Check this out: treatment paradigms in immune-checkpoint inhibitor colitis
被引:3
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作者:
Kiparizoska, Sara
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Medstar Georgetown Univ Hosp, Dept Med, Washington, DC 20007 USA
Medstar Georgetown Univ Hosp, 3800 Reservoir Rd, 5PHC, Washington, DC 20007 USAMedstar Georgetown Univ Hosp, Dept Med, Washington, DC 20007 USA
Kiparizoska, Sara
[1
,4
]
Murphy, Megan E.
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机构:
Medstar Georgetown Univ Hosp, Dept Gastroenterol, Washington, DC 20007 USA
NYU, Dept Gastroenterol, New York, NY USAMedstar Georgetown Univ Hosp, Dept Med, Washington, DC 20007 USA
Murphy, Megan E.
[2
,3
]
Mattar, Mark C.
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机构:
Medstar Georgetown Univ Hosp, Dept Gastroenterol, Washington, DC 20007 USAMedstar Georgetown Univ Hosp, Dept Med, Washington, DC 20007 USA
Mattar, Mark C.
[2
]
机构:
[1] Medstar Georgetown Univ Hosp, Dept Med, Washington, DC 20007 USA
[2] Medstar Georgetown Univ Hosp, Dept Gastroenterol, Washington, DC 20007 USA
[3] NYU, Dept Gastroenterol, New York, NY USA
[4] Medstar Georgetown Univ Hosp, 3800 Reservoir Rd, 5PHC, Washington, DC 20007 USA
Purpose of review Immune checkpoint inhibitors (ICI) have become a pillar of cancer therapy for many people around the world. However, up to two-thirds of all patients undergoing ICI therapy will have immune-related adverse events (irAEs), including immune-checkpoint inhibitor colitis (ICIC). This review summarizes the most valuable and currently available information about the mechanism, diagnosis, and management of ICIC. Recent findings Recent findings include several developments on the leading theories for the mechanisms of ICIC such as the role of the gut microbiome. New emerging therapy strategies include tocilizumab, ustekinumab, mycophenolate mofetil, and calcineurin inhibitors. Summary The occurrence of irAEs remains a limiting factor for the use of immunotherapy in cancer treatment. Prompt diagnosis of ICIC with endoscopy and histologic confirmation can lead to early utilization of known effective treatments such as corticosteroids, infliximab, vedolizumab, and other emerging therapy strategies. We summarize the key points of this review article in our abstract video, Supplemental Digital Content 1, .
机构:
Sofia Univ St Kliment Ohridski, Med Fac, Sofia 1407, BulgariaSofia Univ St Kliment Ohridski, Med Fac, Sofia 1407, Bulgaria
Velikova, Tsvetelina
Krastev, Boris
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Med Ctr Nadezhda, Sofia 1407, BulgariaSofia Univ St Kliment Ohridski, Med Fac, Sofia 1407, Bulgaria
Krastev, Boris
Gulinac, Milena
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Sofia Univ St Kliment Ohridski, Med Fac, Sofia 1407, Bulgaria
Med Univ Plovdiv, Gen & Clin Pathol, Plovdiv 4002, BulgariaSofia Univ St Kliment Ohridski, Med Fac, Sofia 1407, Bulgaria
Gulinac, Milena
Zashev, Miroslav
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Univ Hosp Heart & Brain, Dept Gen Surg, Burgas 8000, BulgariaSofia Univ St Kliment Ohridski, Med Fac, Sofia 1407, Bulgaria
Zashev, Miroslav
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Graklanov, Vasko
Peruhova, Milena
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Univ Hosp Heart & Brain, Div Gastroenterol, 1 Zdrave St, Burgas 1000, BulgariaSofia Univ St Kliment Ohridski, Med Fac, Sofia 1407, Bulgaria
机构:
Toyama Univ, Fac Med, Dept Internal Med 3, Toyama, Japan
Takaoka Municipal Hosp, Dept Gastroenterol, Takaoka, Toyama, JapanToyama Univ, Fac Med, Dept Internal Med 3, Toyama, Japan
Murayama, Aiko
Tajiri, Kazuto
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Toyama Univ, Fac Med, Dept Internal Med 3, Toyama, JapanToyama Univ, Fac Med, Dept Internal Med 3, Toyama, Japan
Tajiri, Kazuto
Nakaya, Atsuko
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Takaoka Municipal Hosp, Dept Gastroenterol, Takaoka, Toyama, JapanToyama Univ, Fac Med, Dept Internal Med 3, Toyama, Japan
Nakaya, Atsuko
Ito, Hiroyuki
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Takaoka Municipal Hosp, Dept Gastroenterol, Takaoka, Toyama, JapanToyama Univ, Fac Med, Dept Internal Med 3, Toyama, Japan
