Immune Checkpoint Inhibitors and Atherosclerotic Vascular Events in Cancer Patients

In clinical trials and meta-analysis, atherosclerotic vascular events (AVEs) during treatment with immune-checkpoint inhibitors (ICIs) have been reported with low incidence. However, preclinical data suggest that these drugs can promote atherosclerosis inflammation and progression of atherosclerosis...

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Main Authors: Alessandro Inno, Andrea Chiampan, Laura Lanzoni, Matteo Verzè, Giulio Molon, Stefania Gori
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-05-01
Series:Frontiers in Cardiovascular Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2021.652186/full
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author Alessandro Inno
Andrea Chiampan
Laura Lanzoni
Matteo Verzè
Giulio Molon
Stefania Gori
author_facet Alessandro Inno
Andrea Chiampan
Laura Lanzoni
Matteo Verzè
Giulio Molon
Stefania Gori
author_sort Alessandro Inno
collection DOAJ
description In clinical trials and meta-analysis, atherosclerotic vascular events (AVEs) during treatment with immune-checkpoint inhibitors (ICIs) have been reported with low incidence. However, preclinical data suggest that these drugs can promote atherosclerosis inflammation and progression of atherosclerosis plaques, and there is now growing and convincing evidence from retrospective studies that ICIs increase the risk of atherosclerotic vascular events including arterial thrombosis, myocardial infarction and ischemic stroke. Prospective studies are needed to increase knowledge on long-term effect of ICIs or their combinations with other cardio-toxic drugs, but in the meantime a careful assessment and optimization of cardiovascular risk factors among patients treated with ICIs is advisable.
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spelling doaj.art-25b4e55a8cb54664b25ee199f8400dab2022-12-21T22:10:12ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2021-05-01810.3389/fcvm.2021.652186652186Immune Checkpoint Inhibitors and Atherosclerotic Vascular Events in Cancer PatientsAlessandro Inno0Andrea Chiampan1Laura Lanzoni2Matteo Verzè3Giulio Molon4Stefania Gori5Medical Oncology, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Ospedale Sacro Cuore Don Calabria, Verona, ItalyCardiology Department, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Ospedale Sacro Cuore Don Calabria, Verona, ItalyCardiology Department, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Ospedale Sacro Cuore Don Calabria, Verona, ItalyMedical Direction, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Ospedale Sacro Cuore Don Calabria, Verona, ItalyCardiology Department, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Ospedale Sacro Cuore Don Calabria, Verona, ItalyMedical Oncology, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Ospedale Sacro Cuore Don Calabria, Verona, ItalyIn clinical trials and meta-analysis, atherosclerotic vascular events (AVEs) during treatment with immune-checkpoint inhibitors (ICIs) have been reported with low incidence. However, preclinical data suggest that these drugs can promote atherosclerosis inflammation and progression of atherosclerosis plaques, and there is now growing and convincing evidence from retrospective studies that ICIs increase the risk of atherosclerotic vascular events including arterial thrombosis, myocardial infarction and ischemic stroke. Prospective studies are needed to increase knowledge on long-term effect of ICIs or their combinations with other cardio-toxic drugs, but in the meantime a careful assessment and optimization of cardiovascular risk factors among patients treated with ICIs is advisable.https://www.frontiersin.org/articles/10.3389/fcvm.2021.652186/fullarterial thrombosisischemic strokemyocardial infarctionatherosclerosisPD-L1PD-1
spellingShingle Alessandro Inno
Andrea Chiampan
Laura Lanzoni
Matteo Verzè
Giulio Molon
Stefania Gori
Immune Checkpoint Inhibitors and Atherosclerotic Vascular Events in Cancer Patients
Frontiers in Cardiovascular Medicine
arterial thrombosis
ischemic stroke
myocardial infarction
atherosclerosis
PD-L1
PD-1
title Immune Checkpoint Inhibitors and Atherosclerotic Vascular Events in Cancer Patients
title_full Immune Checkpoint Inhibitors and Atherosclerotic Vascular Events in Cancer Patients
title_fullStr Immune Checkpoint Inhibitors and Atherosclerotic Vascular Events in Cancer Patients
title_full_unstemmed Immune Checkpoint Inhibitors and Atherosclerotic Vascular Events in Cancer Patients
title_short Immune Checkpoint Inhibitors and Atherosclerotic Vascular Events in Cancer Patients
title_sort immune checkpoint inhibitors and atherosclerotic vascular events in cancer patients
topic arterial thrombosis
ischemic stroke
myocardial infarction
atherosclerosis
PD-L1
PD-1
url https://www.frontiersin.org/articles/10.3389/fcvm.2021.652186/full
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AT giuliomolon immunecheckpointinhibitorsandatheroscleroticvasculareventsincancerpatients
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