免疫检查点抑制剂相关脑炎的诊断和预后生物标志物:一个回顾性队列研究
Antonio Farina1,2, Macarena Villagrán-García1,2, Anthony Fourier3
1French Reference Centre on Paraneoplastic Neurological Syndromes and Autoimmune Encephalitis, Hospices Civils de Lyon, Hôpital Neurologique, Bron, France.
The Lancet regional health. Europe
|August 22, 2024
概括
免疫检查点抑制剂相关脑炎 (ICI脑炎) 呈现出多种综合征. 与焦点脑炎和副发性综合征 (PNS) 相关的抗体预测ICI脑炎患者的治疗反应不佳和较高的死亡率.
科学领域:
- 神经学 神经学
- 免疫学 免疫学 免疫学
- 在瘤学瘤学.
背景情况:
- 免疫检查点抑制剂相关脑炎 (ICI脑炎) 缺乏全面的表征和确定的诊断/预后生物标志物.
- 这项研究旨在定义ICI脑炎综合征,并确定用于诊断和预测结果的生物标志物.
研究的目的:
- 为了全面描述ICI脑炎.
- 为了确定ICI脑炎的诊断生物标志物和结果预测指标.
主要方法:
- 对67名确定的ICI脑炎患者 (2015-2023) 的回顾性观察研究.
- 分析了临床综合征,准临床发现,神经抗体和血清神经纤维光链 (NfL) 水平.
- 后勤和考克斯回归分析评估了治疗反应和死亡率的预测因素.
主要成果:
- 焦点脑炎 (64%) 与异常的MRI,PNS相关抗体和神经内分泌癌症有关.
- 与脑膜炎患者相比,焦点脑炎患者的治疗反应较低 (18%) 和死亡率较高 (63%).
- 血清NfL水平将ICI脑炎患者与对照患者区分开来,并预测治疗反应.
结论:
- ICI脑炎包括不同的临床综合征.
- 焦点脑炎,PNS相关抗体和血清NfL升高与治疗结果不佳有关.
- 对ICI脑炎免疫病原发生的进一步研究对于治疗进步至关重要.
关键词:
不良事件是不良事件.自身免疫性脑炎是什么?生物标志物 生物标志物癌症 癌症 癌症 癌症癌症免疫疗法癌症免疫疗法脑炎是一种脑炎.免疫检查点抑制剂 免疫检查点抑制剂神经抗体的神经抗体神经系统免疫相关的不良事件.麻性神经系统综合征 麻性神经系统综合征预测因素 预测因素更多相关视频
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