Centre for Diabetes, Obesity and Endocrinology, The Westmead Institute for Medical Research, Sydney, NSW, Australia.
Department of Endocrinology, Royal North Shore Hospital, Sydney, NSW, Australia.
Front Endocrinol (Lausanne). 2021 Nov 5;12:764138. doi: 10.3389/fendo.2021.764138. eCollection 2021.
Immune checkpoint inhibitors have transformed the landscape of oncological therapy, but at the price of a new array of immune related adverse events. Among these is β-cell failure, leading to checkpoint inhibitor-related autoimmune diabetes (CIADM) which entails substantial long-term morbidity. As our understanding of this novel disease grows, parallels and differences between CIADM and classic type 1 diabetes (T1D) may provide insights into the development of diabetes and identify novel potential therapeutic strategies. In this review, we outline the knowledge across the disciplines of endocrinology, oncology and immunology regarding the pathogenesis of CIADM and identify possible management strategies.
免疫检查点抑制剂改变了肿瘤治疗的格局,但也带来了一系列新的免疫相关不良事件。其中包括β细胞衰竭,导致免疫检查点抑制剂相关自身免疫性糖尿病(CIADM),这会带来严重的长期发病率。随着我们对这种新型疾病的认识不断加深,CIADM 与经典 1 型糖尿病(T1D)之间的相似之处和差异可能为糖尿病的发病机制提供新的见解,并确定新的潜在治疗策略。在这篇综述中,我们概述了内分泌学、肿瘤学和免疫学等学科对 CIADM 发病机制的认识,并确定了可能的管理策略。