The management of immune-related adverse events associated with immune checkpoint blockade

A. Fay, R. Moreira, P. N. Nunes Filho, C. Albuquerque, C. Barrios
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引用次数: 12

Abstract

ABSTRACT Immunotherapy has become an important component of modern oncology therapy. Recently methods of immune checkpoint blockade include; anti-CTLA-4, anti-PD-1/PD-L1, or a combination of both therapies and have been developed with the objective of restoring immune system T-cell responses against cancer. This strategy has demonstrated important clinical activity in different tumor types and is currently approved for the treatment of several malignancies worldwide. However, the experience gathered so far with this strategy has revealed emerging immune-related adverse events (irAEs) that deserve particular attention. irAEs can affect any organ or system and require adequate diagnosis, rapid recognition and appropriate management as they may have an impact on the outcome of patients receiving these therapies.
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与免疫检查点阻断相关的免疫相关不良事件的管理
免疫治疗已成为现代肿瘤治疗的重要组成部分。最近的免疫检查点阻断方法有;抗ctla -4,抗pd -1/PD-L1,或两种疗法的组合,目的是恢复免疫系统对癌症的t细胞反应。该策略已在不同肿瘤类型中显示出重要的临床活性,目前已被批准用于世界范围内几种恶性肿瘤的治疗。然而,迄今为止使用该策略收集的经验表明,新出现的免疫相关不良事件(irAEs)值得特别关注。irae可以影响任何器官或系统,需要充分的诊断、快速识别和适当的管理,因为它们可能会影响接受这些治疗的患者的结果。
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