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[免疫疗法——免疫相关不良事件及其管理]

[Immunotherapy - immune-related adverse events and their management].

作者信息

Petrausch Ulf

机构信息

Onkozentrum Zürich, Swiss Tumor Immunology Institute, Zürich.

出版信息

Ther Umsch. 2019 Sep;76(4):195-198. doi: 10.1024/0040-5930/a001084.

DOI:10.1024/0040-5930/a001084
PMID:31498041
Abstract

Immunotherapy - immune-related adverse events and their management Checkpoint-Inhibition has become an important part of modern oncological treatment strategies for many patients with cancer. The development of this new class of anti-cancer drugs has begun for ten years and showed meanwhile a specific new side effect profile. Since the mode of action of checkpoint inhibitors is immune modulation the side effects are particularly different to so far established anti-cancer drugs. Because of the immunological nature of side effects, the spectrum is wide, and the symptoms are amble. Additionally, the side effects can appear at very different time points after the administration of the checkpoint inhibitor. Therefore, the recognition and the management are a new challenge for the care teams. Only if the whole care team is able to understand, diagnose and efficiently manage the side effects the therapeutic potential of this new class of anti-cancer drugs can be made useful for the patients. The article aims to provide information for the care teams to recognize and manage side effects of checkpoint-inhibitors.

摘要

免疫疗法——免疫相关不良事件及其管理 检查点抑制已成为许多癌症患者现代肿瘤治疗策略的重要组成部分。这类新型抗癌药物的研发已开展了十年,同时呈现出特定的新副作用特征。由于检查点抑制剂的作用方式是免疫调节,其副作用与迄今已确立的抗癌药物有很大不同。由于副作用的免疫性质,范围广泛,症状多样。此外,副作用可能在给予检查点抑制剂后的非常不同的时间点出现。因此,识别和管理对护理团队来说是一项新挑战。只有整个护理团队能够理解、诊断并有效管理这些副作用,这类新型抗癌药物的治疗潜力才能对患者发挥作用。本文旨在为护理团队提供有关识别和管理检查点抑制剂副作用的信息。

相似文献

1
[Immunotherapy - immune-related adverse events and their management].[免疫疗法——免疫相关不良事件及其管理]
Ther Umsch. 2019 Sep;76(4):195-198. doi: 10.1024/0040-5930/a001084.
2
[Autoimmune side effects of immune-checkpoint inhibitor therapies in oncology: pathogenesis, clinic and treatment].[肿瘤免疫检查点抑制剂疗法的自身免疫性副作用:发病机制、临床与治疗]
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Managing toxicities associated with immune checkpoint inhibitors: consensus recommendations from the Society for Immunotherapy of Cancer (SITC) Toxicity Management Working Group.管理免疫检查点抑制剂相关毒性:癌症免疫治疗学会(SITC)毒性管理工作组的共识建议。
J Immunother Cancer. 2017 Nov 21;5(1):95. doi: 10.1186/s40425-017-0300-z.
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Acute and Long-term Adverse Events Associated With Checkpoint Blockade.与免疫检查点阻断相关的急性和长期不良反应。
Semin Oncol Nurs. 2019 Oct;35(5):150926. doi: 10.1016/j.soncn.2019.08.005. Epub 2019 Sep 9.
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Side effects of immunotherapy: a constant challenge for oncologists.免疫疗法的副作用:肿瘤学家面临的持续挑战。
Curr Opin Oncol. 2019 Jul;31(4):280-285. doi: 10.1097/CCO.0000000000000541.
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Optimal management of immune-related adverse events resulting from treatment with immune checkpoint inhibitors: a review and update.免疫检查点抑制剂治疗相关免疫相关不良事件的最佳管理:综述与更新。
Int J Clin Oncol. 2018 Jun;23(3):410-420. doi: 10.1007/s10147-018-1259-6. Epub 2018 Mar 7.
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From a Patient Advocate's Perspective: Does Cancer Immunotherapy Represent a Paradigm Shift?从患者权益倡导者的角度来看:癌症免疫疗法是否代表了一种范式转变?
Curr Oncol Rep. 2018 Feb 7;20(1):8. doi: 10.1007/s11912-018-0662-5.
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Cancer immunotherapy-associated hypophysitis.癌症免疫治疗相关垂体炎。
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Corticosteroids for the management of immune-related adverse events in patients receiving checkpoint inhibitors.用于治疗接受检查点抑制剂治疗患者免疫相关不良事件的皮质类固醇。
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Neurological toxicities associated with immune-checkpoint inhibitors.与免疫检查点抑制剂相关的神经毒性。
Curr Opin Neurol. 2017 Dec;30(6):659-668. doi: 10.1097/WCO.0000000000000503.

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