免疫检查点抑制剂和感染:它们之间的相互作用是什么?
Michail Papadakis1, Ioannis Karniadakis2, Nikolaos Mazonakis3
1Third Department of Internal Medicine and Diabetes Center, Agios Panteleimon General Hospital of Nikaia, Piraeus, Greece.
In vivo (Athens, Greece)
|October 31, 2023
概括
免疫检查点抑制剂 (ICI) 通常不会增加感染风险,尽管可能会出现一些易感性. 通过促进免疫反应,ICI也可能有利于慢性感染,这需要进一步的临床试验.
科学领域:
- 免疫学 免疫学 免疫学
- 在瘤学瘤学.
- 传染性疾病 传染性疾病
背景情况:
- 免疫检查点分子调节T细胞功能,防止自身免疫,但在癌症中导致T细胞耗尽.
- 免疫检查点抑制剂 (ICI) 是针对这些分子的抗体,恢复抗瘤免疫力.
- 经FDA批准的ICI用于恶性瘤,但它们对感染风险的影响尚不清楚.
研究的目的:
- 对ICI与感染风险之间的关联进行文献审查.
- 探索ICI在治疗感染方面的潜在有益影响.
- 澄清ICI在感染易感性和病原体清除方面的双重作用.
主要方法:
- 对研究ICI和感染的研究进行系统文献审查.
- 分析与免疫相关不良事件相关的传染性并发症.
- 评估ICI对特定病原体和慢性感染影响的证据.
主要成果:
- 大多数传染性并发症源于ICI诱导的不良事件的免疫抑制疗法,而不是ICI直接.
- 一般来说,ICI不会增加感染风险,但可能会增加对结核病等感染的易感性.
- ICI可能有助于病原体清除,可能有利于艾滋病毒等慢性感染.
结论:
- 目前的证据表明,ICI对感染有微妙的影响,一般风险增加有限.
- ICI可能为某些慢性传染病提供治疗效益.
- 进一步的临床试验至关重要,以充分阐明免疫检查点封锁对特定病原体的影响.
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