Wang Daniel Y, Johnson Douglas B, Davis Elizabeth J
From the Department of Medicine, Vanderbilt University Medical Center and Vanderbilt Ingram Cancer Center, Nashville, TN.
Cancer J. 2018 Jan/Feb;24(1):36-40. doi: 10.1097/PPO.0000000000000296.
Immune checkpoint inhibitors, particularly those targeting PD-1/PD-L1, produce durable responses in a subset of patients across cancer types. Although often well tolerated, these agents can induce a broad spectrum of autoimmune-like complications that may affect any organ system. Treatment of these toxicities primarily consists of immune suppression with corticosteroids and other agents. This review briefly discusses the mechanisms of immune-related adverse events, overviews the clinical and pathologic features of major toxicities caused by PD-1/PD-L1 blockade, and reviews their management.
免疫检查点抑制剂,尤其是那些靶向PD-1/PD-L1的抑制剂,在多种癌症类型的一部分患者中产生持久反应。尽管这些药物通常耐受性良好,但它们可诱发广泛的自身免疫样并发症,可能影响任何器官系统。这些毒性的治疗主要包括用皮质类固醇和其他药物进行免疫抑制。本综述简要讨论免疫相关不良事件的机制,概述由PD-1/PD-L1阻断引起的主要毒性的临床和病理特征,并综述其管理。