Advancing precision medicine: Uncovering biomarkers and strategies to mitigate immune-related adverse events in immune checkpoint inhibitors therapy.

Q1 Environmental Science
Toxicology Reports Pub Date : 2025-04-24 eCollection Date: 2025-06-01 DOI:10.1016/j.toxrep.2025.102035
K L Nityashree, P Rachitha, Shilpa Hanchinmane, Vinay B Raghavendra
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引用次数: 0

Abstract

Immune-related adverse events (irAEs) can have a major influence on patient outcomes, but their usage is frequently confounded by immune checkpoint inhibitors (ICIs), which have revolutionized cancer treatment by increasing anti-tumor immunity. With a focus on immunological dysregulation and the resulting tissue-specific toxicities, this review clarifies the fundamental processes of irAEs. We look at contemporary clinical treatment techniques to lessen the impact of these adverse events, such as the application of immunosuppressants and patient monitoring procedures. Additionally, it is emphasized how future research is necessary to find predictive biomarkers that can forecast the development of irAEs, allowing for early intervention and individualized therapy methods. In order to improve the therapeutic index of ICIs, we also examine the crucial balance between optimizing anti-tumor activity and reducing immunotoxicity. This study aims to further the existing discussion on enhancing the safety and effectiveness of ICI medicines, which will eventually improve cancer patient care, by pointing out possible research avenues.

推进精准医学:揭示生物标志物和策略,以减轻免疫检查点抑制剂治疗中的免疫相关不良事件。
免疫相关不良事件(irAEs)可以对患者的预后产生重大影响,但它们的使用经常与免疫检查点抑制剂(ICIs)混淆,后者通过增加抗肿瘤免疫而彻底改变了癌症治疗。随着免疫失调和由此产生的组织特异性毒性的重点,这篇综述澄清了irae的基本过程。我们着眼于当代临床治疗技术,以减轻这些不良事件的影响,如应用免疫抑制剂和患者监测程序。此外,作者还强调,未来的研究需要找到能够预测irae发展的预测性生物标志物,从而实现早期干预和个性化治疗方法。为了提高ICIs的治疗指标,我们还研究了优化抗肿瘤活性和降低免疫毒性之间的关键平衡。本研究旨在通过指出可能的研究途径,进一步探讨提高ICI药物的安全性和有效性,从而最终改善癌症患者的护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Toxicology Reports
Toxicology Reports Environmental Science-Health, Toxicology and Mutagenesis
CiteScore
7.60
自引率
0.00%
发文量
228
审稿时长
11 weeks
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