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免疫相关的口腔、耳科学和眼科不良事件。

Immune-Related Oral, Otologic, and Ocular Adverse Events.

机构信息

Department of Head and Neck Surgery, Division of Surgery, University of Texas MD Anderson Cancer Center, Houston, TX, USA.

出版信息

Adv Exp Med Biol. 2021;1342:399-416. doi: 10.1007/978-3-030-79308-1_17.

Abstract

Emerging immunotherapeutic agents, including immune checkpoint inhibitors targeting cytotoxic T-lymphocyte-associated antigen-4 (CTLA-4), programmed cell death protein 1 (PD-1), and programmed cell death protein ligand 1 (PD-L1), have revolutionized cancer treatment. The first immune checkpoint inhibitor (ICI) ipilimumab, an anti-CTLA-4, was approved in 2011. Since then, the US Food and Drug Administration (FDA) has approved more than half a dozen immune checkpoint inhibitors to treat various malignancies. These agents are part of a broader class of chemotherapy agents termed immunotherapy, which selectively target different steps in the immune response cascade to upregulate the body's normal response to cancer. While the effects of traditional chemotherapy are well known, the toxicity profile of emerging immune therapies is not fully elucidated. They have been associated with atypical side effects labeled collectively as immune-related adverse events (irAEs).

摘要

新兴的免疫治疗药物,包括针对细胞毒性 T 淋巴细胞相关抗原 4(CTLA-4)、程序性细胞死亡蛋白 1(PD-1)和程序性细胞死亡蛋白配体 1(PD-L1)的免疫检查点抑制剂,彻底改变了癌症治疗。第一种免疫检查点抑制剂(ICI)ipilimumab,一种抗 CTLA-4 的药物,于 2011 年获得批准。此后,美国食品和药物管理局(FDA)已批准了六种以上的免疫检查点抑制剂来治疗各种恶性肿瘤。这些药物属于一类称为免疫疗法的更广泛的化疗药物,它们选择性地针对免疫反应级联中的不同步骤,以增强身体对癌症的正常反应。虽然传统化疗的效果众所周知,但新兴免疫疗法的毒性特征尚未完全阐明。它们与被统称为免疫相关不良事件(irAEs)的非典型副作用有关。

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