Check this out: treatment paradigms in immune-checkpoint inhibitor colitis

被引:3
|
作者
Kiparizoska, Sara [1 ,4 ]
Murphy, Megan E. [2 ,3 ]
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
关键词
immune checkpoint inhibitors; immune-checkpoint inhibitor colitis; immune-related adverse events; CORTICOSTEROIDS;
D O I
10.1097/MOG.0000000000000892
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
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, .
引用
收藏
页码:43 / 49
页数:7
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