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肿瘤药物免疫介导不良反应的关键决定因素。

Key Determinants of Immune-Mediated Adverse Reactions to Oncology Drugs.

作者信息

Zhou Yihan, Ding Shan

机构信息

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.

出版信息

Cancers (Basel). 2023 Nov 28;15(23):5622. doi: 10.3390/cancers15235622.


DOI:10.3390/cancers15235622
PMID:38067327
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10705334/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a06/10705334/c3a1c473a6fd/cancers-15-05622-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a06/10705334/c3a1c473a6fd/cancers-15-05622-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a06/10705334/c3a1c473a6fd/cancers-15-05622-g001.jpg

相似文献

[1]
Key Determinants of Immune-Mediated Adverse Reactions to Oncology Drugs.

Cancers (Basel). 2023-11-28

[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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Oncologist. 2021-11

引用本文的文献

[1]
Epigenetic regulators combined with tumour immunotherapy: current status and perspectives.

Clin Epigenetics. 2025-3-21

[2]
Autoimmune complications of tyrosine kinase inhibitors in cancer therapy: Clinical insights, mechanisms, and future perspectives.

Medicine (Baltimore). 2024-10-4

[3]
Adverse reactions of immune checkpoint inhibitors combined with Proton pump inhibitors: a pharmacovigilance analysis of drug-drug interactions.

BMC Cancer. 2024-9-27

本文引用的文献

[1]
Impact of proton pump inhibitors on the onset of gastrointestinal immune-related adverse events during immunotherapy.

Cancer Med. 2023-10

[2]
Immune Checkpoint Inhibitors for Child-Pugh Class B Advanced Hepatocellular Carcinoma: A Systematic Review and Meta-Analysis.

JAMA Oncol. 2023-10-1

[3]
Safety and efficacy of second-line metronomic oral vinorelbine-atezolizumab combination in stage IV non-small-cell lung cancer: An open-label phase II trial (VinMetAtezo).

Lung Cancer. 2023-4

[4]
Association of medical comorbidities and cardiovascular disease with toxicity and survival among patients receiving checkpoint inhibitor immunotherapy.

Cancer Immunol Immunother. 2023-7

[5]
Hepatic failure associated with immune checkpoint inhibitors: An analysis of the Food and Drug Administration Adverse Event Reporting System database.

Cancer Med. 2023-4

[6]
Clinically approved combination immunotherapy: Current status, limitations, and future perspective.

Curr Res Immunol. 2022-6-3

[7]
Obesity: A Chronic Low-Grade Inflammation and Its Markers.

Cureus. 2022-2-28

[8]
Combining immune checkpoint inhibition plus tyrosine kinase inhibition as first and subsequent treatments for metastatic renal cell carcinoma.

Cancer Med. 2022-8

[9]
Human Leukocyte Antigens and Biomarkers in Type 1 Diabetes Mellitus Induced by Immune-Checkpoint Inhibitors.

Endocrinol Metab (Seoul). 2022-2

[10]
Association of Blood Biochemical Indexes and Antibiotic Exposure With Severe Immune-related Adverse Events in Patients With Advanced Cancers Receiving PD-1 Inhibitors.

J Immunother. 2022-5-1

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