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神经毒性:程序性细胞死亡蛋白1(PD-1)抑制剂的一种罕见副作用。

Neurotoxicity: A Rare Side Effect of Programmed Cell Death 1 (PD-1) Inhibitors.

作者信息

Ehsanullah Syed, Hasan Syed, Polani Faran S, Rashid Syeda Zarmeena, Ahmed Syed Ijlal

机构信息

Medicine, Washington University School of Medicine, St. Louis, USA.

Oncology, Washington University School of Medicine, St. Louis, USA.

出版信息

Cureus. 2022 Feb 24;14(2):e22584. doi: 10.7759/cureus.22584. eCollection 2022 Feb.

DOI:10.7759/cureus.22584
PMID:35355539
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8957660/
Abstract

Immunotherapy is a biological therapy that helps the body's immune system to fight against cancer cells. The Food and Drug Administration (FDA) approved the first immune checkpoint inhibitor in 2011. Since 2011, many immune checkpoint inhibitors have been approved. Programmed cell death 1 (PD-1) inhibitors are now commonly used in multiple malignancies due to their remarkable response. Thus, immune-related adverse events are now coming into the limelight due to the increasing use of PD-1 inhibitors. Here, we present a case of a 54-year-old female with non-small cell lung cancers (NSCLC) treated with pembrolizumab and later presented with severe neurotoxicity.

摘要

免疫疗法是一种生物疗法,可帮助人体免疫系统对抗癌细胞。美国食品药品监督管理局(FDA)于2011年批准了首个免疫检查点抑制剂。自2011年以来,许多免疫检查点抑制剂已获批准。程序性细胞死亡1(PD-1)抑制剂由于其显著疗效,目前常用于多种恶性肿瘤的治疗。因此,随着PD-1抑制剂使用的增加,免疫相关不良事件如今备受关注。在此,我们报告一例54岁非小细胞肺癌(NSCLC)女性患者,其接受帕博利珠单抗治疗后出现严重神经毒性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db6c/8957660/4ba41251a983/cureus-0014-00000022584-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db6c/8957660/90ba4225ba28/cureus-0014-00000022584-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db6c/8957660/4ba41251a983/cureus-0014-00000022584-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db6c/8957660/90ba4225ba28/cureus-0014-00000022584-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db6c/8957660/4ba41251a983/cureus-0014-00000022584-i02.jpg

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本文引用的文献

1
PD-1 Inhibitors-Related Neurological Toxicities in Patients with Non-Small-Cell Lung Cancer: A Literature Review.非小细胞肺癌患者中与程序性死亡受体1抑制剂相关的神经毒性:文献综述
Cancers (Basel). 2019 Mar 1;11(3):296. doi: 10.3390/cancers11030296.
2
Therapeutic prospects of targeting myeloid-derived suppressor cells and immune checkpoints in cancer.靶向髓系来源抑制细胞和癌症免疫检查点的治疗前景。
Immunol Cell Biol. 2018 Oct;96(9):888-897. doi: 10.1111/imcb.12054. Epub 2018 Apr 22.
3
Management of Immune-Related Adverse Events in Patients Treated With Immune Checkpoint Inhibitor Therapy: American Society of Clinical Oncology Clinical Practice Guideline Summary.
接受免疫检查点抑制剂治疗患者免疫相关不良事件的管理:美国临床肿瘤学会临床实践指南摘要
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Neurological toxicities associated with immune-checkpoint inhibitors.与免疫检查点抑制剂相关的神经毒性。
Curr Opin Neurol. 2017 Dec;30(6):659-668. doi: 10.1097/WCO.0000000000000503.
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Neurological Complications Associated With Anti-Programmed Death 1 (PD-1) Antibodies.与抗程序性死亡1(PD-1)抗体相关的神经并发症
JAMA Neurol. 2017 Oct 1;74(10):1216-1222. doi: 10.1001/jamaneurol.2017.1912.
6
Pembrolizumab-Induced Encephalopathy: A Review of Neurological Toxicities with Immune Checkpoint Inhibitors.帕博利珠单抗相关脑病:免疫检查点抑制剂相关神经毒性的综述。
J Thorac Oncol. 2017 Nov;12(11):1626-1635. doi: 10.1016/j.jtho.2017.08.007. Epub 2017 Aug 24.
7
Myasthenia gravis induced by nivolumab in patients with non-small-cell lung cancer: a case report and literature review.纳武利尤单抗诱发非小细胞肺癌患者重症肌无力:一例报告及文献综述
Immunotherapy. 2017 Aug;9(9):701-707. doi: 10.2217/imt-2017-0043. Epub 2017 Jun 26.
8
Molecular and Biochemical Aspects of the PD-1 Checkpoint Pathway.程序性死亡蛋白1(PD-1)检查点通路的分子与生化方面
N Engl J Med. 2016 Nov 3;375(18):1767-1778. doi: 10.1056/NEJMra1514296.
9
Adverse Events Associated with Immune Checkpoint Blockade in Patients with Cancer: A Systematic Review of Case Reports.癌症患者免疫检查点阻断相关不良事件:病例报告的系统评价
PLoS One. 2016 Jul 29;11(7):e0160221. doi: 10.1371/journal.pone.0160221. eCollection 2016.
10
Benign form of myasthenia gravis after nivolumab treatment.纳武单抗治疗后出现的重症肌无力良性形式。
Muscle Nerve. 2016 Sep;54(3):507-9. doi: 10.1002/mus.25212. Epub 2016 Jul 9.