Check this out: treatment paradigms in immune-checkpoint inhibitor colitis
被引:3
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作者:
Kiparizoska, Sara
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机构:
Medstar Georgetown Univ Hosp, Dept Med, Washington, DC 20007 USA
Medstar Georgetown Univ Hosp, 3800 Reservoir Rd, 5PHC, Washington, DC 20007 USAMedstar Georgetown Univ Hosp, Dept Med, Washington, DC 20007 USA
Kiparizoska, Sara
[1
,4
]
Murphy, Megan E.
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机构:
Medstar Georgetown Univ Hosp, Dept Gastroenterol, Washington, DC 20007 USA
NYU, Dept Gastroenterol, New York, NY USAMedstar Georgetown Univ Hosp, Dept Med, Washington, DC 20007 USA
Murphy, Megan E.
[2
,3
]
Mattar, Mark C.
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机构:
Medstar Georgetown Univ Hosp, Dept Gastroenterol, Washington, DC 20007 USAMedstar Georgetown Univ Hosp, Dept Med, Washington, DC 20007 USA
Mattar, Mark C.
[2
]
机构:
[1] Medstar Georgetown Univ Hosp, Dept Med, Washington, DC 20007 USA
[2] Medstar Georgetown Univ Hosp, Dept Gastroenterol, Washington, DC 20007 USA
[3] NYU, Dept Gastroenterol, New York, NY USA
[4] Medstar Georgetown Univ Hosp, 3800 Reservoir Rd, 5PHC, Washington, DC 20007 USA
Purpose of review Immune checkpoint inhibitors (ICI) have become a pillar of cancer therapy for many people around the world. However, up to two-thirds of all patients undergoing ICI therapy will have immune-related adverse events (irAEs), including immune-checkpoint inhibitor colitis (ICIC). This review summarizes the most valuable and currently available information about the mechanism, diagnosis, and management of ICIC. Recent findings Recent findings include several developments on the leading theories for the mechanisms of ICIC such as the role of the gut microbiome. New emerging therapy strategies include tocilizumab, ustekinumab, mycophenolate mofetil, and calcineurin inhibitors. Summary The occurrence of irAEs remains a limiting factor for the use of immunotherapy in cancer treatment. Prompt diagnosis of ICIC with endoscopy and histologic confirmation can lead to early utilization of known effective treatments such as corticosteroids, infliximab, vedolizumab, and other emerging therapy strategies. We summarize the key points of this review article in our abstract video, Supplemental Digital Content 1, .
机构:
Guys & St Thomas NHS Fdn Trust, Guys Hosp, St Johns Inst Dermatol, London, EnglandGuys & St Thomas NHS Fdn Trust, Guys Hosp, St Johns Inst Dermatol, London, England
O'Connor, Jane
Zhang, Shuai
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机构:
Maidstone & Tunbridge Wells NHS Trust, Dept Med Oncol, Kent Oncol Ctr, Maidstone Gen Hosp, Maidstone, Kent, EnglandGuys & St Thomas NHS Fdn Trust, Guys Hosp, St Johns Inst Dermatol, London, England
Zhang, Shuai
Galante, Joao R.
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Maidstone & Tunbridge Wells NHS Trust, Dept Med Oncol, Kent Oncol Ctr, Maidstone Gen Hosp, Maidstone, Kent, EnglandGuys & St Thomas NHS Fdn Trust, Guys Hosp, St Johns Inst Dermatol, London, England
Galante, Joao R.
Mee, John
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机构:
Guys & St Thomas NHS Fdn Trust, Guys Hosp, St Johns Inst Dermatol, London, EnglandGuys & St Thomas NHS Fdn Trust, Guys Hosp, St Johns Inst Dermatol, London, England
Mee, John
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机构:
Semkova, Kristina
Parkar, Rosemeen
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机构:
Maidstone & Tunbridge Wells NHS Trust, Dept Med Oncol, Kent Oncol Ctr, Maidstone Gen Hosp, Maidstone, Kent, EnglandGuys & St Thomas NHS Fdn Trust, Guys Hosp, St Johns Inst Dermatol, London, England
Parkar, Rosemeen
Groves, Richard
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机构:
Guys & St Thomas NHS Fdn Trust, Guys Hosp, St Johns Inst Dermatol, London, EnglandGuys & St Thomas NHS Fdn Trust, Guys Hosp, St Johns Inst Dermatol, London, England
机构:
Univ N Carolina, Div Pulm & Crit Care Med, Chapel Hill, NC 27515 USAUniv N Carolina, Div Pulm & Crit Care Med, Chapel Hill, NC 27515 USA
Clark, J.
Al-Qadi, M. O.
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机构:
Univ Pittsburgh, Div Pulm Allergy Crit Care & Sleep Med, Pittsburgh, PA USA
Univ Pittsburgh, Simmons Ctr Interstitial Lung Dis, Pittsburgh, PA USAUniv N Carolina, Div Pulm & Crit Care Med, Chapel Hill, NC 27515 USA
机构:
Vet Affairs Ctr Clin Management Res, Ann Arbor, MI 48105 USA
Michigan Med, Rogel Canc Ctr, Ann Arbor, MI 48109 USA
Univ Michigan, Inst Hlth Policy & Innovat, Ann Arbor, MI 48109 USAVet Affairs Ctr Clin Management Res, Ann Arbor, MI 48105 USA
Strohbehn, Garth W.
Gyawali, Bishal
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机构:
Queens Univ, Dept Oncol, Div Canc Care & Epidemiol, Kingston, ON, CanadaVet Affairs Ctr Clin Management Res, Ann Arbor, MI 48105 USA