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免疫疗法的毒性特征。

Toxicity profiles of immunotherapy.

机构信息

Early Phase Trials Unit, Institut Bergonié, 229 Cours de l'Argonne, 33000 Bordeaux, France; Department of Medicine, Institut Bergonié, 229 Cours de l'Argonne, 33000 Bordeaux, France.

INSERM U1035, ATIP-AVENIR, Université de Bordeaux, Bordeaux, France; Department of Dermatology and Paediatric Dermatology, National Centre for Rare Skin disorders, Saint-André and Pellegrin Hospital, Bordeaux, France.

出版信息

Pharmacol Ther. 2018 Jan;181:91-100. doi: 10.1016/j.pharmthera.2017.07.005. Epub 2017 Jul 15.

Abstract

Immunotherapies are changing the landscape of advanced solid tumor treatment. These therapies have different mechanisms of action and include oncolytic viruses, checkpoint inhibitors, such as CTLA-4 or PD1/PD-L1 monoclonal antibodies, and CSF-1R antibodies. Given the growing therapeutic impact of these agents in oncology, it is important to better understand their properties. Immunotherapies generate new toxicity profiles that are called immune-related adverse events and require specific management. This review focuses on the mechanisms of action of such side effects, as well as their description and their general management.

摘要

免疫疗法正在改变晚期实体瘤治疗的格局。这些疗法具有不同的作用机制,包括溶瘤病毒、检查点抑制剂,如 CTLA-4 或 PD1/PD-L1 单克隆抗体,以及 CSF-1R 抗体。鉴于这些药物在肿瘤学中的治疗作用不断增加,更好地了解它们的特性非常重要。免疫疗法产生了新的毒性谱,称为免疫相关不良事件,需要进行专门的管理。本文重点介绍这些副作用的作用机制,以及它们的描述和一般管理。

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