Department of Gastroenterology and Hepatology, The First Medical Center, Chinese PLA General Hospital, Beijing, China.
School of Medicine, Nankai University, Tianjin, China.
Front Immunol. 2022 Oct 27;13:1001623. doi: 10.3389/fimmu.2022.1001623. eCollection 2022.
Immune checkpoint inhibitors (ICIs) have become a promising therapeutic strategy for malignant tumors, improving patient prognosis, along with a spectrum of immune-related adverse events (irAEs), including gastrointestinal toxicity, ICI-related colitis (IRC), and diarrhea. The gut microbiota has been suggested as an important regulator in the pathogenesis of IRC, and microbiota modulations like probiotics and fecal microbiota transplantation have been explored to treat the disease. This review discusses the interaction between the gut microbiota and IRC, focusing on the potential pathogenic mechanisms and promising interventions.
免疫检查点抑制剂(ICIs)已成为恶性肿瘤治疗的一种有前途的策略,改善了患者的预后,同时也出现了一系列免疫相关不良反应(irAEs),包括胃肠道毒性、ICI 相关性结肠炎(IRC)和腹泻。肠道微生物群被认为是 IRC 发病机制中的一个重要调节因素,益生菌和粪便微生物群移植等微生物群调节已被探索用于治疗该疾病。本综述讨论了肠道微生物群与 IRC 之间的相互作用,重点介绍了潜在的发病机制和有前途的干预措施。