Department of Oncology and Radiotherapeutics, Medical School and University Hospital in Pilsen, Charles University, Pilsen, Czech Republic
Biomedical Center, Faculty of Medicine in Pilsen, Charles University, Pilsen, Czech Republic.
Anticancer Res. 2020 Mar;40(3):1219-1227. doi: 10.21873/anticanres.14063.
Immunotherapy based on immune checkpoint inhibitors (ICIs) represents a novel anticancer treatment strategy. Monoclonal antibodies targeting cytotoxic T-lymphocyte antigen-4 (CTLA4), programmed cell death-1 receptor (PD1) and programmed cell death-1 ligand (PD-L1) have shown efficacy and safety in the treatment of various malignancies. Some of them have recently found their place in a routine clinical practice, while others are at different phases of clinical trials. Treatment with ICIs may be accompanied by undesirable impairment of immunotolerance to non-tumoural tissues, leading to a specific side-effect also called immune-related adverse events (irAE). There is an increasing body of evidence that the development of irAEs is associated with a beneficial effect of immunotherapy, thus it has become a hot topic in the field of clinical oncology. This review is focused on data from recently published studies evaluating the association between irAEs and outcome of patients with cancer treated with ICIs.
基于免疫检查点抑制剂 (ICIs) 的免疫疗法代表了一种新的抗癌治疗策略。针对细胞毒性 T 淋巴细胞抗原 4 (CTLA4)、程序性细胞死亡受体 1 (PD1) 和程序性细胞死亡配体 1 (PD-L1) 的单克隆抗体在治疗各种恶性肿瘤方面显示出疗效和安全性。其中一些已在常规临床实践中找到了位置,而另一些则处于临床试验的不同阶段。使用 ICI 治疗可能伴随着对非肿瘤组织免疫耐受的不良损害,导致一种称为免疫相关不良事件 (irAE) 的特定副作用。越来越多的证据表明,irAE 的发展与免疫治疗的有益效果相关,因此它已成为临床肿瘤学领域的一个热门话题。这篇综述重点介绍了最近发表的研究数据,这些研究评估了 irAE 与接受 ICI 治疗的癌症患者结局之间的关联。