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特瑞利珠单抗致非小细胞肺癌患者细支气管炎样损伤和完全可逆性支气管扩张:1 例报告。

Durvalumab-induced lesions of bronchiolitis and fully reversible bronchiectasis in a patient with non-small cell lung cancer: A case report.

机构信息

Department of Oncology, Augustin Morvan Hospital, Brest University Hospital, Brest, France.

Department of Pulmonology, Annecy Genevois Hospital, Annecy, France.

出版信息

Thorac Cancer. 2021 Apr;12(8):1240-1243. doi: 10.1111/1759-7714.13862. Epub 2021 Feb 23.

DOI:10.1111/1759-7714.13862
PMID:33624409
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8046106/
Abstract

Durvalumab is a humanized monoclonal antibody targeting programmed cell death ligand-1 (PD-L1), leading to an antitumor activity, used as consolidation therapy in patients with locally advanced unresectable non-small cell lung cancer (NSCLC). Several immune-related adverse events (irAEs) have previously been described in patients following treatment with immune checkpoint inhibitors (ICIs). To the best of our knowledge, we report the first case of immunotherapy-induced fully reversible bronchiolitis and bronchiectasis, despite the fact that its pathophysiological mechanism has been previously considered to be irreversible.

摘要

度伐利尤单抗是一种针对程序性死亡配体 1(PD-L1)的人源化单克隆抗体,具有抗肿瘤活性,用于局部晚期不可切除的非小细胞肺癌(NSCLC)患者的巩固治疗。在接受免疫检查点抑制剂(ICI)治疗的患者中,此前曾描述过几种免疫相关不良事件(irAE)。据我们所知,我们报告了首例免疫治疗引起的完全可逆性细支气管炎和支气管扩张症的病例,尽管其病理生理学机制此前被认为是不可逆转的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b59/8046106/3593e29b44e0/TCA-12-1240-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b59/8046106/78e8199b610e/TCA-12-1240-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b59/8046106/3593e29b44e0/TCA-12-1240-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b59/8046106/78e8199b610e/TCA-12-1240-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b59/8046106/3593e29b44e0/TCA-12-1240-g001.jpg

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本文引用的文献

1
Immune-Related Adverse Events in the Setting of PD-1/L1 Inhibitor Combination Therapy.PD-1/L1 抑制剂联合治疗中的免疫相关不良事件。
Oncologist. 2020 Mar;25(3):e398-e404. doi: 10.1634/theoncologist.2018-0883. Epub 2019 Nov 21.
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Durvalumab-induced Organizing Pneumonia with a Diffuse Micronodular Pattern in a Patient with Lung Cancer.度伐利尤单抗诱导的肺癌患者出现弥漫性微结节模式的机化性肺炎。
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免疫检查点抑制剂相关肺毒性的管理。
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Front Immunol. 2019 Sep 26;10:2254. doi: 10.3389/fimmu.2019.02254. eCollection 2019.
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A case report of reversible bronchiectasis in an adult: Pseudobronchiectasis.一例成人可逆性支气管扩张病例报告:假性支气管扩张。
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Fatal Airway Inflammation Induced by Pembrolizumab in a Patient With NSCLC.帕博利珠单抗在一名非小细胞肺癌患者中诱发的致命性气道炎症
J Thorac Oncol. 2019 Jan;14(1):e9-e10. doi: 10.1016/j.jtho.2018.09.002.
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The Role of the Immune Response in the Pathogenesis of Bronchiectasis.免疫应答在支气管扩张发病机制中的作用。
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8
Nivolumab-induced asthma in a patient with non-small-cell lung cancer.纳武单抗诱发非小细胞肺癌患者哮喘发作
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European Respiratory Society guidelines for the management of adult bronchiectasis.欧洲呼吸学会成人支气管扩张症管理指南。
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