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免疫治疗肺癌诱发甲状腺功能异常的研究进展

Research progress on thyroid dysfunction induced by immunotherapy for lung cancer

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【作者】 张皓婷郑静傅梦姣周建英

【Author】 ZHANG Haoting;ZHENG Jing;FU Mengjiao;ZHOU Jianying;Department of Respiratory and Critical Care Medicine,The Fourth Affiliated Hospital,Zhejiang University School of Medicine,International Institutes of Medicine,Zhejiang University;Department of Respiratory and Critical Care Medicine,The First Affiliated Hospital,Zhejiang University School of Medicine;

【通讯作者】 周建英;

【机构】 浙江大学医学院附属第四医院呼吸与危重症医学科,浙江大学国际健康医学研究院浙江大学医学院附属第一医院呼吸与危重症医学科

【摘要】 免疫检查点抑制剂[主要是程序性死亡-1/程序性死亡配体-1(programmed death-1/programmed death ligand-1,PD-1/PD-L1)抑制剂]已经逐渐成为晚期肺癌最具有前景的治疗手段。但临床医师对于免疫相关不良反应仍缺乏足够认识,免疫相关甲状腺功能异常(immune-related thyroid dysfunction,irTD)作为常见的免疫相关不良反应之一,严重时可能会危及生命。本文从发病率、发病机制、预测生物标志物及治疗等方面对PD-1/PD-L1抑制剂治疗肺癌诱发的甲状腺功能异常进行探讨。

【Abstract】 Immune checkpoint inhibitors [mainly programmed death-1/programmed death ligand-1(PD-1/PD-L1) inhibitors have emerged as the most promising therapy in lung cancer treatment. However, clinicians still lack sufficient knowledge about immune-related adverse events. Immune-related thyroid dysfunction(irTD), one of the common immune-related adverse events, can be life-threatening in severe cases. This article discussed the thyroid dysfunction induced by PD-1/PD-L1 inhibitors in the treatment of lung cancer from the aspects of the incidence, pathogenesis, predictive biomarkers and treatment of irTD.

【基金】 浙江省科学技术厅重点研发计划(2019C03042)
  • 【文献出处】 中国癌症杂志 ,China Oncology , 编辑部邮箱 ,2023年07期
  • 【分类号】R734.2;R581
  • 【下载频次】28
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