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免疫检查点抑制剂相关结肠炎的研究进展OA北大核心CSTPCD

Advances in the study of immune checkpoint inhibitors-related colitis

中文摘要英文摘要

免疫检查点抑制剂(immune checkpoint inhibitors,ICIs)包括细胞毒性T淋巴细胞相关蛋白4(cytotoxic T-lymphocyte-associated protein 4,CTLA-4)抑制剂和程序性死亡受体 1(programmed cell death receptor 1,PD-1)抑制剂及其配体1(programmed death-ligand 1,PD-L1)抑制剂改变了很多恶性肿瘤患者的临床结局,成为目前最重要的抗肿瘤手段.随着免疫治疗的广泛应用,ICIs 诱导的免疫相关不良事件(immune-related adverse events,irAEs)逐渐引起临床重视,其中ICI相关结肠炎已成为胃肠道系统最常见的不良事件.本文通过对ICI相关结肠炎的流行病学、发病机制及临床诊治等领域进展进行阐述,旨在为临床医师及时鉴别和诊疗ICI 相关结肠炎提供参考.

Immune checkpoint inhibitors(ICIs),including cytotoxic T-lymphocyte-associated protein 4(CTLA-4)inhibitors and programmed cell death receptor 1(PD-1)inhibitors and their ligand 1(PD-L1)inhibitors,have transformed the clinical outcomes of many patients with malignancies.programmed cell death receptor 1(PD-1)inhibitors and their ligand 1(PD-L1)inhibitors have changed the clinical outcomes of many patients with malignan-cies and have become the most important anti-tumor tools available.With the widespread use of immunotherapy,immune-related adverse events(irAEs)induced by ICIs have gradually attracted clinical attention,among which ICI-related colitis has become the most common adverse event in the gastrointestinal system.In this paper,we describe the epidemiology,pathogenesis and clinical management of ICI-related colitis,with the aim of providing reference for clinicians to identify and treat ICI-related colitis in a timely manner.

孟肖娜;孙旭;刘怀民

郑州大学附属肿瘤医院(河南省肿瘤医院)中西医结合科(郑州 450008)

临床医学

免疫检查点抑制剂免疫相关不良事件结肠炎

immune checkpoint inhibitorsimmune-related adverse eventscolitis

《实用医学杂志》 2024 (009)

1314-1319 / 6

中国博士后科学基金项目(编号:2020M682312);国家自然科学基金项目(编号:82305344);河南省科技攻关项目(编号:212102310363)

10.3969/j.issn.1006-5725.2024.09.023

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