免疫疗法相关的心血管毒性:从临床前和临床研究的见解
Youqian Kong1, Xiaoyu Wang1, Rui Qie2
1Graduate School, Heilongjiang University of Chinese Medicine, Harbin, China.
Frontiers in oncology
|March 14, 2024
概括
免疫检查点抑制剂 (ICI) 可以导致心血管免疫相关不良事件 (irAEs),如心肌炎,影响癌症治疗. 本综述探讨了这些心脏IRAE背后的机制,以改善临床管理.
科学领域:
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
- 心脏病学 心脏病学
背景情况:
- 免疫检查点抑制剂 (ICI) 是有效的向PD-1/PD-L1,CTLA-4和LAG-3等途径的癌症治疗方法.
- 心血管免疫相关不良事件 (irAEs) 在接受ICI的患者中发生在1.14%至5%以上.
- 肌心炎是最常见的心血管IRAE,其他疾病包括心律失常和takotsubo心肌病变.
研究的目的:
- 审查与ICI相关的心血管irAEs的机制.
- 提高对心脏IRAE的理解,以改善临床应用.
主要方法:
- 对心血管IRAEs进行的临床前和临床研究的审查.
- 分析免疫检查点 (PD-1/PD-L1,CTLA-4,LAG-3) 在癌症免疫和irAEs中的作用.
主要成果:
- ICI调节免疫反应,但可能导致炎症副作用 (irAEs).
- 包括心肌炎和心律失常在内的心血管irrAEs是令人担忧的重大问题.
- 激烈的IRAE的严重程度会影响整体治疗疗效.
结论:
- 了解心血管IRAE的机制对于管理ICI治疗至关重要.
- 对临床前和临床数据的进一步研究可以优化患者护理和治疗结果.
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