[Clinical Diagnosis and Treatment Recommendations for the Pneumonitis Associated with Immune Checkpoint Inhibitor]

Zhongguo Fei Ai Za Zhi. 2019 Oct 20;22(10):621-626. doi: 10.3779/j.issn.1009-3419.2019.10.03.
[Article in Chinese]

Abstract

The increasing use of immunocheckpoint inhibitors in tumors has brought new hope of survival to patients with advanced tumors. However, the immune system activated by immunocheckpoint inhibitors, mainly activated T-cell immunity, may attack normal tissues and organs of the human body and lead to a variety of adverse effects. In the lung, they could induce checkpoint inhibitor associated pneumonitis (CIP). CIP is different from known pulmonary interstitial pneumonitis, and had a potentially fatal risk if it was not being properly treated. We will summarize the characteristics of CIP and give our advice on how to manage immunocheckpoint inhibitor associated pneumonitis.

【中文题目:免疫检查点抑制剂相关肺炎的临床诊治建议】 【中文摘要:免疫检查点抑制剂在肿瘤中的使用给晚期肿瘤患者带来了新的希望。然而,由免疫检查点抑制剂激活的免疫系统,其中主要是T细胞免疫,可能攻击人体正常组织器官导致相应的免疫毒性反应产生,在肺部可引起免疫检查点抑制剂相关肺炎。这是一类不同于已知肺部间质性肺炎的疾病,如处理不当,有潜在的致命风险。我们将对免疫检查点抑制剂相关肺炎的诊断和治疗给予建议。】 【中文关键词:免疫检查点抑制剂;免疫相关不良反应;检查点抑制剂相关肺炎】.

Keywords: Checkpoint inhibitor pneumonitis; Immune checkpoint inhibitor; Immunotherapy-related toxicities.

Publication types

  • Review

MeSH terms

  • Humans
  • Immunotherapy / adverse effects*
  • Pneumonia / diagnosis*
  • Pneumonia / etiology
  • Pneumonia / therapy*

Grants and funding

本文受中国医学科学院医学与健康科技创新工程项目(No.2016-I2M-1-002)资助