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实体瘤接受免疫治疗患者胃肠道(GI)免疫相关不良事件的缓解策略。

Mitigation strategies for gastrointestinal (GI) immune-related adverse events for patients with solid tumors receiving immunotherapy.

作者信息

Lasagna Angioletta

机构信息

Medical Oncology Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.

出版信息

Immunotherapy. 2025 Jun;17(8):595-603. doi: 10.1080/1750743X.2025.2516995. Epub 2025 Jun 6.

Abstract

Over the past decade, immunotherapy has revolutionized the treatment algorithm for solid tumors. Immune checkpoint inhibitors (ICIs) demonstrated efficacy against several tumor types, but they can favor the development of immune-related adverse events (irAEs). IrAEs can sometimes be life-threatening. In this review, we will briefly analyze the main gastro-intestinal toxicities and focus on potential strategies for mitigating irAEs, particularly through the modification of gut microbiota (GM) composition. Finally, we will briefly dwell on the potential role of artificial intelligence (AI) in the prediction of irAEs.

摘要

在过去十年中,免疫疗法彻底改变了实体瘤的治疗方案。免疫检查点抑制剂(ICIs)已证明对多种肿瘤类型有效,但它们可能会促进免疫相关不良事件(irAEs)的发生。irAEs有时可能危及生命。在本综述中,我们将简要分析主要的胃肠道毒性,并重点关注减轻irAEs的潜在策略,特别是通过改变肠道微生物群(GM)组成。最后,我们将简要探讨人工智能(AI)在预测irAEs中的潜在作用。

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