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免疫检查点抑制剂相关肾脏不良反应的临床诊治建议

2019-10-30 国外肿瘤科相关专家小组(统称) 中国肺癌杂志.2019,22(10):645-648.

免疫检查点抑制剂(immuno-checkpoint inhibitors, ICIs)正越来越多地应用于临床肿瘤治疗,显著改善了患者预后。T细胞过度活化及相关信号通路的激活,可能引起药物相关的免疫相关不良反应(immune-related adverse effects, irAEs)。其中肾脏免疫相关不良反应相对罕见,但也存在严重甚至致命的副作用。本文分析ICIs免疫相关肾损伤的发病率、临床表

中文标题:

免疫检查点抑制剂相关肾脏不良反应的临床诊治建议

发布日期:

2019-10-30

简要介绍:

免疫检查点抑制剂(immuno-checkpoint inhibitors, ICIs)正越来越多地应用于临床肿瘤治疗,显著改善了患者预后。T细胞过度活化及相关信号通路的激活,可能引起药物相关的免疫相关不良反应(immune-related adverse effects, irAEs)。其中肾脏免疫相关不良反应相对罕见,但也存在严重甚至致命的副作用。本文分析ICIs免疫相关肾损伤的发病率、临床表现及肾脏病理表现,着重讨论诊断和治疗原则。因存在诸多继发因素须与ICIs免疫相关肾损伤相鉴别,必要时应行肾活检以决定重要药物的治疗决策。

 

拓展指南:肾脏相关指南:

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