Day Daphne, Hansen Aaron R
Bras Drug Development Program, Division of Medical Oncology and Hematology, Princess Margaret Cancer Centre, 610 University Avenue, Suite, Toronto, ON, M5G 2M9, Canada.
Department of Medicine, University of Toronto, Toronto, ON, Canada.
BioDrugs. 2016 Dec;30(6):571-584. doi: 10.1007/s40259-016-0204-3.
Immune checkpoint inhibitors (ICIs), including antibodies targeting cytotoxic T-lymphocyte-associated antigen 4 (CTLA-4) and programmed cell death protein-1 (PD-1), have shown durable treatment responses in multiple tumor types by enhancing antitumor immunity. However, removal of self-tolerance can induce autoimmunity and produce a unique immune-driven toxicity profile, termed immune-related adverse events (irAEs). As ICIs gain approval for a growing number of indications, it is imperative clinicians increase their knowledge of and ability to manage irAEs. This review examines the etiology, presentation, kinetics, and treatment of irAEs and aims to provide practical guidance for clinicians.
免疫检查点抑制剂(ICI),包括靶向细胞毒性T淋巴细胞相关抗原4(CTLA-4)和程序性细胞死亡蛋白1(PD-1)的抗体,通过增强抗肿瘤免疫力,已在多种肿瘤类型中显示出持久的治疗反应。然而,自身耐受性的消除可诱发自身免疫,并产生一种独特的免疫驱动毒性特征,称为免疫相关不良事件(irAE)。随着ICI在越来越多的适应症中获得批准,临床医生必须增加他们对irAE的认识和管理能力。本综述探讨了irAE的病因、表现、动力学和治疗方法,旨在为临床医生提供实用指导。