国际肿瘤学杂志 ›› 2021, Vol. 48 ›› Issue (5): 296-301.doi: 10.3760/cma.j.cn371439-20210115-00057

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非小细胞肺癌免疫检查点抑制剂相关性肺炎的危险因素及预测生物标志物

王慧1, 夏茸1, 魏清雯2, 万毅新1()   

  1. 1兰州大学第二医院呼吸内科 730030
    2兰州市肺科医院呼吸内科 730030
  • 收稿日期:2021-01-15 修回日期:2021-04-01 出版日期:2021-05-08 发布日期:2021-06-09
  • 通讯作者: 万毅新 E-mail:wanyx1964@163.com

Risk factors and predictive biomarkers of immune checkpoint inhibitor-associated pneumonia in non-small cell lung cancer

Wang Hui1, Xia Rong1, Wei Qingwen2, Wan Yixin1()   

  1. 1Department of Respiratory Medicine, Lanzhou University Second Hospital, Lanzhou 730030, China
    2Department of Respiratory Medicine, Lanzhou Pulmonary Hospital, Lanzhou 730030, China
  • Received:2021-01-15 Revised:2021-04-01 Online:2021-05-08 Published:2021-06-09
  • Contact: Wan Yixin E-mail:wanyx1964@163.com

摘要:

免疫检查点抑制剂(ICI)的应用改变了非小细胞肺癌(NSCLC)的临床结局,随着ICI的广泛应用,与免疫相关的不良反应(irAE)也随之出现。免疫检查点抑制剂肺炎(CIP)为ICI治疗的严重不良事件,亟需引起临床医师的重视。因此,早期识别发生CIP的高危人群,尽早进行干预,可减少患者永久性停药、严重CIP的发生,从而改善患者预后。

关键词: 癌,非小细胞肺, 免疫检查点抑制剂, 危险因素, 生物标志物

Abstract:

The use of immune checkpoint inhibitors (ICIs) has changed the clinical outcome of non-small cell lung cancer (NSCLC), with the widespread application of ICIs, immune-related adverse events (irAEs) have also appeared. Immune checkpoint inhibitor pneumonitis (CIP) is a serious adverse event of ICIs treatment that needs attention. Therefore, early identification of high-risk groups of CIPs and early intervention can reduce the occurrence of permanent drug withdrawal and severe CIPs, thereby improving patients' prognosis.

Key words: Carcinoma,non-small-cell lung, Immune checkpoint inhibitors, Risk factors, Biomarkers