细胞巨乳病毒和爱斯坦-巴尔病毒在类固醇耐药性免疫检查点抑制剂结肠炎中的重新激活
Joyce Sanyour1, Bassem Awada2, Ahmad Mattar3
1Gastroenterology Division, Internal Medicine Department, Sultan Qaboos Comprehensive Cancer and Research Center (SQCCCRC), University Medical City (UMC), Muscat, Sultanate of Oman.
细胞巨化病毒 (CMV) 和爱斯坦-巴尔病毒 (EBV) 的重新激活可以使固体瘤患者的免疫检查点抑制剂 (ICI) 诱导的大肠炎恶化. 及时的抗病毒治疗改善了结果,这表明早期病毒检测对于管理与免疫相关的不良事件至关重要.
科学领域:
- 在瘤学瘤学.
- 病毒学 病毒学
- 免疫学 免疫学 免疫学
背景情况:
- 细胞巨乳病毒 (CMV) 和爱斯坦-巴尔病毒 (EBV) 的重新激活在免疫功能低下的患者中很常见.
- 它们在接受免疫检查点抑制剂 (ICI) 的固体瘤患者中的作用尚不清楚.
- 与免疫相关的不良事件 (irAEs),如结肠炎,是ICI治疗日益关注的问题.
研究的目的:
- 调查CMV和EBV再激活发生情况和临床意义在患有 ICI 诱导大肠炎的实体瘤患者中.
- 评估抗病毒治疗对ICI相关大肠炎严重程度的影响.
主要方法:
- 两名患有 ICI 治疗的固体瘤患者的病例报告,他们患有严重的耐火性结肠炎.
- 通过组织病理学分析CMV和EBV病毒载荷的结肠活检.
- 对甘西克洛维尔抗病毒治疗的临床和内镜反应的评估.
主要成果:
- 两位患者都出现了严重的,耐药的免疫相关性结肠炎.
- 结肠活检显示了显著增加的CMV和EBV病毒载荷.
- 用甘西克洛维尔的抗病毒治疗导致了显著的临床和内镜改善.
结论:
- CMV和EBV的重新激活可能会加剧或延长ICI诱导的大肠炎.
- 早期识别和治疗病毒再激活对于管理irAEs至关重要.
- 连续病毒监测和临床判断是有效的患者管理的关键.
更多相关视频
08:04Development of an IFN-γ ELISpot Assay to Assess Varicella-Zoster Virus-specific Cell-mediated Immunity Following Umbilical Cord Blood Transplantation
Published on: July 9, 2014
06:03Author Spotlight: Advancing Immune Monitoring in Critical Care Patients Using Whole Blood Assays
Published on: September 20, 2024
相关概念视频
Drugs for Treatment of Crohn's Disease in IBD Using Immunomodulatory Agents
Drugs for Treatment of Crohn's Disease in IBD Using Glucocorticoids
Drugs for Treatment of Ulcerative Colitis in IBD
Inflammatory Bowel Disease II: Crohn's Disease
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Immunodeficiency Diseases
There are three main causes of immunodeficiency...
Autoimmune Disorders
Concept and Mechanism of Autoimmune Diseases
The immune...
