Checkpoint Inhibitor Pneumonitis Induced by Programmed Death-1 Antibody: A Case Report and Literature Review

Y. Zheng, J. Li, D. Chen, Y. Li, L. Dai, L. Huang, M. Wang
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Abstract

Immune Checkpoint Inhibitors (ICIs) are effective treatment therapies for majority advanced tumours. However, the immune-related Adverse Events (irAEs) triggered by ICIs may affect human organs, including skin, lungs, pituitary, thyroid, blood and digestive system, leading to immunotoxicity in these organs. Checkpoint Inhibitor Pneumonitis (CIP) is one of the irAEs that could cause mortality, thereby needs special attention from the clinical physicians. In the present manuscript, the CIP occurred in a unilateral lung in one patient case with advanced oesophageal cancer treated with anti-PD-1 was analysed. Furthermore, a literature review was conducted to investigate its pathogenesis, clinical features, associated risk factors, prevention and the correlation with ICI efficacy, providing valuable information for clinical physicians.
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程序性死亡-1抗体诱导的检查点抑制剂肺炎1例报告及文献复习
免疫检查点抑制剂(ICIs)是大多数晚期肿瘤的有效治疗方法。然而,ICIs引发的免疫相关不良事件(irAEs)可能影响人体器官,包括皮肤、肺、垂体、甲状腺、血液和消化系统,导致这些器官的免疫毒性。检查点抑制剂肺炎(Checkpoint Inhibitor Pneumonitis, CIP)是引起死亡的irAEs之一,需要引起临床医生的特别重视。本文对1例晚期食管癌经抗pd -1治疗后单侧肺发生的CIP进行了分析。并对其发病机制、临床特点、相关危险因素、预防及与ICI疗效的相关性进行文献综述,为临床医师提供有价值的信息。
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