It
is
crucial
to
accurately
identify
patients
with
cancer
at
high
risk
for
immune‑related
adverse
events
(irAEs)
caused
by
immune
checkpoint
inhibitors
(ICIs).
The
present
retrospective
study
analyzed
the
factors
irAEs
in
992
treated
ICIs
Xi'an
International
Medical
Center
Hospital
from
December
2021
2023.
were
categorized
into
one
group
that
experienced
(n=276)
and
a
control
(n=716)
based
on
occurrence
of
irAEs.
clinical
characteristics
cancer.
Multivariate
regression
analysis
revealed
significant
differences
between
two
groups
terms
hypertension,
primary
cancer,
metastasis,
targeted
drug
combination
radiotherapy
(P<0.05).
A
nomogram
predictive
model
was
developed
relevant
factors.
yielded
an
area
under
receiver
operating
characteristic
(ROC)
curve
0.672
(95%
confidence
interval:
0.630‑0.714).
In
validation
set,
Hosmer‑Lemeshow
goodness‑of‑fit
test
demonstrated
favorable
fit
chi‑square
value
0.787
P‑value
0.978.
can
effectively
high‑risk
irAEs,
facilitate
early
identification
thereby
optimizing
management
strategies
ultimately
improving
quality
life
patients.
Cell Proliferation,
Год журнала:
2024,
Номер
57(8)
Опубликована: Апрель 9, 2024
Abstract
Chemotherapy,
radiotherapy,
and
immunotherapy
represent
key
tumour
treatment
strategies.
Notably,
immune
checkpoint
inhibitors
(ICIs),
particularly
anti‐programmed
cell
death
1
(PD1)
ligand
(PD‐L1),
have
shown
clinical
efficacy
in
immunotherapy.
However,
the
limited
effectiveness
of
ICIs
is
evident
due
to
many
cancers
exhibiting
poor
responses
this
treatment.
An
emerging
avenue
involves
triggering
non‐apoptotic
regulated
(RCD),
a
significant
mechanism
driving
cancer
diverse
treatments.
Recent
research
demonstrates
that
combining
RCD
inducers
with
significantly
enhances
their
antitumor
across
various
types.
The
use
anti‐PD‐1/PD‐L1
activates
CD8
+
T
cells,
prompting
initiation
novel
forms,
such
as
ferroptosis,
pyroptosis,
necroptosis.
functions
mechanisms
anti‐PD1/PD‐L1
therapy
remain
insufficiently
explored.
This
review
summarises
roles
necroptosis
It
emphasises
synergy
between
nanomaterials
PD‐1/PD‐L1
induce
different
Furthermore,
targeting
signalling
pathways
combination
therapies
holds
promise
prospective
strategy
for
Antibodies,
Год журнала:
2024,
Номер
13(3), С. 59 - 59
Опубликована: Июль 17, 2024
This
study
aimed
to
identify
the
25
most
prevalent
adverse
events
(AEs)
associated
with
FDA-approved
immune
checkpoint
inhibitors
(ICIs)-specifically,
PD-1,
PD-L1,
CTLA-4,
and
LAG-3
inhibitors-using
data
from
FDA
Adverse
Events
Reporting
System
(FAERS),
a
publicly
available
repository
of
reported
drug
events,
AERSMine,
an
open-access
pharmacovigilance
tool,
investigate
these
events.
For
PD-1
inhibitors,
common
AEs
were
diarrhea,
fatigue,
pyrexia,
notable
instances
neutropenia
hypothyroidism,
particularly
toripalimab
dostarlimab.
PD-L1
also
frequently
caused
interstitial
lung
disease
hypothyroidism
showing
class
effect,
drug-specific
such
as
hepatotoxicity
chills.
CTLA-4
predominantly
resulted
in
diarrhea
colitis,
ipilimumab
causing
pyrexia
rash,
while
tremelimumab
exhibited
unique
biliary
tract
infection.
The
inhibitor
relatlimab
fewer
AEs,
including
pneumonia.
Rare
but
significant
across
all
included
myocarditis
myasthenia
gravis.
provides
detailed
overview
ICIs,
offering
valuable
insights
for
clinical
decision-making
AE
management.
Further
research
is
necessary
elucidate
mechanisms
underlying
develop
targeted
interventions
enhance
safety
efficacy
ICI
therapy
patients
cancer.
