Department of Cardiology, Division of Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Department of Sarcoma Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Can J Cardiol. 2017 Oct;33(10):1335.e13-1335.e15. doi: 10.1016/j.cjca.2017.05.026. Epub 2017 Jun 8.
Novel antineoplastic therapies are focused on harnessing our own immune system to fight cancer. To that end, cytotoxic T-lymphocyte-associated antigen 4 and programmed death ligand 1 are 2 coinhibitory signals that play central roles in decreasing T-cell response and represent a class of medications termed "checkpoint inhibitors." We present an unusual case of progressive conduction abnormalities induced by checkpoint inhibitors. Prompt medical intervention resulted in full recovery. Despite the anticancer efficacy, the newer antineoplastic agents pose a significant and often life-threatening risk of cardiotoxicity.
新型抗肿瘤疗法侧重于利用我们自身的免疫系统来对抗癌症。为此,细胞毒性 T 淋巴细胞相关抗原 4 和程序性死亡配体 1 是 2 种共抑制信号,它们在降低 T 细胞反应方面发挥着核心作用,代表了一类被称为“检查点抑制剂”的药物。我们报告了一种由检查点抑制剂引起的进行性传导异常的罕见病例。及时的医疗干预导致完全恢复。尽管这些新型抗肿瘤药物具有抗癌疗效,但它们也会带来显著且常常危及生命的心脏毒性风险。