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免疫检查点抑制剂相关心肌炎的研究进展

[Research Progress of Immune Checkpoint Inhibitor-associated Myocarditis].

作者信息

Liu Yunwei, Chen Yanxin, Zeng Zhimin, Liu Anwen

机构信息

Department of Oncology, The Second Affiliated Hospital of Nanchang University, 
Jiangxi Key Laboratory of Clinical Translational Cancer Research, Nanchang 330006, China.

出版信息

Zhongguo Fei Ai Za Zhi. 2021 Sep 20;24(9):668-672. doi: 10.3779/j.issn.1009-3419.2021.102.27. Epub 2021 Sep 15.

Abstract

Immune checkpoint inhibitors (ICIs) is a negative regulatory factor antibody, which activates T cells to play an anti-tumor effect in immunotherapy, and can also cause immune-related adverse responses, thereby inducing a series of immune related adverse events (irAEs). Among these irAEs, although the incidence of ICIs-related myocarditis is very low, the fatality rate is significantly higher than other adverse reactions, close to 50%. Clinicians should be vigilant when applying ICIs, but the pathogenesis of ICIs-related myocarditis is still unclear. This article combines the recent research results of ICIs to summarize the mechanism and clinical manifestations of ICIs-related myocarditis, so as to improve clinicians' understanding of the adverse reactions.
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摘要

免疫检查点抑制剂(ICIs)是一种负性调节因子抗体,在免疫治疗中激活T细胞发挥抗肿瘤作用,同时也可引起免疫相关不良反应,进而诱发一系列免疫相关不良事件(irAEs)。在这些irAEs中,虽然ICIs相关心肌炎的发生率很低,但病死率明显高于其他不良反应,接近50%。临床医生在应用ICIs时应保持警惕,但其相关心肌炎的发病机制仍不清楚。本文结合ICIs的最新研究成果,总结ICIs相关心肌炎的机制及临床表现,以提高临床医生对不良反应的认识。

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