Inno Alessandro, Metro Giulio, Bironzo Paolo, Grimaldi Antonio M, Grego Elisabetta, Di Nunno Vincenzo, Picasso Virginia, Massari Francesco, Gori Stefania
Medical Oncology Unit, Cancer Care Center, Sacro Cuore Don Calabria Hospital, Negrar (Verona) - Italy.
Medical Oncology Unit, Santa Maria della Misericordia Hospital, Azienda Ospedaliera di Perugia, Perugia - Italy.
Tumori. 2017 Sep 18;103(5):405-421. doi: 10.5301/tj.5000625. Epub 2017 May 10.
Immune checkpoint inhibitors have emerged as an effective treatment for several tumor types and their use in clinical practice is expected to further increase in the immediate future. Although these agents are well tolerated, they are associated with a peculiar spectrum of toxicity, which is immune mediated and may potentially affect every organ. However, immune-related adverse events are mostly reversible if promptly diagnosed and adequately treated. Therefore, it is crucial that medical oncologists know how to diagnose and treat immune-related adverse events. This review focuses on the pathogenesis, clinical manifestations and management of immune-related toxicity of anti-CTLA-4 and anti-PD-1 antibodies.
免疫检查点抑制剂已成为多种肿瘤类型的有效治疗方法,预计在不久的将来其在临床实践中的应用还会进一步增加。尽管这些药物耐受性良好,但它们会引发一系列特殊的毒性反应,这些反应是由免疫介导的,可能会影响到各个器官。然而,如果能及时诊断并进行充分治疗,免疫相关不良事件大多是可逆的。因此,肿瘤内科医生了解如何诊断和治疗免疫相关不良事件至关重要。本综述重点关注抗CTLA-4和抗PD-1抗体免疫相关毒性的发病机制、临床表现及管理。