Ito, Hiroyuki
Hayashi, Yuka
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Toyama Univ, Fac Med, Dept Internal Med 3, Toyama, JapanToyama Univ, Fac Med, Dept Internal Med 3, Toyama, Japan
Hayashi, Yuka
Entani, Toshiki
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Toyama Univ, Fac Med, Dept Internal Med 3, Toyama, JapanToyama Univ, Fac Med, Dept Internal Med 3, Toyama, Japan
Entani, Toshiki
Nagata, Kohei
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Toyama Univ, Fac Med, Dept Internal Med 3, Toyama, JapanToyama Univ, Fac Med, Dept Internal Med 3, Toyama, Japan
Nagata, Kohei
Tanaka, Shinichi
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Toyama Univ, Fac Med, Dept Pathol 1, Toyama, JapanToyama Univ, Fac Med, Dept Internal Med 3, Toyama, Japan
Tanaka, Shinichi
Hamashima, Takeru
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Toyama Univ, Fac Med, Dept Pathol 2, Toyama, JapanToyama Univ, Fac Med, Dept Internal Med 3, Toyama, Japan
Hamashima, Takeru
Yasuda, Ichiro
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Toyama Univ, Fac Med, Dept Internal Med 3, Toyama, JapanToyama Univ, Fac Med, Dept Internal Med 3, Toyama, Japan
机构:
Univ Texas Southwestern Med Ctr Dallas, Div Digest & Liver Dis, Dallas, TX USA
VA Med Ctr, Dallas, TX USAUniv Texas Southwestern Med Ctr Dallas, Div Digest & Liver Dis, Dallas, TX USA
Enwerem, Ngozi Y.
Yen, Eugene F.
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Northwestern Univ, Feinberg Sch Med, Chicago, IL 60611 USAUniv Texas Southwestern Med Ctr Dallas, Div Digest & Liver Dis, Dallas, TX USA
机构:
St Andrea Hosp, Neuromuscular & Rare Dis Ctr, Via Grottarossa 1035-1039, I-00189 Rome, Italy
Sapienza Univ Rome, Dept Neurosci Mental Hlth & Sensory Organs NESMOS, Fac Med & Psychol, Via Grottarossa 1035-1039, I-00189 Rome, ItalySt Andrea Hosp, Neuromuscular & Rare Dis Ctr, Via Grottarossa 1035-1039, I-00189 Rome, Italy
Fionda, Laura
Rossini, Elena
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St Andrea Hosp, Neuromuscular & Rare Dis Ctr, Via Grottarossa 1035-1039, I-00189 Rome, Italy
Sapienza Univ Rome, Dept Neurosci Mental Hlth & Sensory Organs NESMOS, Fac Med & Psychol, Via Grottarossa 1035-1039, I-00189 Rome, ItalySt Andrea Hosp, Neuromuscular & Rare Dis Ctr, Via Grottarossa 1035-1039, I-00189 Rome, Italy
Rossini, Elena
Lauletta, Antonio
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St Andrea Hosp, Neuromuscular & Rare Dis Ctr, Via Grottarossa 1035-1039, I-00189 Rome, Italy
Sapienza Univ Rome, Dept Neurosci Mental Hlth & Sensory Organs NESMOS, Fac Med & Psychol, Via Grottarossa 1035-1039, I-00189 Rome, ItalySt Andrea Hosp, Neuromuscular & Rare Dis Ctr, Via Grottarossa 1035-1039, I-00189 Rome, Italy
Lauletta, Antonio
Leonardi, Luca
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St Andrea Hosp, Neuromuscular & Rare Dis Ctr, Via Grottarossa 1035-1039, I-00189 Rome, Italy
St Andrea Hosp, Neurol Unit, Via Grottarossa 1035-1039, I-00189 Rome, ItalySt Andrea Hosp, Neuromuscular & Rare Dis Ctr, Via Grottarossa 1035-1039, I-00189 Rome, Italy
Leonardi, Luca
Tufano, Laura
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St Andrea Hosp, Neuromuscular & Rare Dis Ctr, Via Grottarossa 1035-1039, I-00189 Rome, Italy
Sapienza Univ Rome, Dept Neurosci Mental Hlth & Sensory Organs NESMOS, Fac Med & Psychol, Via Grottarossa 1035-1039, I-00189 Rome, ItalySt Andrea Hosp, Neuromuscular & Rare Dis Ctr, Via Grottarossa 1035-1039, I-00189 Rome, Italy
Tufano, Laura
Costanzo, Rocco
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St Andrea Hosp, Neuromuscular & Rare Dis Ctr, Via Grottarossa 1035-1039, I-00189 Rome, Italy
Sapienza Univ Rome, Dept Neurosci Mental Hlth & Sensory Organs NESMOS, Fac Med & Psychol, Via Grottarossa 1035-1039, I-00189 Rome, ItalySt Andrea Hosp, Neuromuscular & Rare Dis Ctr, Via Grottarossa 1035-1039, I-00189 Rome, Italy
Costanzo, Rocco
Marchetti, Paolo
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IRCCS IDI Ist Dermopat Immacolata, I-00167 Rome, ItalySt Andrea Hosp, Neuromuscular & Rare Dis Ctr, Via Grottarossa 1035-1039, I-00189 Rome, Italy
