免疫检查点抑制剂的长期毒性
Preethy E Abraham1, Douglas B Johnson2
1Vanderbilt University School of Medicine, Nashville, USA.
Drugs
|October 1, 2025
概括
免疫检查点抑制剂 (ICI) 可以在高达50%的患者中引起慢性自身免疫类毒性 (irAEs). 本综述研究了慢性IRAE,重点关注器官特异性影响和未来的治疗策略.
科学领域:
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
- 毒理学 毒理学 毒理学
背景情况:
- 免疫检查点抑制剂 (ICI) 提供持久的癌症反应,但可能导致与免疫相关的不良事件 (irAEs).
- 许多irrAEs随着治疗而消失,但很大一部分仍然存在,导致慢性疾病.
- 持续超过3个月的慢性irrAEs影响40-50%的患者,表现和严重程度各不相同.
研究的目的:
- 审查ICI治疗后慢性免疫相关不良事件 (irAEs) 的当前研究.
- 提供慢性IRAE的概述,包括对特定器官的考虑.
- 讨论慢性IRAE管理的挑战和未来方向.
主要方法:
- 关于慢性IRAE的最新研究的文献综述.
- 对特定器官的慢性irAE发病率和特征的分析.
- 讨论潜在的治疗策略,如抗细胞因子治疗.
主要成果:
- 内分泌和关节IRAE显示了高的慢性化率.
- 慢性胃肠道,肝脏和肺部irrAEs不太常见.
- 慢性irrAEs可能是由于持续的炎症或炎症损伤后续造成的.
结论:
- 慢性IRAE在ICI治疗中是一个重大挑战,影响患者的生活质量.
- 需要进一步的研究来描述慢性IRAE,并制定有效的预防和治疗策略.
- 识别患有活跃炎症风险的患者对于个性化管理至关重要.
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