Clinical Diagnosis and Treatment Recommendations for Cardiac Adverse Reactions Related to Immune Checkpoint Inhibitor

Immunotherapy of malignant tumors has become a hot spot in the field of cancer research and treatment, bringing new hope to patients with advanced cancer. Activation of molecular programmer death protein-1 and T lymphocyte-associated antigen 4-related signaling pathways at the immunological checkpoi...

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Main Authors: Xiaoxiao GUO, Hanping WANG, Jiaxin ZHOU, Lian DUAN, Yue LI, Xiaoyan SI, Li ZHANG, Ligang FANG
Format: Article
Language:zho
Published: Chinese Anti-Cancer Association; Chinese Antituberculosis Association 2019-10-01
Series:Chinese Journal of Lung Cancer
Subjects:
Online Access:http://dx.doi.org/10.3779/j.issn.1009-3419.2019.10.04
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author Xiaoxiao GUO
Hanping WANG
Jiaxin ZHOU
Lian DUAN
Yue LI
Xiaoyan SI
Li ZHANG
Ligang FANG
Li ZHANG
author_facet Xiaoxiao GUO
Hanping WANG
Jiaxin ZHOU
Lian DUAN
Yue LI
Xiaoyan SI
Li ZHANG
Ligang FANG
Li ZHANG
author_sort Xiaoxiao GUO
collection DOAJ
description Immunotherapy of malignant tumors has become a hot spot in the field of cancer research and treatment, bringing new hope to patients with advanced cancer. Activation of molecular programmer death protein-1 and T lymphocyte-associated antigen 4-related signaling pathways at the immunological checkpoint can inhibit T lymphocyte activation and thereby block the inflammatory response. Tumor cells achieve immune escape by activating the molecular pathways associated with immune checkpoints. The immune checkpoint inhibitor can wake up T lymphocytes and enhance the body's clearance of tumor cells. However, the role of immune checkpoint inhibitors is not specific to tumor cells, and it can cause side effects of multiple systems including the cardiovascular system while killing tumor cells. We will summarize the relevant cardiac side effects and give advice on how to manage it.
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publisher Chinese Anti-Cancer Association; Chinese Antituberculosis Association
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spelling doaj.art-255931a050b04ed3ae9fe8e95e7c7cfd2022-12-22T03:16:36ZzhoChinese Anti-Cancer Association; Chinese Antituberculosis AssociationChinese Journal of Lung Cancer1009-34191999-61872019-10-01221062763210.3779/j.issn.1009-3419.2019.10.04Clinical Diagnosis and Treatment Recommendations for Cardiac Adverse Reactions Related to Immune Checkpoint InhibitorXiaoxiao GUO0Hanping WANG1Jiaxin ZHOU2Lian DUAN3Yue LI4Xiaoyan SI5Li ZHANG6Ligang FANG7Li ZHANG8Department of Cardiology, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing 100730, ChinaDepartment of Respiratory Medicine, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing 100730, ChinaDepartment of Rheumatism and Immunology, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing 100730, ChinaDepartment of Endocrinology, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing 100730, ChinaDepartment of Digestive Medicine, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing 100730, ChinaDepartment of Respiratory Medicine, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing 100730, ChinaDepartment of Clinical Laboratory, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing 100730, ChinaDepartment of Cardiology, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing 100730, ChinaDepartment of Respiratory Medicine, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing 100730, ChinaImmunotherapy of malignant tumors has become a hot spot in the field of cancer research and treatment, bringing new hope to patients with advanced cancer. Activation of molecular programmer death protein-1 and T lymphocyte-associated antigen 4-related signaling pathways at the immunological checkpoint can inhibit T lymphocyte activation and thereby block the inflammatory response. Tumor cells achieve immune escape by activating the molecular pathways associated with immune checkpoints. The immune checkpoint inhibitor can wake up T lymphocytes and enhance the body's clearance of tumor cells. However, the role of immune checkpoint inhibitors is not specific to tumor cells, and it can cause side effects of multiple systems including the cardiovascular system while killing tumor cells. We will summarize the relevant cardiac side effects and give advice on how to manage it.http://dx.doi.org/10.3779/j.issn.1009-3419.2019.10.04Immune checkpoint inhibitorImmunotherapy-related toxicitiesMyocarditisCardiovascular toxicities
spellingShingle Xiaoxiao GUO
Hanping WANG
Jiaxin ZHOU
Lian DUAN
Yue LI
Xiaoyan SI
Li ZHANG
Ligang FANG
Li ZHANG
Clinical Diagnosis and Treatment Recommendations for Cardiac Adverse Reactions Related to Immune Checkpoint Inhibitor
Chinese Journal of Lung Cancer
Immune checkpoint inhibitor
Immunotherapy-related toxicities
Myocarditis
Cardiovascular toxicities
title Clinical Diagnosis and Treatment Recommendations for Cardiac Adverse Reactions Related to Immune Checkpoint Inhibitor
title_full Clinical Diagnosis and Treatment Recommendations for Cardiac Adverse Reactions Related to Immune Checkpoint Inhibitor
title_fullStr Clinical Diagnosis and Treatment Recommendations for Cardiac Adverse Reactions Related to Immune Checkpoint Inhibitor
title_full_unstemmed Clinical Diagnosis and Treatment Recommendations for Cardiac Adverse Reactions Related to Immune Checkpoint Inhibitor
title_short Clinical Diagnosis and Treatment Recommendations for Cardiac Adverse Reactions Related to Immune Checkpoint Inhibitor
title_sort clinical diagnosis and treatment recommendations for cardiac adverse reactions related to immune checkpoint inhibitor
topic Immune checkpoint inhibitor
Immunotherapy-related toxicities
Myocarditis
Cardiovascular toxicities
url http://dx.doi.org/10.3779/j.issn.1009-3419.2019.10.04
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