免疫性肝炎对类固醇治疗不耐药.
- 这突显出一种严重的免疫相关不良事件形式.
结论:
- 尼沃卢马布/伊皮利穆马布可以诱导严重的自身免疫性肝炎.
- 固醇耐药的自身免疫性肝炎是ICI患者面临的重大挑战.
- 对ICI诱导的自身免疫性肝炎的最佳管理策略需要进一步的研究.
相关概念视频
Drugs for Treatment of Crohn's Disease in IBD Using Immunomodulatory Agents
186
Crohn's disease is an inflammatory bowel disorder marked by chronic inflammation of the GI tract. Various treatment strategies for Crohn's disease are employed, such as immunomodulatory agents, glucocorticoids, and biologics or anti-TNF therapy. Azathioprine (Imuran), a commonly used immunomodulatory drug for Crohn's disease, is converted in the body to mercaptopurine, which inhibits purine biosynthesis and cell proliferation. Both are utilized in severe cases of Inflammatory Bowel...
186
Drugs for Treatment of Crohn's Disease in IBD Using Biologic Agents: Anti-TNF
164
Tumor Necrosis Factor (TNF), a proinflammatory cytokine, contributes significantly to the inflammation seen in Crohn's disease. It exists as soluble TNF and membrane-bound TNF, with actions mediated through TNF receptors (TNFR). TNFR activation leads to the release of proinflammatory cytokines, T-cell activation, collagen production, and leukocyte migration, all contributing to inflammation in Crohn's disease. Anti-TNF monoclonal antibodies, namely infliximab (Remicade), adalimumab...
164
Tumor Immunotherapy
551
Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
551
Cytotoxic T Cells-mediated Immune Response
956
Cytotoxic T cells are a vital component of the immune system. They have the remarkable ability to identify and target antigens on infected or abnormal cells. These antigens often originate from intracellular pathogens such as viruses or abnormal proteins cancer cells produce.
Immunological surveillance is the ability of immune cells to monitor and eliminate infected cells with intracellular pathogens, neoplastically transformed cells, and cells with non-self antigens. Cytotoxic T cells and NK...
Immunological surveillance is the ability of immune cells to monitor and eliminate infected cells with intracellular pathogens, neoplastically transformed cells, and cells with non-self antigens. Cytotoxic T cells and NK...
956
Drugs for Treatment of Crohn's Disease in IBD Using Glucocorticoids
144
Glucocorticoids, a class of anti-inflammatory drugs, are pivotal in treating moderate to severe Crohn's disease by inducing remission. They exhibit their anti-inflammatory action by inhibiting the production of inflammatory cytokines such as tumor necrosis factor (TNF)-α, interleukin (IL)-1, and chemokines like IL-8. In addition, they reduce the expression of inflammatory cell adhesion molecules and inhibit gene transcription of nitric oxide synthase, phospholipase A2, cyclooxygenase-2...
144
Drugs for Treatment of Ulcerative Colitis in IBD
164
Ulcerative colitis is a chronic inflammatory condition primarily affecting the colon and rectum. The primary drugs used in the treatment of ulcerative colitis are aminosalicylates. They exhibit anti-inflammatory and immunosuppressive properties. They modulate inflammatory mediators and inhibit the activity of nuclear factor κB (NF-κB). Aminosalicylates also reduce inflammation by inhibiting prostaglandin and leukotriene production and decreasing neutrophil chemotaxis and superoxide...
164


