Cancer Center, The First Hospital of Jilin University, Changchun, Jilin 130021, China.
Dermatological Department, The First Hospital of Jilin University, Changchun, Jilin 130021, China.
Immunotherapy. 2020 Feb;12(3):175-181. doi: 10.2217/imt-2019-0090. Epub 2020 Feb 17.
Immune checkpoint inhibitors can enhance the antitumor activity of the immune system by mainly promoting CD8 T lymphocyte immune function. However, they can also induce immune-related adverse events, especially skin toxicity. Some studies found that patients with autoimmune or inflammatory disease are susceptible to immune checkpoint inhibitors and were associated with a significantly increased risk of immune-related adverse events. In our present report, we described a newly diagnosed non-small-cell lung cancer patient who suffered from focal vitiligo for approximately ten years and was treated with the anti-programmed cell death-1 receptor antibody camrelizumab (SHR-1210), which accelerated the aggravation of depigmentation of the skin over the whole body in just half a year.
免疫检查点抑制剂主要通过促进 CD8 T 淋巴细胞免疫功能来增强免疫系统的抗肿瘤活性。然而,它们也会引起免疫相关的不良反应,特别是皮肤毒性。一些研究发现,自身免疫或炎症性疾病患者易发生免疫检查点抑制剂相关不良反应,且发生风险显著增加。在我们目前的报告中,我们描述了一位新诊断的非小细胞肺癌患者,他大约十年前患有局限性白癜风,接受了抗程序性死亡受体 1 抗体 camrelizumab(SHR-1210)治疗,仅仅半年时间就加速了全身皮肤色素脱失的恶化。