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癌症免疫治疗不良事件的新兴管理方法。

Emerging Management Approach for the Adverse Events of Immunotherapy of Cancer.

机构信息

Department of Pharmacy, Faculty of Allied Health Sciences, Daffodil International University, Dhaka 1207, Bangladesh.

Chitkara College of Pharmacy, Chitkara University, Rajpura 140401, India.

出版信息

Molecules. 2022 Jun 13;27(12):3798. doi: 10.3390/molecules27123798.

DOI:10.3390/molecules27123798
PMID:35744922
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9227460/
Abstract

Immunotherapy, which stimulates the body's immune system, has received a considerable amount of press in recent years because of its powerful benefits. Cancer immunotherapy has shown long-term results in patients with advanced disease that are not seen with traditional chemotherapy. Immune checkpoint inhibitors, cytokines like interleukin 2 (IL-2) and interferon-alpha (IFN), and the cancer vaccine sipuleucel-T have all been licensed and approved by the FDA for the treatment of various cancers. These immunotherapy treatments boost anticancer responses by stimulating the immune system. As a result, they have the potential to cause serious, even fatal, inflammatory and immune-related side effects in one or more organs. Immune checkpoint inhibitors (ICPIs) and chimeric antigen receptor (CAR) T-cell therapy are two immunotherapy treatments that are increasingly being used to treat cancer. Following their widespread usage in the clinic, a wave of immune-related adverse events (irAEs) impacting virtually every system has raised concerns about their unpredictability and randomness. Despite the fact that the majority of adverse effects are minimal and should be addressed with prudence, the risk of life-threatening complications exists. Although most adverse events are small and should be treated with caution, the risk of life-threatening toxicities should not be underestimated, especially given the subtle and unusual indications that make early detection even more difficult. Treatment for these issues is difficult and necessitates a multidisciplinary approach involving not only oncologists but also other internal medicine doctors to guarantee quick diagnosis and treatment. This study's purpose is to give a fundamental overview of immunotherapy and cancer-related side effect management strategies.

摘要

免疫疗法通过刺激人体的免疫系统近年来受到了大量关注,因为它具有强大的益处。癌症免疫疗法在晚期疾病患者中显示出了长期的效果,而传统的化疗则没有这种效果。免疫检查点抑制剂、白细胞介素 2 (IL-2) 和干扰素-α (IFN) 等细胞因子以及癌症疫苗 sipuleucel-T 已被 FDA 批准用于治疗各种癌症。这些免疫疗法通过刺激免疫系统来增强抗癌反应。因此,它们有可能在一个或多个器官中引起严重的、甚至致命的炎症和免疫相关的副作用。免疫检查点抑制剂 (ICPIs) 和嵌合抗原受体 (CAR) T 细胞疗法是两种越来越多地用于治疗癌症的免疫疗法。在临床广泛应用后,一波影响几乎每个系统的免疫相关不良事件 (irAEs) 引起了人们对其不可预测性和随机性的关注。尽管大多数不良反应是轻微的,应该谨慎处理,但存在危及生命的并发症的风险。尽管大多数不良反应较小,应谨慎处理,但不应低估危及生命的毒性的风险,尤其是考虑到使早期检测更加困难的微妙和不寻常的迹象。这些问题的治疗很困难,需要多学科方法,不仅涉及肿瘤学家,还涉及其他内科医生,以确保快速诊断和治疗。本研究的目的是对免疫疗法和癌症相关副作用管理策略进行基本概述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c647/9227460/5aefbcd91106/molecules-27-03798-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c647/9227460/1c992f6aedab/molecules-27-03798-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c647/9227460/412d1b538f64/molecules-27-03798-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c647/9227460/f4631b638853/molecules-27-03798-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c647/9227460/8a4f4ad2e9b3/molecules-27-03798-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c647/9227460/5aefbcd91106/molecules-27-03798-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c647/9227460/1c992f6aedab/molecules-27-03798-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c647/9227460/412d1b538f64/molecules-27-03798-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c647/9227460/f4631b638853/molecules-27-03798-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c647/9227460/8a4f4ad2e9b3/molecules-27-03798-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c647/9227460/5aefbcd91106/molecules-27-03798-g005.jpg

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