TME, tumor microenvironment

  • 文章类型: Journal Article
    免疫检查点抑制剂(ICIs)是一类主要的免疫肿瘤学疗法,可以显着改善各种癌症的预后。在(新)佐剂和转移设置。与其他常规疗法不同,ICI通过增强宿主免疫系统以消除癌细胞来引发抗肿瘤作用。美国食品药品监督管理局批准了3种ICI类别:靶向细胞毒性T淋巴细胞相关抗原4的抑制剂,程序性死亡1/程序性死亡配体1和淋巴细胞激活基因3,还有更多正在开发中。ICIs通常与不同的毒性有关,称为免疫相关不良事件,它可以在治疗期间出现,或者不那么频繁地出现在晚期,通常与免疫系统的过度激活有关。急性心血管免疫相关不良事件如心肌炎是罕见的;然而,数据表明慢性心血管后遗症正在出现。这篇综述介绍了ICIs在肿瘤学中的现状,重点关注与心脏病学相关的重要方面。
    Immune checkpoint inhibitors (ICIs) are a major class of immuno-oncology therapeutics that have significantly improved the prognosis of various cancers, both in (neo)adjuvant and metastatic settings. Unlike other conventional therapies, ICIs elicit antitumor effects by enhancing host immune systems to eliminate cancer cells. There are 3 approved ICI classes by the U.S. Food and Drug Administration: inhibitors targeting cytotoxic T lymphocyte associated antigen 4, programmed death 1/programmed death-ligand 1, and lymphocyte-activation gene 3, with many more in development. ICIs are commonly associated with distinct toxicities, known as immune-related adverse events, which can arise during treatment or less frequently be of late onset, usually relating to excessive activation of the immune system. Acute cardiovascular immune-related adverse events such as myocarditis are rare; however, data suggesting chronic cardiovascular sequelae are emerging. This review presents the current landscape of ICIs in oncology, with a focus on important aspects relevant to cardiology.
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