在单一和组合疗法中免疫检查点抑制剂的毒性 - 一个系统和批判性审查
Javier Tascón1,2,3,4, Alfredo G Casanova1,2,3,4, Laura Vicente-Vicente1,2,3,4
1Toxicology Unit, Universidad de Salamanca (USAL), 37007 Salamanca, Spain.
Biomedicines
|March 28, 2025
概括
免疫检查点抑制剂 (ICI) 正在彻底改变癌症治疗,但可能导致脏损伤. 这次审查发现,与抗CTLA-4相比,联合ICI疗法不会增加损伤风险,这表明间歇性炎的诊断不足.
科学领域:
- 在瘤学瘤学.
- 腎臟病學 (nephrology) 是一種醫學專業.
- 免疫学 免疫学 免疫学
背景情况:
- 免疫检查点抑制剂 (ICI) 代表了癌症治疗的重大进展.
- 然而,ICI与免疫相关的不良事件有关,包括毒性,这可能会影响患者的预后.
- 了解ICI诱导毒性的发生率对于患者安全和治疗管理至关重要.
研究的目的:
- 为了确定接受单一和组合ICI治疗的患者中毒性的当前发病率.
- 为了比较与不同ICI治疗方案相关的风险.
主要方法:
- 进行了系统的文献搜索,确定了1283篇潜在的文章.
- 应用了包括和排除标准,最终选择了50项相关研究.
- 数据合成的重点是急性损伤的发生率和特定类型的损伤.
主要成果:
- 与ICI相关的急性损伤的发生率在过去十年里有所增加.
- 与抗CTLA-4单疗相比,联合ICI疗法没有显示损伤的风险更高.
- 间歇性炎可能被诊断不足,因为对确定诊断的活检的依赖.
结论:
- 临床医生应该意识到与ICI相关的毒性发生率的增加.
- 与某些单一疗法相比,联合ICI疗法在损伤风险方面似乎是安全的.
- 对于ICI诱导的损伤,需要更敏感和更具体的诊断工具,以减少对侵入性活检的依赖.
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