[Research Progress of Immune Checkpoint Inhibitor-associated Myocarditis]

Zhongguo Fei Ai Za Zhi. 2021 Sep 20;24(9):668-672. doi: 10.3779/j.issn.1009-3419.2021.102.27. Epub 2021 Sep 15.
[Article in Chinese]

Abstract

Immune checkpoint inhibitors (ICIs) is a negative regulatory factor antibody, which activates T cells to play an anti-tumor effect in immunotherapy, and can also cause immune-related adverse responses, thereby inducing a series of immune related adverse events (irAEs). Among these irAEs, although the incidence of ICIs-related myocarditis is very low, the fatality rate is significantly higher than other adverse reactions, close to 50%. Clinicians should be vigilant when applying ICIs, but the pathogenesis of ICIs-related myocarditis is still unclear. This article combines the recent research results of ICIs to summarize the mechanism and clinical manifestations of ICIs-related myocarditis, so as to improve clinicians' understanding of the adverse reactions. .

【中文题目:免疫检查点抑制剂相关心肌炎的研究进展】 【中文摘要:免疫检查点抑制剂(immune checkpoint inhibitors, ICIs)是一种负性调节因子抗体,激活T细胞发挥免疫治疗抗肿瘤作用的同时,也可引起免疫相关的不良应答,从而诱导出一系列免疫相关不良反应(immune related adverse events, irAEs)。在这些irAEs中,ICIs相关心肌炎的发病率虽然很低,但致死率却明显高于其他不良反应,接近50%,临床医生应用ICIs时应提高警惕,但目前ICIs相关心肌炎的发病机制仍不明确。本文结合近期ICIs的研究成果对ICIs相关性心肌炎的发生机制及临床表现等方面作一综述,以提高临床医生对该不良反应的认识。 】 【中文关键词:免疫检查点抑制剂;心肌炎;心脏毒性】.

Keywords: Cardiotoxicity; Immune checkpoint inhibitor; Myocarditis.

MeSH terms

  • Biomedical Research / trends
  • Cardiotoxicity / diagnosis
  • Cardiotoxicity / etiology
  • Cardiotoxicity / immunology
  • Cardiotoxicity / physiopathology
  • Humans
  • Immune Checkpoint Inhibitors* / adverse effects
  • Immune Checkpoint Inhibitors* / therapeutic use
  • Immunotherapy / adverse effects
  • Myocarditis* / chemically induced
  • Myocarditis* / diagnosis
  • Myocarditis* / immunology
  • Myocarditis* / physiopathology
  • Neoplasms* / drug therapy

Substances

  • Immune Checkpoint Inhibitors

Grants and funding

本文受江西省重点研发项目(No.20171ACB20034)和江西省科技创新平台(No.20171BCD40022)资助