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与免疫检查点抑制剂使用相关的内分泌病变
Anupam Kotwal1, Randol Kennedy2, Nupur Kikani3
1Division of Diabetes, Endocrinology, and Metabolism, Department of Medicine, University of Nebraska Medical Center, Omaha, Nebraska; Fred and Pamela Buffett Cancer Center, University of Nebraska Medical Center, Omaha, Nebraska.
概括
免疫检查点抑制剂 (ICI) 相关的内分泌异常,如甲状腺炎,通常会导致永久性激素缺乏. 虽然ICI-甲状腺炎可以改善癌症存活率,但其他内分泌病并没有显著影响结果.
科学领域:
- 在瘤学瘤学.
- 内分泌学 在内分泌学.
- 免疫学 免疫学 免疫学
背景情况:
- 免疫检查点抑制剂 (ICI) 是关键的癌症疗法.
- 免疫相关的不良事件 (irAEs) 可以影响任何器官系统.
- 内分泌腺是ICI诱导的IRE的常见目标.
研究的目的:
- 概述ICI相关的内分泌异常的临床方法.
- 检查这些疾病与癌症结局之间的联系.
- 确定区分其与其他IRAE的因素,并提出卫生系统创新.
主要方法:
- 关于ICI和内分泌病的文献搜索.
- 纳入作者专家意见.
主要成果:
- 内分泌病变,特别是甲状腺炎,是常见的ICI相关的IRA.
- 与ICI相关的内分泌异常不同于经典的自身免疫内分泌疾病.
- 治疗需要长期的激素替代治疗,很少需要停止ICI治疗.
- ICI-甲状腺炎与改善癌症存活率有关;其他内分泌病症没有显著的结果关联.
结论:
- 本综述为管理ICI相关内分泌病的临床医生提供了指导.
- 瘤内分泌学团队可以提高患者的护理.
- 这些发现补充了现有的科学框架.
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