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[信迪利单抗诱导肺癌患者发生免疫性血小板减少症:1例报告及文献复习]

[Immune Thrombocytopenia Induced by Sintilimab in Lung Cancer: 
A Case Report and Literature Review].

作者信息

Cai Jingjing, Yang Guangxia, Zhang Xuemei, Liu Linlin, Yan Mei

机构信息

Department of Respiratory and Critical Care Medicine, Affiliated Hospital of Jining Medical University, Jining 272029, China.

出版信息

Zhongguo Fei Ai Za Zhi. 2023 Sep 20;26(9):717-720. doi: 10.3779/j.issn.1009-3419.2023.102.32.

DOI:10.3779/j.issn.1009-3419.2023.102.32
PMID:37985158
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10600748/
Abstract

Immune checkpoint inhibitors (ICIs) show unique advantages in the treatment of lung cancer, making the treatment of lung cancer enter the era of immunotherapy, but ICIs will also have adverse reactions, and the incidence of immune-induced hematological toxicity is not very high. Immunotherapy-induced thrombocytopenia is a rare adverse event.We report one case of thrombocytopenia induced by ICIs and review the literature on thrombocytopenia associated with ICIs and discuss the clinical features, possible mechanisms, and optimal treatment. 
.

摘要

免疫检查点抑制剂(ICIs)在肺癌治疗中显示出独特优势,使肺癌治疗进入免疫治疗时代,但ICIs也会产生不良反应,且免疫诱导的血液学毒性发生率不高。免疫治疗诱导的血小板减少是一种罕见的不良事件。我们报告1例由ICIs诱导的血小板减少病例,并复习与ICIs相关的血小板减少的文献,探讨其临床特征、可能机制及最佳治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c64/10600748/b7d14dc255be/img_3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c64/10600748/501da4e5652a/img_1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c64/10600748/2ff83b80acaa/img_2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c64/10600748/b7d14dc255be/img_3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c64/10600748/501da4e5652a/img_1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c64/10600748/2ff83b80acaa/img_2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c64/10600748/b7d14dc255be/img_3.jpg

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本文引用的文献

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Severe immune thrombocytopenia induced by a single dose of nivolumab in a patient with advanced non-small cell lung cancer.一例晚期非小细胞肺癌患者单剂量纳武单抗诱发严重免疫性血小板减少症
Clin Pract. 2020 Jun 17;10(2):1249. doi: 10.4081/cp.2020.1249. eCollection 2020 May 19.
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PD-1/PD-L1 pathway activation restores the imbalance of Th1/Th2 and treg/Th17 cells subtypes in immune thrombocytopenic purpura patients.程序性死亡受体1/程序性死亡配体1(PD-1/PD-L1)通路激活可恢复免疫性血小板减少症患者Th1/Th2和调节性T细胞/辅助性T细胞17(Treg/Th17)细胞亚群的失衡。
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Nivolumab-related severe thrombocytopenia in a patient with relapsed lung adenocarcinoma: a case report and review of the literature.
一名复发性肺腺癌患者出现与纳武利尤单抗相关的严重血小板减少症:病例报告及文献复习
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Immune thrombocytopenia induced by nivolumab in a patient with non-small cell lung cancer.纳武利尤单抗诱发非小细胞肺癌患者免疫性血小板减少症。
Respir Med Case Rep. 2019 Jun 4;28:100871. doi: 10.1016/j.rmcr.2019.100871. eCollection 2019.
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Camrelizumab (SHR-1210) alone or in combination with gemcitabine plus cisplatin for nasopharyngeal carcinoma: results from two single-arm, phase 1 trials.卡瑞利珠单抗(SHR-1210)单药或联合吉西他滨加顺铂治疗鼻咽癌的疗效:两项单臂、1 期临床试验结果。
Lancet Oncol. 2018 Oct;19(10):1338-1350. doi: 10.1016/S1470-2045(18)30495-9. Epub 2018 Sep 10.
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