国际肿瘤学杂志 ›› 2017, Vol. 44 ›› Issue (11): 860-863.doi: 10.3760/cma.j.issn.1673-422X.2017.11.014

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免疫检查点抑制剂在肿瘤治疗中的不良反应及对症治疗

周丽娜,李红梅   

  1. 266000 青岛大学附属医院肿瘤化疗科
  • 收稿日期:2017-05-02 出版日期:2017-11-08 发布日期:2017-11-24
  • 通讯作者: 李红梅 E-mail:17853298098@163.com

Adverse reactions and symptomatic treatment of immunological checkpoint inhibitors in tumor therapy

Zhou Li′na, Li Hongmei   

  1. Department of Chemotherapy, Affiliated Hospital of Qingdao University, Qingdao 266000, China
  • Received:2017-05-02 Online:2017-11-08 Published:2017-11-24
  • Contact: Li Hongmei E-mail:17853298098@163.com

摘要: 免疫检查点抑制剂包括细胞毒性T淋巴细胞抗原4(CTLA4)和程序性死亡受体1(PD1)的单克隆抗体,其中抗CTLA4药物伊匹单抗、抗PD1药物帕姆单抗和纳武单抗可用于黑色素瘤和非小细胞肺癌的治疗,对肾细胞癌、膀胱癌、乳腺癌、胃肠道肿瘤等的疗效还在大规模临床试验中。这些药物在临床的应用取得了较好的效果,但是也不可避免地带来了许多不良反应。

关键词: 肿瘤, 免疫检查点抑制剂

Abstract: Immunological checkpoint inhibitors include monoclonal antibodies of cytotoxic T lymphocyte antigen4 (CTLA4) and programmed cell death1 (PD1). AntiCTLA4 drug ezetimab (ipilimumab) and antiPD1 drug (pembrolizumab and nivolumab) are approved for the treatment of melanoma and nonsmall cell lung cancer. The effects of these drugs on renal cell carcinoma, bladder cancer, breast cancer, gastrointestinal cancer and other types of cancers are still in largescale clinical trials. These drugs have good effects in the clinical application, but they inevitably lead to many adverse reactions.

Key words: Neoplasms, Immunological checkpoint inhibitors