Liu Wenhui, Luo Zhiying, Liu Yiping, Sun Bao
Department of Pharmacy, The Second Xiangya Hospital, Central South University, Changsha, China.
Institute of Clinical Pharmacy, Central South University, Changsha, China.
Front Pharmacol. 2023 Mar 6;14:1078338. doi: 10.3389/fphar.2023.1078338. eCollection 2023.
Unprecedented advances have been made in immune checkpoint inhibitors (ICIs) in the treatment of cancer. However, the overall benefits from ICIs are impaired by the increasing incidence of immune-related adverse events (irAEs). Although several factors and mechanisms have been proposed in the development of irAEs, there is still incomprehensive understanding of irAEs. Therefore, it is urgent to identify certain risk factors and biomarkers that predict the development of irAEs, as well as to understand the underlying mechanisms of these adverse events. Herein, we comprehensively summarize the state-of-the-art knowledge about clinical features and the related risk factors of irAEs. Particularly, we also discuss relevant mechanisms of irAEs and address the mechanism-based strategies, aiming to develop a tailored management approach for irAEs.
免疫检查点抑制剂(ICI)在癌症治疗方面取得了前所未有的进展。然而,免疫相关不良事件(irAE)发病率的不断上升削弱了ICI的总体获益。尽管在irAE的发生过程中提出了多种因素和机制,但对irAE仍缺乏全面的了解。因此,迫切需要确定预测irAE发生的某些风险因素和生物标志物,并了解这些不良事件的潜在机制。在此,我们全面总结了关于irAE临床特征和相关风险因素的最新知识。特别地,我们还讨论了irAE的相关机制,并阐述基于机制的策略,旨在制定针对irAE的个性化管理方法。