Immune-mediated liver injury from checkpoint inhibitors: mechanisms, clinical characteristics and management

IF 45.9 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Nature Reviews Gastroenterology &Hepatology Pub Date : 2024-12-11 DOI:10.1038/s41575-024-01019-7
Evangelos Triantafyllou, Cathrin L. C. Gudd, Lucia A. Possamai
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Abstract

Immunotherapy has changed the treatment landscape for patients with cancer in the past decade. Immune checkpoint inhibitor (ICI)-based therapies have proven effective in a range of malignancies, including liver and gastrointestinal cancers, but they can cause diverse off-target organ toxicities. With the increasingly wider application of these drugs, immune-mediated liver injury from ICIs has become a commonly encountered challenge in clinical hepatology and gastroenterology. In this Review, we discuss the evidence from human and animal studies on the immunological mechanisms of immune-mediated liver injury from ICIs and summarize its clinical features and practical considerations for its management.

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免疫介导的肝损伤检查点抑制剂:机制,临床特点和管理
在过去的十年里,免疫疗法已经改变了癌症患者的治疗前景。基于免疫检查点抑制剂(ICI)的疗法已被证明对包括肝癌和胃肠道癌症在内的一系列恶性肿瘤有效,但它们可能导致多种脱靶器官毒性。随着这些药物的应用越来越广泛,免疫介导的肝损伤已成为临床肝病和胃肠病学中常见的挑战。在这篇综述中,我们讨论了来自人类和动物研究的证据,关于免疫介导的肝损伤的免疫机制,并总结了其临床特点和实际处理的注意事项。
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来源期刊
CiteScore
52.30
自引率
0.60%
发文量
147
审稿时长
6-12 weeks
期刊介绍: Nature Reviews Gastroenterology & Hepatology aims to serve as the leading resource for Reviews and commentaries within the scientific and medical communities it caters to. The journal strives to maintain authority, accessibility, and clarity in its published articles, which are complemented by easily understandable figures, tables, and other display items. Dedicated to providing exceptional service to authors, referees, and readers, the editorial team works diligently to maximize the usefulness and impact of each publication. The journal encompasses a wide range of content types, including Research Highlights, News & Views, Comments, Reviews, Perspectives, and Consensus Statements, all pertinent to gastroenterologists and hepatologists. With its broad scope, Nature Reviews Gastroenterology & Hepatology ensures that its articles reach a diverse audience, aiming for the widest possible dissemination of valuable information. Nature Reviews Gastroenterology & Hepatology is part of the Nature Reviews portfolio of journals.
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