与抗体药物合物相关的眼部毒性
Rayna F Marshall1, Hannah Xu2, Meghan Berkenstock3
1Drexel University College of Medicine, Philadelphia, Pennsylvania.
Current opinion in ophthalmology
|May 30, 2024
概括
针对妇科癌症的抗体-药物联合体 (ADC) 可以导致眼睛问题,如眼睛干燥和视力模糊. 医生之间的合作可以帮助管理这些眼部不良事件.
科学领域:
- 在瘤学瘤学.
- 眼科医生 眼科 眼科
- 药理学 药理学是指药理学的学科.
背景情况:
- 妇科恶性瘤的治疗是使用新型抗体-药物联合体 (ADCs).
- 这些ADC与特定的眼部不良影响有关.
- 了解这些影响对于患者管理至关重要.
研究的目的:
- 审查用于妇科癌症的ADC的结构,作用机制和病理生理学.
- 详细说明与这些治疗相关的眼部不良影响.
- 探索减轻这些副作用的策略.
主要方法:
- 对用于妇科恶性瘤的ADC进行文献综述.
- 分析报告的眼部不良事件及其建议的机制.
- 综合目前对ADC诱导的眼睛毒性的理解.
主要成果:
- 提索托马布维多丁通过组织因子向引起结膜性毒性 (结膜炎,干眼,白炎,角膜炎).
- 米尔韦图西马布 (Mirvetuximab soravtansine) 导致角膜毒性 (视力模糊,角膜炎,眼睛干燥) 通过异位炎症和巨细胞瘤.
- 这两种药物都表现出明显的眼睛毒性模式.
结论:
- 在妇科癌症中,ADCs对眼睛的毒性是一个重大问题.
- 机制包括直接向 (tisotumab vedotin) 或非向炎症 (mirvetuximab soravtansine).
- 多学科合作和缓解协议对于减少眼部不良事件至关重要.
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