Clinical Diagnosis and Treatment Recommendation of Immune-related Adverse Renal Events Related to Immune Checkpoint Inhibitor

Immune checkpoint inhibitors (ICIs) have been used more and more Increasingly in clinical oncology treatment, which has significantly improved the prognosis of cancer patients. Over-activation of T cells and related signaling pathways may cause immune-related adverse effects. Renal immune side-effec...

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Main Authors: Wei QIU, Ke ZHENG, Hanping WANG, Xiaoyan SI, Xiaotong ZHANG, Xuemei LI, Li ZHANG
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.1009-3419.2019.10.07
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author Wei QIU
Ke ZHENG
Hanping WANG
Xiaoyan SI
Xiaotong ZHANG
Xuemei LI
Li ZHANG
author_facet Wei QIU
Ke ZHENG
Hanping WANG
Xiaoyan SI
Xiaotong ZHANG
Xuemei LI
Li ZHANG
author_sort Wei QIU
collection DOAJ
description Immune checkpoint inhibitors (ICIs) have been used more and more Increasingly in clinical oncology treatment, which has significantly improved the prognosis of cancer patients. Over-activation of T cells and related signaling pathways may cause immune-related adverse effects. Renal immune side-effects are relatively rare, but some of them are serious and fatal. This review analyses of the Incidence, clinical and pathological manifestations of ICIs-induced renal injury, and focuses on the differential diagnosis and treatment. Because there are many secondary factors that need to be differentiated from immune mechanism, renal biopsy should be performed if necessary to determine the important decision.
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publisher Chinese Anti-Cancer Association; Chinese Antituberculosis Association
record_format Article
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spelling doaj.art-fb70f745dbf24f0188ef8d9469f20ab92022-12-21T18:21:24ZzhoChinese Anti-Cancer Association; Chinese Antituberculosis AssociationChinese Journal of Lung Cancer1009-34191999-61872019-10-01221064564810.3779/j.issn.1009-3419.2019.10.07Clinical Diagnosis and Treatment Recommendation of Immune-related Adverse Renal Events Related to Immune Checkpoint InhibitorWei QIU0Ke ZHENG1Hanping WANG2Xiaoyan SI3Xiaotong ZHANG4Xuemei LI5Li ZHANG6Department of Nephrology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, ChinaDepartment of Nephrology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, ChinaDepartment of Respirology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, ChinaDepartment of Respirology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, ChinaDepartment of Respirology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, ChinaDepartment of Nephrology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, ChinaDepartment of Respirology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, ChinaImmune checkpoint inhibitors (ICIs) have been used more and more Increasingly in clinical oncology treatment, which has significantly improved the prognosis of cancer patients. Over-activation of T cells and related signaling pathways may cause immune-related adverse effects. Renal immune side-effects are relatively rare, but some of them are serious and fatal. This review analyses of the Incidence, clinical and pathological manifestations of ICIs-induced renal injury, and focuses on the differential diagnosis and treatment. Because there are many secondary factors that need to be differentiated from immune mechanism, renal biopsy should be performed if necessary to determine the important decision.http://dx.doi.org/10.3779/j.issn.1009-3419.2019.10.07Immune checkpoint inhibitorsImmune-related nephrotoxicityAcute tubulointerstitial nephritis
spellingShingle Wei QIU
Ke ZHENG
Hanping WANG
Xiaoyan SI
Xiaotong ZHANG
Xuemei LI
Li ZHANG
Clinical Diagnosis and Treatment Recommendation of Immune-related Adverse Renal Events Related to Immune Checkpoint Inhibitor
Chinese Journal of Lung Cancer
Immune checkpoint inhibitors
Immune-related nephrotoxicity
Acute tubulointerstitial nephritis
title Clinical Diagnosis and Treatment Recommendation of Immune-related Adverse Renal Events Related to Immune Checkpoint Inhibitor
title_full Clinical Diagnosis and Treatment Recommendation of Immune-related Adverse Renal Events Related to Immune Checkpoint Inhibitor
title_fullStr Clinical Diagnosis and Treatment Recommendation of Immune-related Adverse Renal Events Related to Immune Checkpoint Inhibitor
title_full_unstemmed Clinical Diagnosis and Treatment Recommendation of Immune-related Adverse Renal Events Related to Immune Checkpoint Inhibitor
title_short Clinical Diagnosis and Treatment Recommendation of Immune-related Adverse Renal Events Related to Immune Checkpoint Inhibitor
title_sort clinical diagnosis and treatment recommendation of immune related adverse renal events related to immune checkpoint inhibitor
topic Immune checkpoint inhibitors
Immune-related nephrotoxicity
Acute tubulointerstitial nephritis
url http://dx.doi.org/10.3779/j.issn.1009-3419.2019.10.07
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