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癌症免疫治疗不良事件的新兴管理方法

英文原题:Emerging Management Approach for the Adverse Events of Immunotherapy of Cancer.

查看英文原题

Emerging Management Approach for the Adverse Events of Immunotherapy of Cancer.

PubMed 2022/06/13(内容时间) Molecules Q2 · IF 5.1(JCR 2025)

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中文摘要

免疫疗法通过刺激机体免疫系统发挥作用,近年来因其显著获益而受到广泛关注。癌症免疫疗法可使晚期患者获得传统化疗未能实现的长期疗效。免疫检查点抑制剂、白细胞介素2(IL-2)和干扰素α(IFN)等细胞因子,以及癌症疫苗sipuleucel-T均已获FDA批准用于多种癌症。这些免疫疗法通过刺激免疫系统增强抗癌应答,因此可能引发影响一个或多个器官的严重、甚至致命性炎症和免疫相关副作用。免疫检查点抑制剂(ICPI)和嵌合抗原受体(CAR)T细胞疗法是目前日益用于癌症治疗的两种免疫疗法。随着其在临床广泛应用,几乎每个器官系统都可能发生免疫相关不良事件(irAE),其不可预测性和随机性引起关注。多数不良反应较轻,但仍需谨慎处理;尤其是症状细微或不典型时,早期发现更困难,因此不应低估危及生命毒性的风险。此类问题治疗复杂,需要肿瘤科医生与其他内科医生等多学科团队合作,以确保快速诊断和治疗。本文旨在概述免疫疗法及癌症相关副作用的管理策略基础知识。

展开英文摘要原文

Immunotherapy, which stimulates the body's immune system, has received a considerable amount of press in recent years because of its powerful benefits. Cancer immunotherapy has shown long-term results in patients with advanced disease that are not seen with traditional chemotherapy. Immune checkpoint inhibitors, cytokines like interleukin 2 (IL-2) and interferon-alpha (IFN), and the cancer vaccine sipuleucel-T have all been licensed and approved by the FDA for the treatment of various cancers. These immunotherapy treatments boost anticancer responses by stimulating the immune system. As a result, they have the potential to cause serious, even fatal, inflammatory and immune-related side effects in one or more organs. Immune checkpoint inhibitors (ICPIs) and chimeric antigen receptor (CAR) T-cell therapy are two immunotherapy treatments that are increasingly being used to treat cancer.

Following their widespread usage in the clinic, a wave of immune-related adverse events (irAEs) impacting virtually every system has raised concerns about their unpredictability and randomness. Despite the fact that the majority of adverse effects are minimal and should be addressed with prudence, the risk of life-threatening complications exists.

Although most adverse events are small and should be treated with caution, the risk of life-threatening toxicities should not be underestimated, especially given the subtle and unusual indications that make early detection even more difficult. Treatment for these issues is difficult and necessitates a multidisciplinary approach involving not only oncologists but also other internal medicine doctors to guarantee quick diagnosis and treatment.

This study's purpose is to give a fundamental overview of immunotherapy and cancer-related side effect management strategies.

论文信息

作者
Rahman MM、Behl T、Islam MR、Alam MN、Islam MM、Albarrati A、Albratty M、Meraya AM
第一作者单位
Department of Pharmacy, Faculty of Allied Health Sciences, Daffodil International University, Dhaka 1207, Bangladesh.
通讯作者单位
Department of Pharmacy, Faculty of Medicine and Pharmacy, University of Oradea, 410028 Oradea, Romania.Italy
文献类型
综述
期刊
Molecules (Basel, Switzerland)2022 Jun 13
原文标识
PubMed 35744922 · DOI 10.3390/molecules27123798