Ao Yanyun, Gao Ming, Sun Binbin, Hao Hongjun, Yan Huan, Li Chuntong, Sun Decong, Yang Xuejiao, Ju Yanfang, Zhang Xia, Ma Junxun
First Medical Center of PLA General Hospital, Beijing, People's Republic of China.
Fifth Medical Center of PLA General Hospital, Beijing, People's Republic of China.
JTO Clin Res Rep. 2023 Mar 7;4(4):100495. doi: 10.1016/j.jtocrr.2023.100495. eCollection 2023 Apr.
The discovery of immune checkpoint inhibitors (ICIs) has revolutionized the model of antitumor therapy. With the continuous deepening of the research on the mechanism of immunotherapy, ICIs, such as programmed cell death protein 1 (PD-1), programmed death-ligand 1 inhibitors and cytotoxic T lymphocyte-associated protein 4 inhibitors, have been widely used in a variety of tumors. Nevertheless, the use of ICI can also lead to a series of immune-related adverse events. Common immune-related adverse events include gastrointestinal toxicity, pulmonary toxicity, endocrine system toxicity, and skin toxicity. Neurologic adverse events are relatively rare, but they seriously affect the quality of life and shorten the survival time of patients. This article reports cases of peripheral neuropathy mediated by PD-1 inhibitors and retrieves the relevant literatures at home and abroad to summarize the neurotoxicity caused by PD-1 inhibitors, so as to strengthen the awareness of clinicians and patients on neurologic adverse reactions and mitigate potential adverse effects of implemented therapies.
免疫检查点抑制剂(ICIs)的发现彻底改变了抗肿瘤治疗模式。随着免疫治疗机制研究的不断深入,程序性细胞死亡蛋白1(PD-1)、程序性死亡配体1抑制剂和细胞毒性T淋巴细胞相关蛋白4抑制剂等ICIs已广泛应用于多种肿瘤。然而,ICI的使用也会导致一系列免疫相关不良事件。常见的免疫相关不良事件包括胃肠道毒性、肺部毒性、内分泌系统毒性和皮肤毒性。神经学不良事件相对少见,但严重影响患者生活质量并缩短其生存时间。本文报道了由PD-1抑制剂介导的周围神经病变病例,并检索国内外相关文献以总结PD-1抑制剂所致神经毒性,从而增强临床医生和患者对神经学不良反应的认识,并减轻实施治疗的潜在不良影响。