Zhou Yihan, Ding Shan
Medical Sciences Division, Department of Oncology, University of Oxford, Old Road Campus Building, Roosevelt Drive, Oxford OX3 7DQ, UK.
Department of Life Science, Imperial College London, South Kensington Campus, Exhibition Road, London SW7 2AZ, UK.
Cancers (Basel). 2023 Nov 28;15(23):5622. doi: 10.3390/cancers15235622.
To overcome the epidemiological severity of cancer, developing effective treatments is urgently required. In response, immune checkpoint inhibitors (ICIs) have been revealed as a promising resolution for treatment-resistant cancers across the world. Yet, they have both advantages and disadvantages, bringing therapeutic benefits while simultaneously inducing toxicity, and in particular, immune-mediated adverse drug reactions (imADRs), to the human body. These imADRs can be pathogenic and sometimes lethal, hampering health prediction and monitoring following the provision of ICI treatment. Therefore, it is necessary to collectively identify the determinant factors that contribute to these imADRs induced by ICIs. This article evaluated treatment-, tumor-, and patient-related determinants, and indicated a research gap for future investigations on the pathogenic mechanism of imADRs and translational conversion of determinants into clinical biomarkers to aid pharmacovigilance and cancer therapies.
为了克服癌症在流行病学上的严重性,迫切需要开发有效的治疗方法。作为回应,免疫检查点抑制剂(ICIs)已被视为全球范围内治疗难治性癌症的一种有前景的解决方案。然而,它们有优点也有缺点,在给人体带来治疗益处的同时,也会引发毒性,特别是免疫介导的药物不良反应(imADRs)。这些imADRs可能具有致病性,有时甚至是致命的,会妨碍ICI治疗后的健康预测和监测。因此,有必要综合确定导致ICI诱导的这些imADRs的决定因素。本文评估了与治疗、肿瘤和患者相关的决定因素,并指出了未来在imADRs致病机制研究以及将决定因素转化为临床生物标志物以辅助药物警戒和癌症治疗方面的研究空白。
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