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免疫检查点抑制剂诱发的肺炎:从临床数据到转化研究

Pneumonitis Induced by Immune Checkpoint Inhibitors: From Clinical Data to Translational Investigation.

作者信息

Zhu Shicong, Fu Yang, Zhu Bo, Zhang Bicheng, Wang Jun

机构信息

Cancer Center, Renmin Hospital of Wuhan University, Wuhan, China.

Department of Oncology, Xiangyang Hospital, Hubei University of Chinese Medicine, Xiangyang, China.

出版信息

Front Oncol. 2020 Sep 11;10:1785. doi: 10.3389/fonc.2020.01785. eCollection 2020.

Abstract

Immune checkpoint inhibitors (ICIs) have been applied to clinical practice and achieved significant therapeutic benefit in a variety of human malignancies. These drugs not only enhance the body's antitumor immune response but also produce side effects called immune-related adverse events (irAEs). Although checkpoint inhibitor pneumonitis (CIP) has a low clinical incidence, it is likely to cause the delay or termination of immunotherapy and treatment-related death in some severe cases. An increasing number of CIP cases have been reported since 2015, which are attributed to the augmentation of approvals and uses of ICIs, but a comprehensive understanding of CIP is still lacking. This review focuses on the epidemiology, clinical characteristics, treatment strategies, and underlying mechanisms of CIP to strengthen the recognition of pulmonary toxicity among clinicians and researchers.

摘要

免疫检查点抑制剂(ICIs)已应用于临床实践,并在多种人类恶性肿瘤中取得了显著的治疗效果。这些药物不仅增强了机体的抗肿瘤免疫反应,还产生了称为免疫相关不良事件(irAEs)的副作用。尽管检查点抑制剂肺炎(CIP)的临床发病率较低,但在某些严重情况下,它可能导致免疫治疗的延迟或终止以及与治疗相关的死亡。自2015年以来,报告的CIP病例越来越多,这归因于ICIs批准和使用的增加,但对CIP仍缺乏全面的了解。本综述重点关注CIP的流行病学、临床特征、治疗策略和潜在机制,以加强临床医生和研究人员对肺部毒性的认识。

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