Su Chaoyue, Wang Hui, Liu Yunru, Guo Qiaoru, Zhang Lingling, Li Jiajun, Zhou Wenmin, Yan Yanyan, Zhou Xinke, Zhang Jianye
The Fifth Affiliated Hospital, Key Laboratory of Molecular Target and Clinical Pharmacology and the State Key Laboratory of Respiratory Disease, School of Pharmaceutical Sciences, Guangzhou Medical University, Guangzhou, China.
School of Public Health, Hainan Medical University, Haikou, China.
Front Oncol. 2020 Sep 17;10:554313. doi: 10.3389/fonc.2020.554313. eCollection 2020.
Currently, immunotherapy has shown great efficacy in clinical trials, and monoclonal antibodies directed against immune checkpoint PD-1/PD-L1 have shown encouraging results in first-line or second-line treatment of non-small cell lung cancer patients. Meanwhile, anti-PD-1/PD-L1 immune checkpoint drugs combined with other treatments, such as chemotherapy, targeted therapy as well as anti-CTLA-4 checkpoint therapy, are considered an attractive treatment with higher efficacy. However, toxicity associated with PD-1/PD-L1 blockade is worth attention. Understanding the adverse effects caused by anti-PD-1/PD-L1 immunosuppressive agents is vital to guide the clinical rational use of drug. In this review, we summarized the adverse effects that occurred during the clinical use of anti-PD-1/PD-L1 inhibitors in the treatment of non-small cell lung cancer and discussed how to effectively manage and respond to these adverse reactions.
目前,免疫疗法在临床试验中已显示出巨大疗效,针对免疫检查点PD-1/PD-L1的单克隆抗体在非小细胞肺癌患者的一线或二线治疗中已显示出令人鼓舞的结果。同时,抗PD-1/PD-L1免疫检查点药物与其他治疗方法联合使用,如化疗、靶向治疗以及抗CTLA-4检查点治疗,被认为是一种疗效更高的有吸引力的治疗方法。然而,与PD-1/PD-L1阻断相关的毒性值得关注。了解抗PD-1/PD-L1免疫抑制剂引起的不良反应对于指导临床合理用药至关重要。在本综述中,我们总结了抗PD-1/PD-L1抑制剂在治疗非小细胞肺癌临床应用过程中发生的不良反应,并讨论了如何有效管理和应对这些不良反应。