在免疫检查点抑制剂治疗后,晚发性免疫相关不良事件
Sienna M Durbin1,2, Leyre Zubiri1,2, Katherine Perlman3,4
1Division of Hematology & Oncology, Department of Medicine, Massachusetts General Hospital, Boston.
JAMA network open
|March 27, 2025
概括
晚期免疫相关不良事件 (irAEs) 可能发生在免疫检查点抑制剂 (ICI) 治疗几年后. 对于所有接受ICI的患者来说,对irAEs的警是至关重要的,无论治疗持续时间如何.
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) 越来越多地用于癌症治疗.
- 晚发性免疫相关不良事件 (irAEs) 的频率和风险因素尚不清楚.
研究的目的:
- 为了确定需要住院治疗的晚发性irrAEs的发生率.
- 识别与晚发性IRAE发展相关的患者特异性风险因素.
主要方法:
- 在ICI治疗后住院治疗irAEs的患者的回顾性观察队列研究.
- 从2011年1月到2022年10月收集的数据.
- 分析重点关注了irAE住院时间和相关的患者因素.
主要成果:
- 10.8%的患者在ICI开始后超过12个月出现了irAEs.
- 与双重ICI疗法相比,与抗PD-L1单一疗法相比,晚发性irrAEs更为常见.
- 脏和血液学IRAE最有可能出现晚期.
- 术后ICI使用与中间间隔的IRE有关.
- 最近ICI暴露 (60天内) 在晚期irrAEs患者中较少见.
结论:
- 在开始免疫检查点抑制剂疗法几年后,可能会出现晚发病的IRE.
- 临床医生必须保持对irAEs的警,无论ICI治疗以来已经过去了多长时间.
- 需要进一步研究以阐明晚发性IRE的风险因素和潜在机制.
更多相关视频
相关概念视频
Tumor Immunotherapy
493
Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
493
Cell-mediated Immune Responses
67.9K
Overview
67.9K
Cytotoxic T Cells-mediated Immune Response
861
Cytotoxic T cells are a vital component of the immune system. They have the remarkable ability to identify and target antigens on infected or abnormal cells. These antigens often originate from intracellular pathogens such as viruses or abnormal proteins cancer cells produce.
Immunological surveillance is the ability of immune cells to monitor and eliminate infected cells with intracellular pathogens, neoplastically transformed cells, and cells with non-self antigens. Cytotoxic T cells and NK...
Immunological surveillance is the ability of immune cells to monitor and eliminate infected cells with intracellular pathogens, neoplastically transformed cells, and cells with non-self antigens. Cytotoxic T cells and NK...
861
Immunodeficiency Diseases
926
Immunodeficiency disorders are conditions in which the immune system's ability to fight infectious disease and cancer is compromised or entirely absent. The immune system comprises a complex network of cells, tissues, and organs that work together to protect the body from potentially harmful invaders. When this system is deficient or not functioning properly, it leaves the body susceptible to infections, diseases, or other complications.
There are three main causes of immunodeficiency...
There are three main causes of immunodeficiency...
926
Hypersensitivities
559
Hypersensitivity, also known as a hypersensitivity reaction or allergic reaction, is a condition where the body's immune system reacts abnormally to a foreign substance. Such substances, that cause hypersensitivity are referred to as an allergen, could be something typically harmless to most people, like pollen or certain foods.
Types of Hypersensitivities
Hypersensitivity reactions are categorized into four types: Type 1, Type 2, Type 3, and Type 4. Each type has a distinct mechanism...
Types of Hypersensitivities
Hypersensitivity reactions are categorized into four types: Type 1, Type 2, Type 3, and Type 4. Each type has a distinct mechanism...
559