In
recent
years,
immune
checkpoint
inhibitors
(ICI)
have
revolutionized
the
treatment
landscape
of
renal
cell
carcinoma
(RCC),
significantly
enhanced
patient
outcomes
and
expanded
therapeutic
options
beyond
traditional
surgical
targeted
approaches.
this
review,
we
provide
a
comprehensive
review
current
applications
ICI
in
RCC
therapy,
elucidating
their
mechanisms
action,
clinical
efficacy
across
both
clear
non-clear
subtypes,
safety
profiles.
We
compare
effectiveness
monotherapy
versus
combination
therapies,
demonstrating
how
synergistic
approaches
can
improve
durability
responses.
Furthermore,
explore
integration
multi-omics
technologies,
such
as
single-cell
RNA
sequencing
spatial
transcriptomics,
which
are
pivotal
predicting
response
addressing
resistance
mechanisms.
Our
discussion
also
addresses
critical
challenges
immunotherapy,
including
primary
acquired
resistance,
economic
ethical
barriers,
management
immune-related
adverse
events.
By
synthesizing
research
findings,
aims
to
valuable
insights
for
optimizing
fostering
development
more
effective
individualized
protocols,
ultimately
improving
survival
quality
life.
Frontiers in Immunology,
Год журнала:
2025,
Номер
16
Опубликована: Фев. 25, 2025
Thyroid
dysfunction
is
a
common
immune-related
adverse
event
(irAE)
associated
with
immune
checkpoint
inhibitors
(ICIs)
that
target
PD-1,
PD-L1,
and
CTLA-4.
Nevertheless,
the
incidence
of
severe
cases,
defined
as
grade
3
or
higher,
remains
rare.
This
report
presents
detailed
case
study
thyroiditis
in
patient
non-small
cell
lung
cancer
(NSCLC)
who
developed
following
single
cycle
sintilimab
monotherapy.
The
clinical
presentation
this
was
remarkable
for
its
early
onset,
occurring
one
week
after
initiation
therapy,
manifestations.
During
hospitalization,
prompt
accurate
differential
diagnosis
performed.
Sintilimab
treatment
discontinued,
promptly
started
on
high-dose
glucocorticoids,
tapering
schedule
implemented
condition
improved
reached
Common
Terminology
Criteria
Adverse
Events
(CTCAE)
1
lower.
subsequently
overt
hypothyroidism,
necessitating
thyroxine
replacement
therapy.
Furthermore,
we
provide
comprehensive
review
mechanisms
risk
factors
thyroid
events
(TD-irAEs).
It
imperative
clinicians
to
meticulously
monitor
symptoms
exhibited
by
patients.
For
those
presenting
symptoms,
appropriate
symptomatic
management
are
essential.
Additionally,
regular
function
testing
recommended
high-risk
patients,
advocate
assessment
baseline
levels
peroxidase
antibodies
(TPOAb)
thyroglobulin
(TGAb)
prior
initiating
ICI
treatment.
Frontiers in Immunology,
Год журнала:
2024,
Номер
15
Опубликована: Окт. 22, 2024
Background
Chemotherapy
combined
with
PD-1
inhibitor
treatment
has
revolutionized
the
standard
of
care
for
patients
NSCLC.
However,
benefit
is
not
universal,
highlighting
need
precise
prediction
factors.
Given
their
relationship
immune
system
and
non-invasive
nature,
serum
cytokines
are
potential
candidates
predicting
clinical
effects
chemoimmunotherapy.
Our
study
aims
to
evaluate
association
prognosis
NSCLC
treated
Methods
Levels
10
were
detected
in
60
receiving
chemotherapy
plus
inhibitor-based
treatment.
Of
these,
dynamic
samples
from
19
collected
at
baseline
after
two
cycles.
Their
patients’
clinicopathological
characteristics,
PFS
OS
was
described
investigated
using
survival
analysis,
cox
regression
time-dependent
ROC
analysis.
Preliminary
evaluation
changes
cytokine
levels
associated
response
conducted.
Results
Patients
lower
IL-6,
IL-5,
IL-8,
TNF-α
IL-10
had
longer
PFS,
while
higher
IL-4
PFS.
IL-22,
OS,
OS.
Multivariate
analysis
suggested
that
IL-6
IL-5
poorer
dismal
Additionally,
could
be
response.
Conclusion
suggests
cytokines,
specifically
TNF-α,
IL-10,
IL-4,
prognostic
factors