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[Recommendation of Diagnosis and Management for the Infections Related to Immune Checkpoint Inhibitors].

Authors :
Lu M
Zhang L
Li Y
Wang H
Guo X
Zhou J
Duan L
Si X
Xu Y
Zhang L
Source :
Zhongguo fei ai za zhi = Chinese journal of lung cancer [Zhongguo Fei Ai Za Zhi] 2019 Oct 20; Vol. 22 (10), pp. 666-670.
Publication Year :
2019

Abstract

Immune checkpoint inhibitors (ICIs) have been widely used in management of malignant tumor. Programmed death ligand 1 (PD-1)/programmed death ligand 1 (PD-L1) inhibitors have been introduced to treat non-small cell lung cancer (NSCLC) in recent years. Currently, PD-1/PD-L1 inhibitors are considered to have minor side effects and do not independently increase the risk of infection. However, they may cause immune-related adverse events (irAEs) that can require immunosuppressive therapy with corticosteroids and/or immunosuppressants, leading to opportunistic infections. Furthermore, there were reports about reactivation of chronic/latent infections without irAEs. Thus, immune checkpoint inhibitor related infections have drawn more and more attention in the world. In this paper, we described the potential mechanism, available clinical data and recommendation of diagnosis and management for PD-1/PD-L1 inhibitor related infections.

Details

Language :
Chinese
ISSN :
1999-6187
Volume :
22
Issue :
10
Database :
MEDLINE
Journal :
Zhongguo fei ai za zhi = Chinese journal of lung cancer
Publication Type :
Academic Journal
Accession number :
31650951
Full Text :
https://doi.org/10.3779/j.issn.1009-3419.2019.10.11