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免疫检查点抑制剂诱发的心肌炎:一项探索性综述

Myocarditis Induced by Immune Checkpoint Inhibitors: An Exploratory Review.

作者信息

Zavaleta-Monestel Esteban, García-Montero Jonathan, Anchía-Alfaro Adriana, Rojas-Chinchilla Carolina, Quesada-Villaseñor Ricardo, Arguedas-Chacón Sebastián, Barrantes-López Monserrat, Molina-Sojo Paula, Zovi Andrea, Zúñiga-Orlich Carlos

机构信息

Pharmacy, Hospital Clínica Bíblica, San José, CRI.

Pharmacy and Clinical Research, Hospital Clínica Bíblica, San José, CRI.

出版信息

Cureus. 2024 Aug 20;16(8):e67314. doi: 10.7759/cureus.67314. eCollection 2024 Aug.

Abstract

Checkpoints are essential proteins in the immune system that regulate the intensity and duration of immune responses, preventing damage to healthy tissues during the fight against pathogens and abnormal cells. While these mechanisms are crucial in cancer defense, this disease can alter the functionality of these proteins. This is why checkpoint inhibitors have emerged as an important class of drugs to potentiate the antitumor immune response. However, it has been observed that these drugs can trigger adverse effects, among which myocarditis is one of the most prevalent. This article explores the signaling pathways associated with checkpoint inhibitors, their adverse effects, and their impact on the development of myocarditis, as well as potential therapeutic strategies.

摘要

免疫检查点是免疫系统中的关键蛋白质,可调节免疫反应的强度和持续时间,防止在对抗病原体和异常细胞的过程中对健康组织造成损害。虽然这些机制在癌症防御中至关重要,但这种疾病会改变这些蛋白质的功能。这就是为什么免疫检查点抑制剂已成为增强抗肿瘤免疫反应的一类重要药物。然而,已经观察到这些药物会引发不良反应,其中心肌炎是最常见的不良反应之一。本文探讨了与免疫检查点抑制剂相关的信号通路、它们的不良反应及其对心肌炎发展的影响,以及潜在的治疗策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68f9/11412606/de161c07d7c3/cureus-0016-00000067314-i01.jpg

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