免疫检查点抑制剂对儿童甲状腺的副作用
Cesare Morgante1, Alessandra Fierabracci2, Armando Grossi3
1Unit of Endocrinology, Department of Translational Medicine and Surgery, Università Cattolica del Sacro Cuore-Fondazione Policlinico 'A. Gemelli' IRCCS, Largo Gemelli 8, 00168 Rome, Italy.
Trends in endocrinology and metabolism: TEM
|April 18, 2024
概括
免疫检查点抑制剂 (ICI) 可以导致内分泌问题,如甲状腺功能障碍. 本综述研究了ICI的有效性和安全性,特别是它们对儿童甲状腺的毒性.
科学领域:
- 儿科瘤学 儿科瘤学
- 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) 越来越多地用于癌症治疗.
- ICI可以引起内分泌不良事件,包括甲状腺功能障碍.
- 在儿科患者中使用ICI需要进一步研究有效性和安全性.
研究的目的:
- 审查目前关于儿童免疫检查点抑制剂疗效的证据.
- 要总结与儿童群体中的免疫检查点抑制剂相关的甲状腺毒性.
- 为儿童癌症治疗提供关于ICI安全性和有效性的见解.
主要方法:
- 对儿科患者免疫检查点抑制剂研究的文献综述.
- 对儿童ICI报告的疗效数据的分析.
- 在儿科队列中收集和评估ICI治疗中甲状腺相关不良事件的数据.
主要成果:
- 有证据表明,ICI在不同儿科癌症的疗效不同.
- 甲状腺功能障碍是ICI在儿童中显著的内分泌副作用.
- 在接受ICI治疗的儿科患者中,甲状腺毒性的发生率和频谱正在被描述.
结论:
- 免疫检查点抑制剂在儿科瘤学中表现有前途,但需要仔细监测内分泌毒性.
- 了解ICI的疗效和与甲状腺有关的副作用对于优化儿童治疗至关重要.
- 需要进行进一步的研究,以制定关于ICI使用和儿科群体不良事件的管理的最终指南.
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