免疫检查点抑制剂在肺癌患者中的急性肾损伤

IF 2 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Discovery medicine Pub Date : 2022-05-01
Dongjie Lv, Lei He, Liping Guo, Xin Zhang, Xin He
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引用次数: 0

摘要

免疫检查点抑制剂(ICIs)是一种新型免疫治疗药物,可以显著改善包括肺癌在内的多种癌症的治疗效果。然而,ICIs可诱导免疫相关不良反应(irAEs),其临床表现类似于自身免疫性疾病。肾内irae的主要类型是急性肾损伤(AKI)。在这篇综述中,我们描述了针对肺癌的ICIs的类型,特别是那些被美国食品和药物管理局批准用于肺癌患者临床试验的ICIs。接下来,我们总结了目前对icis诱导AKI机制的理解。最后,我们强调了进一步解决icis相关AKI的方向,以使临床肺癌患者受益。
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Acute Kidney Injury Induced by Immune Checkpoint Inhibitors in Lung Cancer Patients.

Immune checkpoint inhibitors (ICIs) are novel immunotherapy drugs that have significantly improved the outcomes of a variety of cancers including lung cancer. However, ICIs could induce immune-related adverse effects (irAEs) characterized by clinical manifestations that resemble autoimmune disorders. The main type of IrAEs in the kidneys is acute kidney injury (AKI). In this review, we describe the types of ICIs targeting lung cancer, especially those approved by the U.S. Food and Drug Administration for clinical trials in lung cancer patients. Next, we summarize current understandings of the mechanisms involved in ICIs-induced AKI. Finally, we highlight further directions to address ICIs-associated AKI for the benefits of lung cancer patients in the clinic.

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来源期刊
Discovery medicine
Discovery medicine MEDICINE, RESEARCH & EXPERIMENTAL-
CiteScore
5.40
自引率
0.00%
发文量
80
审稿时长
6-12 weeks
期刊介绍: Discovery Medicine publishes novel, provocative ideas and research findings that challenge conventional notions about disease mechanisms, diagnosis, treatment, or any of the life sciences subjects. It publishes cutting-edge, reliable, and authoritative information in all branches of life sciences but primarily in the following areas: Novel therapies and diagnostics (approved or experimental); innovative ideas, research technologies, and translational research that will give rise to the next generation of new drugs and therapies; breakthrough understanding of mechanism of disease, biology, and physiology; and commercialization of biomedical discoveries pertaining to the development of new drugs, therapies, medical devices, and research technology.
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