Emerging Management Approach for the Adverse Events of Immunotherapy of Cancer

被引:37
作者
Rahman, Md. Mominur [1 ]
Behl, Tapan [2 ]
Islam, Md. Rezaul [1 ]
Alam, Md. Noor [1 ]
Islam, Md. Mohaimenul [1 ]
Albarrati, Ali [3 ]
Albratty, Mohammed [4 ]
Meraya, Abdulkarim M. [5 ]
Bungau, Simona Gabriela [6 ,7 ]
机构
[1] Daffodil Int Univ, Fac Allied Hlth Sci, Dept Pharm, Dhaka 1207, Bangladesh
[2] Chitkara Univ, Chitkara Coll Pharm, Rajpura 140401, India
[3] King Saud Univ, Coll Appl Med Sci, Rehabil Hlth Sci, Riyadh 12372, Saudi Arabia
[4] Jazan Univ, Dept Pharmaceut Chem, Coll Pharm, Jazan 45142, Saudi Arabia
[5] Jazan Univ, Coll Pharm, Dept Clin Pharm, Practice Res Unit, Jazan 45124, Saudi Arabia
[6] Univ Oradea, Fac Med & Pharm, Dept Pharm, Oradea 410028, Romania
[7] Univ Oradea, Doctoral Sch Biomed Sci, Oradea 410073, Romania
来源
MOLECULES | 2022年 / 27卷 / 12期
关键词
immunotherapy; cancer; chemotherapy; immune checkpoint inhibitors; cytokines; interferon-alpha; IMMUNE CHECKPOINT INHIBITORS; CELL LUNG-CANCER; CAR-T CELLS; ANTI-PD-1; ANTIBODY; ADVANCED MELANOMA; PD-1; BLOCKADE; STAGE-III; B-CELL; COMBINED NIVOLUMAB; COLORECTAL-CANCER;
D O I
10.3390/molecules27123798
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Immunotherapy, which stimulates the body's immune system, has received a considerable amount of press in recent years because of its powerful benefits. Cancer immunotherapy has shown long-term results in patients with advanced disease that are not seen with traditional chemotherapy. Immune checkpoint inhibitors, cytokines like interleukin 2 (IL-2) and interferon-alpha (IFN), and the cancer vaccine sipuleucel-T have all been licensed and approved by the FDA for the treatment of various cancers. These immunotherapy treatments boost anticancer responses by stimulating the immune system. As a result, they have the potential to cause serious, even fatal, inflammatory and immune-related side effects in one or more organs. Immune checkpoint inhibitors (ICPIs) and chimeric antigen receptor (CAR) T-cell therapy are two immunotherapy treatments that are increasingly being used to treat cancer. Following their widespread usage in the clinic, a wave of immune-related adverse events (irAEs) impacting virtually every system has raised concerns about their unpredictability and randomness. Despite the fact that the majority of adverse effects are minimal and should be addressed with prudence, the risk of life-threatening complications exists. Although most adverse events are small and should be treated with caution, the risk of life-threatening toxicities should not be underestimated, especially given the subtle and unusual indications that make early detection even more difficult. Treatment for these issues is difficult and necessitates a multidisciplinary approach involving not only oncologists but also other internal medicine doctors to guarantee quick diagnosis and treatment. This study's purpose is to give a fundamental overview of immunotherapy and cancer-related side effect management strategies.
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页数:27
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