Pathogenesis of Oral Toxicities Associated with Targeted Therapy and Immunotherapy

Int J Mol Sci. 2023 May 3;24(9):8188. doi: 10.3390/ijms24098188.

Abstract

Targeted therapy and immunotherapy have redefined cancer treatment. While they have enhanced tumor response and improved survival rates in many cancer types, toxicities continue to occur, and these often involve the oral cavity. Broadly reported as "mucositis" or "stomatitis," oral toxicities induced by targeted therapies differ clinically and mechanistically from those associated with conventional chemotherapy. Manifesting primarily as mucosal lesions, salivary gland hypofunction, or orofacial neuropathies, these oral toxicities may nonetheless lead to significant morbidity and impact patients' quality of life, thereby compromising clinical outcomes. We conclude that familiarity with the spectrum of associated toxicities and understanding of their pathogenesis represent important areas of clinical research and may lead to better characterization, prevention, and management of these adverse events.

Keywords: immune checkpoint inhibitors; immunotherapy; oral mucositis; oral toxicity; stomatitis; targeted therapies.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents* / adverse effects
  • Gastrointestinal Diseases* / etiology
  • Humans
  • Immunotherapy / adverse effects
  • Neoplasms* / complications
  • Neoplasms* / drug therapy
  • Quality of Life
  • Stomatitis* / etiology

Substances

  • Antineoplastic Agents

Grants and funding

This research received no external funding.