首页|免疫检查点抑制剂相关心肌炎的诊断与治疗研究进展

免疫检查点抑制剂相关心肌炎的诊断与治疗研究进展

Research progress in the diagnosis and treatment of immune checkpoint inhibitors related myocarditis

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随着肿瘤学及免疫学在临床上的广泛发展,将其应用于恶性肿瘤患者的治疗现已成为抗肿瘤治疗领域的最为先进的治疗方式.作为新型抗肿瘤药物,免疫检查点抑制剂(ICIs)是肿瘤患者实施免疫治疗的重要方法,现已被广泛应用于恶性肿瘤患者的治疗.ICIs的使用对改善晚期恶性肿瘤患者的预后尤为重要,为恶性肿瘤患者的治疗带来突破性进展,可在极大程度上延长患者生存时间、提升患者的生活质量.但ICIs在治疗的同时,不可避免地带来免疫相关的不良反应,其中以ICIs相关的心肌炎发生风险较高,目前临床上对于ICIs相关心肌炎的发病机制及病因暂无明确定义,可能与T细胞激活、免疫检查、自身抗体的产生等因素存在密切联系,在此过程中若患者不及时诊断及治疗,可对其生命安全造成严重威胁.本文分别从ICIs相关心肌炎定义及发病机制分析、ICIs相关心肌炎的临床诊断、ICIs相关心肌炎的临床治疗等方面展开综述,以为临床治疗ICIs相关心肌炎提供有效的参考依据.
With the widespread development of oncology and immunology in clinical practice,its application in the treat-ment of malignant tumor patients has become the most advanced treatment method in the field of anti-tumor therapy.As a new type of anti-tumor drug,immune checkpoint inhibitors(ICIs)are an important method for implementing immunotherapy in cancer patients and have been widely used in the treatment of malignant tumor patients.The use of ICIs is particularly important for improving the prognosis of advanced malignant tumor patients,bringing breakthrough progress to the treatment of malignant tumor patients,and can greatly prolong their survival time and improve their quality of life.However,the treatment of ICIs inevitably brings about immune related adverse reactions,among which ICIs related myocarditis has a higher risk of occurrence.Currently,there is no clear definition of the pathogenesis and etiology of ICIs related myocarditis in clinical practice,which may be closely related to factors such as T cell activation,immune testing,and the production of autoantibodies.If patients are not diagnosed and treated in a timely manner during this process,it can pose a serious threat to their life safety.Therefore,this article reviews the definition and pathogenesis of ICIs related myocarditis,clinical diagnosis of ICIs related myocarditis,and clinical treatment of ICIs related myocarditis,providing effective reference for clinical treatment of ICIs related myocarditis.

Immunocheckpoint inhibitor associated myocarditisMalignant tumorsEchocardiographyCardiac magnetic resonance imaging

廖春耀、吴利东、廖梦研

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南昌大学第二附属医院急诊科,江西南昌 330006

南昌大学抚州医学院临床医学院,江西抚州 344099

免疫检查点抑制剂相关心肌炎 恶性肿瘤 超声心动图 心脏磁共振成像

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(17)