Immune Checkpoint Inhibitor-Induced Liver Injury

IF 4.3 3区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY
Cathrin L.C. Gudd, Roosey Sheth, Mark R. Thursz, Evangelos Triantafyllou, Lucia A. Possamai
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引用次数: 0

Abstract

In recent years cancer treatment has been revolutionized by the development and wide application of checkpoint inhibitor (CPI) drugs, which are a form of immunotherapy. CPI treatment is associated with immune-related adverse events, off-target tissue destructive inflammatory complications, which may affect a range of organs, with liver inflammation (hepatitis) being one of the more commonly noted events. This is a novel form of drug-induced liver injury and a rapidly evolving field, as our understanding of both the basic immunopathology of CPI hepatitis (CPI-H) and optimal clinical management, races to catch up with the increasing application of this form of immunotherapy in clinical practice. In this review, we summarize current evidence and understanding of CPI-H, from fundamental immunology to practical patient management.

免疫检查点抑制剂诱发的肝损伤
近年来,作为一种免疫疗法,检查点抑制剂(CPI)药物的开发和广泛应用给癌症治疗带来了革命性的变化。CPI治疗与免疫相关的不良反应、脱靶组织破坏性炎症并发症有关,可能会影响一系列器官,肝脏炎症(肝炎)是最常见的不良反应之一。这是药物诱导肝损伤的一种新形式,也是一个快速发展的领域,因为我们对 CPI 肝炎(CPI-H)的基本免疫病理学和最佳临床管理的理解,正在赶上这种形式的免疫疗法在临床实践中越来越多的应用。在这篇综述中,我们总结了当前 CPI-H 的证据和认识,从基础免疫学到实际患者管理。
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来源期刊
Seminars in liver disease
Seminars in liver disease 医学-胃肠肝病学
CiteScore
8.20
自引率
2.40%
发文量
38
期刊介绍: Seminars in Liver Disease is a quarterly review journal that publishes issues related to the specialties of hepatology and gastroenterology. As the premiere review journal in the field, Seminars in Liver Disease provides in-depth coverage with articles and issues focusing on topics such as cirrhosis, transplantation, vascular and coagulation disorders, cytokines, hepatitis B & C, Nonalcoholic Steatosis Syndromes (NASH), pediatric liver diseases, hepatic stem cells, porphyrias as well as a myriad of other diseases related to the liver. Attention is also given to the latest developments in drug therapy along with treatment and current management techniques. Seminars in Liver Disease publishes commissioned reviews. Unsolicited reviews of an exceptional nature or original articles presenting remarkable results will be considered, but case reports will not be published.
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