单一和组合免疫疗法与化疗以及在患有固体癌症的患者中AKI的风险
Germana Alves de Brito1, Antonio Paulo Nassar Junior2, Milton Barros E Silva3
1Physician Nephrologist, Department of Nephrology, A.C. Camargo Cancer Center, Sao Paulo, SP, Brazil. manabrito@gmail.com.
Clinical and experimental nephrology
|November 23, 2023
概括
免疫检查点抑制剂可以在晚期癌症患者中引起急性损伤 (AKI). 生殖尿道癌,先前的AKI病史和抗生素使用增加了AKI风险.
科学领域:
- 在瘤学瘤学.
- 腎臟病學 (nephrology) 是一種醫學專業.
- 免疫治疗是一种免疫疗法.
背景情况:
- 免疫检查点抑制剂 (ICI) 越来越多地用于晚期癌症.
- 急性损伤 (AKI) 是与ICI治疗相关的显著毒性.
- 了解这群人群中的AKI发病率和风险因素至关重要.
研究的目的:
- 确定接受ICI的癌症患者中AKI的发病率,风险因素和死亡率.
- 分析单独使用ICI或与其他疗法结合治疗的患者的AKI.
主要方法:
- 在2015-2019年期间,对614名晚期癌症患者进行了回顾性分析,这些患者接受了ICI治疗.
- AKI定义为ICI开始后12个月内从基线增加≥1.5倍的肌素.
- 竞争风险模型用于评估与人口统计,并发症和药物相关的关联.
主要成果:
- AKI发生在23.5%的患者中 (144/614).
- 常见的AKI原因包括多因素,血液动力学和可能与免疫治疗相关的.
- 在患有生殖尿路癌症,先前的AKI和使用抗生素的患者中观察到更高的AKI概率.
结论:
- 生殖尿道癌,以前的AKI和同时使用抗生素是ICI治疗患者AKI的重要危险因素.
- 这些发现有助于识别高风险患者,以便更密切地监测和预防策略.
相关概念视频
Tumor Immunotherapy
530
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.
530
Combination Therapies and Personalized Medicine
4.9K
Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
4.9K
Cancer Therapies
7.7K
Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
7.7K
Chemotherapy-Induced Nausea and Vomiting: Neurokinin-1 Receptor Antagonists
169
Neurokinin 1 (NK1) receptors are distributed across the GI tract, vagal afferents, and key CNS regions including the central vomiting center and chemoreceptor trigger zone (CTZ) Chemotherapy agents stimulate enterochromaffin cells in the gastrointestinal (GI) tract to release large amounts of substance P (SP). SP is a neuropeptide released by specific sensory nerves in response to many different stressors, including those in the GI mucosa affected by chemotherapy. SP binds and activates...
169
Targeted Cancer Therapies
7.7K
The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
There are several types of targeted therapies against...
7.7K