Marchetti, Paolo
Salvetti, Marco
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Sapienza Univ Rome, Dept Neurosci Mental Hlth & Sensory Organs NESMOS, Fac Med & Psychol, Via Grottarossa 1035-1039, I-00189 Rome, Italy
St Andrea Hosp, Neurol Unit, Via Grottarossa 1035-1039, I-00189 Rome, ItalySt Andrea Hosp, Neuromuscular & Rare Dis Ctr, Via Grottarossa 1035-1039, I-00189 Rome, Italy
Salvetti, Marco
Garibaldi, Matteo
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St Andrea Hosp, Neuromuscular & Rare Dis Ctr, Via Grottarossa 1035-1039, I-00189 Rome, Italy
Sapienza Univ Rome, Dept Neurosci Mental Hlth & Sensory Organs NESMOS, Fac Med & Psychol, Via Grottarossa 1035-1039, I-00189 Rome, ItalySt Andrea Hosp, Neuromuscular & Rare Dis Ctr, Via Grottarossa 1035-1039, I-00189 Rome, Italy
Garibaldi, Matteo
Morino, Stefania
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St Andrea Hosp, Neuromuscular & Rare Dis Ctr, Via Grottarossa 1035-1039, I-00189 Rome, Italy
St Andrea Hosp, Neurol Unit, Via Grottarossa 1035-1039, I-00189 Rome, ItalySt Andrea Hosp, Neuromuscular & Rare Dis Ctr, Via Grottarossa 1035-1039, I-00189 Rome, Italy
Morino, Stefania
Antonini, Giovanni
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Sapienza Univ Rome, Dept Neurosci Mental Hlth & Sensory Organs NESMOS, Fac Med & Psychol, Via Grottarossa 1035-1039, I-00189 Rome, ItalySt Andrea Hosp, Neuromuscular & Rare Dis Ctr, Via Grottarossa 1035-1039, I-00189 Rome, Italy
机构:
Univ Texas MD Anderson Canc Ctr, Dept Gastroenterol Hepatol & Nutr, Houston, TX 77030 USAUniv Texas MD Anderson Canc Ctr, Dept Gastroenterol Hepatol & Nutr, Houston, TX 77030 USA
Thomas, Anusha S.
Lu, Yang
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Univ Texas MD Anderson Canc Ctr, Dept Nucl Med, Houston, TX 77030 USAUniv Texas MD Anderson Canc Ctr, Dept Gastroenterol Hepatol & Nutr, Houston, TX 77030 USA
Lu, Yang
Campbell, Mathew
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Univ Texas MD Anderson Canc Ctr, Dept Genitourinary Med Oncol, Houston, TX 77030 USAUniv Texas MD Anderson Canc Ctr, Dept Gastroenterol Hepatol & Nutr, Houston, TX 77030 USA
Campbell, Mathew
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Thompson, John A.
Tan, Dongfeng
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Univ Texas MD Anderson Canc Ctr, Dept Pathol, Houston, TX 77030 USAUniv Texas MD Anderson Canc Ctr, Dept Gastroenterol Hepatol & Nutr, Houston, TX 77030 USA
Tan, Dongfeng
Faleck, David M.
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Mem Sloan Kettering Canc Ctr, Gastroenterol Hepatol & Nutr Serv, New York, NY USAUniv Texas MD Anderson Canc Ctr, Dept Gastroenterol Hepatol & Nutr, Houston, TX 77030 USA
Faleck, David M.
Wang, Yinghong
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Univ Texas MD Anderson Canc Ctr, Dept Gastroenterol Hepatol & Nutr, Houston, TX 77030 USAUniv Texas MD Anderson Canc Ctr, Dept Gastroenterol Hepatol & Nutr, Houston, TX 77030 USA
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Department of Internal Medicine, Medstar Washington Hospital CenterDepartment of Internal Medicine, Medstar Washington Hospital Center
Aniruddh Som
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Rohan Mandaliya
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Dana Alsaadi
Maham Farshidpour
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Department of Internal Medicine, MedStar Union Memorial Hospital and Good Samaritan HospitalDepartment of Internal Medicine, Medstar Washington Hospital Center
Maham Farshidpour
Aline Charabaty
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Department of Gastroenterology, Sibley Memorial HospitalDepartment of Internal Medicine, Medstar Washington Hospital Center
Aline Charabaty
Nidhi Malhotra
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Department of Gastroenterology, MedStar Washington Hospital CenterDepartment of Internal Medicine, Medstar Washington Hospital Center
Nidhi Malhotra
Mark C Mattar
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Department of Gastroenterology, MedStar Georgetown University HospitalDepartment of Internal Medicine, Medstar Washington Hospital Center