Suppr超能文献

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.

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。

相似文献

1
Gastrointestinal toxicities associated with immune checkpoint inhibitors therapy: risks and management.
Immunotherapy. 2025 Mar;17(4):293-303. doi: 10.1080/1750743X.2025.2473305. Epub 2025 Mar 7.
2
Systemic treatments for metastatic cutaneous melanoma.
Cochrane Database Syst Rev. 2018 Feb 6;2(2):CD011123. doi: 10.1002/14651858.CD011123.pub2.
3
Impact of comorbidity on immune-related adverse events and survival in older cancer patients treated with immunotherapy.
Future Oncol. 2025 Jun;21(14):1787-1796. doi: 10.1080/14796694.2025.2502313. Epub 2025 May 27.
4
Incidence and impact of immune combination therapies adverse events in advanced renal cell carcinoma patients.
Immunotherapy. 2025 Mar;17(4):247-256. doi: 10.1080/1750743X.2025.2482510. Epub 2025 Mar 28.
6
Identifying risk factors and biomarkers for severe CIP in lung cancer patients- a retrospective case series study.
Immunotherapy. 2024;16(18-19):1131-1140. doi: 10.1080/1750743X.2024.2429369. Epub 2024 Nov 26.
7
Arthralgia in patients with cancer receiving immune checkpoint inhibitors: a systematic review and meta-analysis.
Immunotherapy. 2025 Apr;17(6):437-446. doi: 10.1080/1750743X.2025.2501519. Epub 2025 May 8.
8
New onset of hypertension associated with immune checkpoint inhibitor therapy in cancer patients.
Immunotherapy. 2025 May;17(7):491-499. doi: 10.1080/1750743X.2025.2504868. Epub 2025 May 16.
9
Validating Khorana Risk Score in gastric cancer patients on immune checkpoint inhibitors and chemotherapy.
Immunotherapy. 2025 Apr;17(6):419-424. doi: 10.1080/1750743X.2025.2501922. Epub 2025 May 7.
10
Oncolytic reovirus enhances the effect of CEA immunotherapy when combined with PD1-PDL1 inhibitor in a colorectal cancer model.
Immunotherapy. 2025 Apr;17(6):425-435. doi: 10.1080/1750743X.2025.2501926. Epub 2025 May 12.

本文引用的文献

2
Open-capsule budesonide for the treatment of immune-related enteritis from checkpoint inhibitors.
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.
World J Gastroenterol. 2024 Jun 28;30(24):3123-3125. doi: 10.3748/wjg.v30.i24.3123.
5
Regulatory mechanisms of PD-1/PD-L1 in cancers.
Mol Cancer. 2024 May 18;23(1):108. doi: 10.1186/s12943-024-02023-w.
6
Immune checkpoint inhibitor-associated gastritis: Patterns and management.
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.
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.
Ann Intern Med. 2024 Feb;177(2):ITC17-ITC32. doi: 10.7326/AITC202402200. Epub 2024 Feb 13.
10
Severe Dysphagia With Eosinophilic Esophagitis Pattern of Injury Related to Pembrolizumab Therapy.
ACG Case Rep J. 2024 Jan 25;11(1):e01252. doi: 10.14309/crj.0000000000001252. eCollection 2024 Jan.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验