长期免疫相关的不良事件
Leo Plaçais1, Olivier Lambotte
1Université Paris Saclay, AP-HP, Hôpital Bicêtre, Service de Médecine Interne et Immunologie Clinique, CEA, INSERM UMR 1184, Center for Immunology of Viral Infections and Autoimmune Diseases, Le Kremlin Bicêtre France, France.
长期免疫相关不良事件 (irAEs) 在接受免疫检查点抑制剂 (ICI) 的患者中越来越多地被发现. 了解它们的各种表现和诊断标准对于改善癌症患者护理至关重要.
科学领域:
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
- 临床医学 临床医学
背景情况:
- 免疫检查点抑制剂 (ICI) 已经彻底改变了癌症治疗.
- 长期免疫相关的不良事件 (irAEs) 在接受ICI治疗的患者中越来越令人关注.
- 目前关于长期irrAEs的数据,包括它们的临床表现和诊断标准,仍未得到报告.
研究的目的:
- 审查和综合目前关于长期IRAE临床表现的证据.
- 概述各种长期irAE亚型的诊断标准.
- 突出越来越多的临床现实和这些事件的报道不足.
主要方法:
- 对长期IRE的现有文献进行系统审查.
- 对回顾性研究的分析,描述频率,临床谱和风险因素.
- 审查最近关于对irAE亚型的共识定义的建议.
主要成果:
- 长期的irrAEs表现为多样化的临床谱,影响患者的生活质量.
- 追溯研究提供了关于频率和风险因素的见解.
- 对于延迟/晚发症,慢性活性和非活性IRE的共识定义已被提出.
结论:
- 对长期的irAE亚型,风险和临床表现的更深入的了解是必不可少的.
- 需要改进检测和诊断,以优化治疗决策.
- 更好的理解最终将改善接受ICI的癌症患者的护理.
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