免疫治疗相关急性肾损伤

IF 2 3区 医学 Q2 UROLOGY & NEPHROLOGY Advances in chronic kidney disease Pub Date : 2021-09-01 DOI:10.1053/j.ackd.2021.07.006
Sandhya Manohar , Kenar D. Jhaveri , Mark A. Perazella
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引用次数: 4

摘要

与免疫治疗相关的肾毒性在临床实践中越来越多地遇到。增强免疫系统以根除癌症的药物在肿瘤学领域是革命性的。老一代的免疫疗法,如高剂量的白细胞介素和干扰素- α,现在正在被更有效的免疫检查点抑制剂和嵌合抗原受体t细胞疗法所取代,这些疗法在许多临床试验中显示出有希望的结果。不幸的是,这些治疗带来了独特的副作用,包括肾毒性。这篇肿瘤学综述总结了目前使用的免疫疗法及其与肾脏相关的毒性、病理生理学和治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Immunotherapy-Related Acute Kidney Injury

Nephrotoxicity associated with immunotherapy is increasingly being encountered in clinical practice. Drugs that augment the immune system to eradicate cancer are revolutionary in the field of oncology. Older generation immunotherapies such as high-dose interleukin and interferon-alpha are now being replaced with more effective immune checkpoint inhibitors and chimeric antigen receptor T-cell therapies, which have shown promising results in numerous clinical trials. Unfortunately, these treatments come with a unique baggage of adverse effects including nephrotoxicity. This onconephrology review summarizes the immunotherapies currently in use and their kidney-related toxicities, pathophysiology, and their management.

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来源期刊
Advances in chronic kidney disease
Advances in chronic kidney disease 医学-泌尿学与肾脏学
自引率
3.40%
发文量
69
审稿时长
11.1 weeks
期刊介绍: The purpose of Advances Chronic Kidney Disease is to provide in-depth, scholarly review articles about the care and management of persons with early kidney disease and kidney failure, as well as those at risk for kidney disease. Emphasis is on articles related to the early identification of kidney disease; prevention or delay in progression of kidney disease
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