Fang Y, Yu Y, Wu D W, Fang H, Huang H Y, Wang S H, Yu A Q, Sun C, Bai Y, Wang H, Li N
GCP center, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China.
Zhonghua Zhong Liu Za Zhi. 2020 Jan 23;42(1):17-21. doi: 10.3760/cma.j.issn.0253-3766.2020.01.002.
Immune checkpoint inhibitors have been approved for clinical application in China. However, the increased immune-related adverse event (irAE) needs more attention. This review summarized the incidence, characteristic clinical manifestation and treatment of irAEs associated with programmed cell death protein-1(PD-1) and programmed cell death ligand-1(PD-L1) inhibitors. To have a deep insight into irAE, the potential mechanisms, the different incidences of cancer types, influencing factors and the direction of future research were also discussed here to provide guidance for clinical oncologist to identify and monitor irAE.
免疫检查点抑制剂已在中国获批用于临床应用。然而,免疫相关不良事件(irAE)的增加需要更多关注。本综述总结了与程序性细胞死亡蛋白-1(PD-1)和程序性细胞死亡配体-1(PD-L1)抑制剂相关的irAE的发生率、特征性临床表现及治疗。为深入了解irAE,本文还讨论了其潜在机制、不同癌症类型的发生率、影响因素及未来研究方向,以为临床肿瘤学家识别和监测irAE提供指导。