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免疫检查点抑制剂在新冠肺炎癌症患者中的安全性:综述

Safety of immune checkpoint inhibitors in cancer patients with COVID-19: A review.

作者信息

Yang Kejian, Xie Haixiang, Wan Zuyin, Zhou Xin, Liu Junqi, Nong Jusen, Luo Jianzhu, Qin Chongjiu, Peng Tao

机构信息

Department of Hepatobiliary Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi Zhuang Autonomous Region, People's Republic of China.

Guangxi Key Laboratory of Enhanced Recovery After Surgery for Gastrointestinal Cancer, Nanning, Guangxi Zhuang Autonomous Region, People's Republic of China.

出版信息

Medicine (Baltimore). 2025 Aug 8;104(32):e43579. doi: 10.1097/MD.0000000000043579.

Abstract

Coronavirus disease 2019 has emerged as a substantial burden to global public health, with cancer patients exhibiting heightened susceptibility to severe complications. Immune checkpoint inhibitors have exhibited noteworthy efficacy in cancer therapy by promoting robust anti-tumor immune responses. Nevertheless, the safety and efficacy during epidemics remain contentious. The extant evidence concerning the persistent administration of immune checkpoint inhibitors in cancer treatment within the context of the coronavirus disease 2019 epidemic has been consolidated in this review, and the significance of rigorous patient screening and vigilant monitoring has been emphasized to equilibrate anticancer efficacy with the risk of immune dysfunction, thereby establishing a foundation for the research in cancer immunotherapy.

摘要

2019冠状病毒病已成为全球公共卫生的重大负担,癌症患者对严重并发症的易感性更高。免疫检查点抑制剂通过促进强大的抗肿瘤免疫反应,在癌症治疗中显示出显著疗效。然而,疫情期间其安全性和有效性仍存在争议。本综述汇总了关于在2019冠状病毒病疫情背景下持续使用免疫检查点抑制剂进行癌症治疗的现有证据,并强调了严格的患者筛查和密切监测的重要性,以平衡抗癌疗效与免疫功能障碍风险,从而为癌症免疫治疗研究奠定基础。

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