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Frontiers of Medicine

ISSN 2095-0217

ISSN 2095-0225(Online)

CN 11-5983/R

邮发代号 80-967

2019 Impact Factor: 3.421

Frontiers of Medicine  2021, Vol. 15 Issue (1): 33-42   https://doi.org/10.1007/s11684-019-0735-3
  本期目录
Advances on immune-related adverse events associated with immune checkpoint inhibitors
Yong Fan1, Yan Geng1, Lin Shen2, Zhuoli Zhang1()
1. Department of Rheumatology and Clinical Immunology, Peking University First Hospital, Beijing 100034, China
2. Department of Gastrointestinal Oncology, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Peking University Cancer Hospital & Institute, Beijing 100142, China
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Abstract

Immunotherapy has recently led to a paradigm shift in cancer therapy, in which immune checkpoint inhibitors (ICIs) are the most successful agents approved for multiple advanced malignancies. However, given the nature of the non-specific activation of effector T cells, ICIs are remarkably associated with a substantial risk of immune-related adverse events (irAEs) in almost all organs or systems. Up to 90% of patients who received ICIs combination therapy experienced irAEs, of which majority were low-grade toxicity. Cytotoxic lymphocyte antigen-4 and programmed cell death protein-1/programmed cell death ligand 1 inhibitors usually display distinct features of irAEs. In this review, the mechanisms of action of ICIs and how they may cause irAEs are described. Some unsolved challenges, however really engrossing issues, such as the association between irAEs and cancer treatment response, tumor response to irAEs therapy, and ICIs in challenging populations, are comprehensively summarized.

Key wordscancer    immunotherapy    immune checkpoint inhibitors    immune-related adverse events    review
收稿日期: 2019-04-06      出版日期: 2021-02-11
Corresponding Author(s): Zhuoli Zhang   
 引用本文:   
. [J]. Frontiers of Medicine, 2021, 15(1): 33-42.
Yong Fan, Yan Geng, Lin Shen, Zhuoli Zhang. Advances on immune-related adverse events associated with immune checkpoint inhibitors. Front. Med., 2021, 15(1): 33-42.
 链接本文:  
https://academic.hep.com.cn/fmd/CN/10.1007/s11684-019-0735-3
https://academic.hep.com.cn/fmd/CN/Y2021/V15/I1/33
Fig.1  
Drug name Targeted Year of FDA approval Trademark Company name Indications
Ipilimumab Anti-CTLA-4 antibody 2011 Yervoy Bristol-Myers Squibb Melanoma, renal cell carcinoma, colorectal cancer
Pembrolizumab Anti-PD-1 antibody 2014 Keytruda Merck Sharp & Dohme Melanoma, non-small cell lung cancer, head and neck squamous cell cancer, classical Hodgkin lymphoma, primary mediastinal large B cell lymphoma, urothelial carcinoma, microsatellite instability-high cancer, gastric cancer, cervical cancer, hepatocellular carcinoma, Merkel cell carcinoma
Nivolumab Anti-PD-1 antibody 2014 Opdivo Bristol-Myers Squibb Melanoma, non-small cell lung cancer, small cell lung cancer, renal cell carcinoma, classical Hodgkin lymphoma, squamous cell carcinoma of the head and neck, urothelial carcinoma, colorectal cancer, hepatocellular carcinoma
Cemiplimab Anti-PD-1 antibody 2018 Libtayo Regeneron Pharmaceuticals Cutaneous squamous cell carcinoma
Atezolizumab Anti-PD-L1 antibody 2016 Tecentriq Genentech Urothelial carcinoma, non-small cell lung cancer, triple-negative breast cancer, small cell lung cancer,
Durvalumab Anti-PD-L1 antibody 2017 Imfinzi AstraZeneca Urothelial carcinoma, non-small cell lung cancer
Avelumab Anti-PD-L1 antibody 2017 Bavencio EMD Serono Merkel cell carcinoma, urothelial carcinoma
Tab.1  
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