Possick Jennifer D
Section of Pulmonary, Critical Care, and Sleep Medicine, Yale University School of Medicine, 300 Cedar Street, LCI 100, New Haven, CT 06520, USA.
Clin Chest Med. 2017 Jun;38(2):223-232. doi: 10.1016/j.ccm.2016.12.012.
Checkpoint immunotherapy with agents targeting PD-1 and CTLA-4 has transformed the landscape of oncologic therapy. Immune-related adverse events (IRAEs), including significant pulmonary toxicities, have been observed in patients treated with these agents. The incidence, timing, clinical features, and outcomes of pulmonary IRAEs are quite variable, emphasizing the importance for clinical vigilance as these therapies become more ubiquitous in the treatment of a spectrum of malignancies. Outcomes are generally favorable when toxicity is recognized early and treated promptly.
使用靶向PD-1和CTLA-4的药物进行的检查点免疫疗法已经改变了肿瘤治疗的格局。在接受这些药物治疗的患者中观察到了免疫相关不良事件(IRAEs),包括严重的肺部毒性。肺部IRAEs的发生率、发生时间、临床特征和结局差异很大,这凸显了临床警惕的重要性,因为这些疗法在多种恶性肿瘤的治疗中越来越普遍。如果毒性能早期识别并及时治疗,结局通常较好。