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本文引用的文献

1
The Effect of Immune Checkpoint Inhibitor Therapy on Pre-Existing Gastroparesis and New Onset of Symptoms of Delayed Gastric Emptying.免疫检查点抑制剂疗法对既往存在的胃轻瘫及胃排空延迟新症状的影响。
Cancers (Basel). 2024 Jul 26;16(15):2658. doi: 10.3390/cancers16152658.
2
Open-capsule budesonide for the treatment of immune-related enteritis from checkpoint inhibitors.开放胶囊型布地奈德治疗免疫检查点抑制剂相关肠炎。
J Immunother Cancer. 2024 Jul 20;12(7):e009051. doi: 10.1136/jitc-2024-009051.
3
Gastric microbiota transplantation as a potential treatment for immune checkpoint inhibitor-associated gastritis.胃微生物群移植作为免疫检查点抑制剂相关胃炎的一种潜在治疗方法。
World J Gastroenterol. 2024 Jun 28;30(24):3123-3125. doi: 10.3748/wjg.v30.i24.3123.
4
Outcomes of Budesonide as a Treatment Option for Immune Checkpoint Inhibitor-Related Colitis in Patients with Cancer.布地奈德作为癌症患者免疫检查点抑制剂相关结肠炎治疗选择的疗效
Cancers (Basel). 2024 May 18;16(10):1919. doi: 10.3390/cancers16101919.
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Regulatory mechanisms of PD-1/PD-L1 in cancers.PD-1/PD-L1 在癌症中的调控机制。
Mol Cancer. 2024 May 18;23(1):108. doi: 10.1186/s12943-024-02023-w.
6
Immune checkpoint inhibitor-associated gastritis: Patterns and management.免疫检查点抑制剂相关性胃炎:模式与管理。
World J Gastroenterol. 2024 Apr 14;30(14):1941-1948. doi: 10.3748/wjg.v30.i14.1941.
7
New strategies in the diagnosis and treatment of immune-checkpoint inhibitor-mediated colitis.免疫检查点抑制剂介导的结肠炎诊断与治疗新策略
World J Clin Cases. 2024 Feb 26;12(6):1050-1062. doi: 10.12998/wjcc.v12.i6.1050.
8
Immune-Related Adverse Events of Immune Checkpoint Inhibitors.免疫检查点抑制剂的免疫相关不良反应。
Ann Intern Med. 2024 Feb;177(2):ITC17-ITC32. doi: 10.7326/AITC202402200. Epub 2024 Feb 13.
9
The JAK-STAT Pathway as a Therapeutic Strategy in Cancer Patients with Immune Checkpoint Inhibitor-Induced Colitis: A Narrative Review.JAK-STAT通路作为免疫检查点抑制剂诱导的结肠炎癌症患者的治疗策略:一项叙述性综述。
Cancers (Basel). 2024 Jan 31;16(3):611. doi: 10.3390/cancers16030611.
10
Severe Dysphagia With Eosinophilic Esophagitis Pattern of Injury Related to Pembrolizumab Therapy.与帕博利珠单抗治疗相关的伴有嗜酸性食管炎损伤模式的严重吞咽困难
ACG Case Rep J. 2024 Jan 25;11(1):e01252. doi: 10.14309/crj.0000000000001252. eCollection 2024 Jan.

免疫检查点抑制剂治疗相关的胃肠道毒性:风险与管理

Gastrointestinal toxicities associated with immune checkpoint inhibitors therapy: risks and management.

作者信息

Colli Cruz Carolina, Moura Nascimento Santos Maria Julia, Wali Sharada, Varatharajalu Krishnavathana, Thomas Anusha, Wang Yinghong

机构信息

Department of Gastroenterology, Hepatology & Nutrition, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

出版信息

Immunotherapy. 2025 Mar;17(4):293-303. doi: 10.1080/1750743X.2025.2473305. Epub 2025 Mar 7.

DOI:10.1080/1750743X.2025.2473305
PMID:40055892
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12013428/
Abstract

Immune checkpoint inhibitors (ICIs) have greatly improved cancer treatment by boosting the immune system's ability to target tumors. However, they can also cause serious side effects, particularly in the digestive system. These include immune-related diarrhea, inflammation of the intestines and, less commonly, inflammation of the stomach or esophagus. This review underscores the importance of early detection, accurate diagnosis, and timely treatment to improve patient outcomes. It also highlights the need for further research to develop strategies to reduce gastrointestinal toxicities and enhance the overall effectiveness of ICIs in cancer therapy.

摘要

免疫检查点抑制剂(ICIs)通过增强免疫系统靶向肿瘤的能力,极大地改善了癌症治疗。然而,它们也可能导致严重的副作用,尤其是在消化系统。这些副作用包括免疫相关的腹泻、肠道炎症,较少见的还有胃部或食管炎症。本综述强调了早期检测、准确诊断和及时治疗对改善患者预后的重要性。它还强调了进一步研究的必要性,以制定减少胃肠道毒性并提高ICIs在癌症治疗中整体有效性的策略。