国际肿瘤学杂志 ›› 2025, Vol. 52 ›› Issue (10): 637-640.doi: 10.3760/cma.j.cn371439-20241030-00109

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免疫检查点抑制剂相关结核感染研究进展

刘洵祺, 安江宏()   

  1. 深圳市第三人民医院肿瘤内科,深圳 518112
  • 收稿日期:2024-10-30 修回日期:2025-02-22 出版日期:2025-10-08 发布日期:2025-11-12
  • 通讯作者: 安江宏 E-mail:anjh931@aliyun.com
  • 基金资助:
    深圳市第三人民医院院级课题(G2022148)

Research progress in immune checkpoint inhibitor associated tuberculosis infection

Liu Xunqi, An Jianghong()   

  1. Department of Medical Oncology, Shenzhen Third People's Hospital, Shenzhen 518112, China
  • Received:2024-10-30 Revised:2025-02-22 Online:2025-10-08 Published:2025-11-12
  • Contact: An Jianghong E-mail:anjh931@aliyun.com
  • Supported by:
    Project of Third People's Hospital of Shenzhen(G2022148)

摘要:

近年来,程序性死亡受体1/程序性死亡受体配体1抑制剂作为免疫检查点抑制剂(ICI)的代表,成为肿瘤治疗领域的重要进展,显著改善了肿瘤患者的生存预后。然而,ICI治疗伴随的免疫相关不良事件给临床管理带来挑战,尤其是活动性结核病和结核潜伏感染再激活引起广泛关注。其发生机制可能与免疫系统的过度激活及宿主-病原体关系的变化密切相关。因此,如何有效预测和管理这些不良反应成为当前研究的热点。

关键词: 肿瘤, 免疫检查点抑制剂, 结核

Abstract:

In recent years, programmed death-1/programmed death-ligand 1 inhibitors, as representatives of immune checkpoint inhibitors (ICIs), have become an important advancement in the field of tumor therapy, significantly improving the survival and prognosis of tumor patients. However, immune-related adverse events associated with ICIs treatment pose challenges for clinical management. In particular, the emergence of active tuberculosis and reactivation of latent tuberculosis infection has attracted attention, and its mechanism may be closely related to the overactivation of the immune system and the changes of host-pathogen relationship. How to effectively predict and manage these adverse reactions has become a hot topic of current research.

Key words: Neoplasms, Immune checkpoint inhibitors, Tuberculosis