Predicting and Preventing Immune Checkpoint Inhibitor Toxicity: Targeting Cytokines

被引:74
作者
Kang, Jee Hye [1 ,2 ]
Bluestone, Jeffrey A. [1 ,2 ,3 ]
Young, Arabella [1 ,2 ,4 ]
机构
[1] Univ Calif San Francisco, Sean N Parker Autoimmune Res Lab, San Francisco, CA 94143 USA
[2] Univ Calif San Francisco, Ctr Diabet, San Francisco, CA 94143 USA
[3] Sonoma Biotherapeut, San Francisco, CA USA
[4] QIMR Berghofer Med Res Inst, Herston, Qld, Australia
基金
美国国家卫生研究院; 英国医学研究理事会;
关键词
ADVERSE EVENTS; 1ST-LINE TREATMENT; ADVANCED MELANOMA; CLINICAL IMPACT; INDUCED COLITIS; TH17; CELLS; ANTI-TNF; CANCER; IPILIMUMAB; NIVOLUMAB;
D O I
10.1016/j.it.2021.02.006
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Cancer immunotherapies can successfully activate immune responses towards certain tumors. However, this can also result in the development of treatmentinduced immune-related adverse events (irAEs) in multiple tissues. Growing evidence suggests that cytokine production in response to these therapeutics potentiates the development of irAEs and may have predictive value as biomarkers for irAE occurrence. In addition, therapeutic agents that inhibit cytokine activity can limit the severity of irAEs, and their use is being tested in the clinical setting. This review provides an in-depth analysis of strategies to uncouple the cytokine response, that precipitates irAEs following cancer immunotherapies, from the benefit gained in promoting antitumor immunity.
引用
收藏
页码:293 / 311
页数:19
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