Diagnosis and Management of Immunotherapy-related Liver Toxicity

Immune checkpoint inhibitors have revolutionized the treatment of cancer. With the increasing use of immunotherapy, clinicians have observed that immunotherapy is often related to a spectrum of adverse events. Liver toxicity is one of the most common and severe immune-related adverse events. It is v...

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Main Authors: HUA Yuwei, ZHAO Lin
Format: Article
Language:zho
Published: Editorial Office of Medical Journal of Peking Union Medical College Hospital 2021-09-01
Series:Xiehe Yixue Zazhi
Subjects:
Online Access:https://xhyxzz.pumch.cn/en/article/doi/10.12290/xhyxzz.2021-0138
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author HUA Yuwei
ZHAO Lin
author_facet HUA Yuwei
ZHAO Lin
author_sort HUA Yuwei
collection DOAJ
description Immune checkpoint inhibitors have revolutionized the treatment of cancer. With the increasing use of immunotherapy, clinicians have observed that immunotherapy is often related to a spectrum of adverse events. Liver toxicity is one of the most common and severe immune-related adverse events. It is very important to increase awareness and outline a clear and detailed strategy of managing immune-related liver toxicity. Some guidelines have published systematic advice on the management of immune-related liver toxicity. However, there are controversial problems remaining, including the levels of liver toxicity, the minimal effective dosage of hormone, treatments for hormone-refractory patients, and immunotherapy re-challenge. Additional, finding predictors with high specificity and sensitivity is a pressing concern.
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spelling doaj.art-fedbee7a61344b0c8c947a5280bf250b2022-12-21T23:17:05ZzhoEditorial Office of Medical Journal of Peking Union Medical College HospitalXiehe Yixue Zazhi1674-90812021-09-0112579880610.12290/xhyxzz.2021-0138Diagnosis and Management of Immunotherapy-related Liver ToxicityHUA YuweiZHAO LinImmune checkpoint inhibitors have revolutionized the treatment of cancer. With the increasing use of immunotherapy, clinicians have observed that immunotherapy is often related to a spectrum of adverse events. Liver toxicity is one of the most common and severe immune-related adverse events. It is very important to increase awareness and outline a clear and detailed strategy of managing immune-related liver toxicity. Some guidelines have published systematic advice on the management of immune-related liver toxicity. However, there are controversial problems remaining, including the levels of liver toxicity, the minimal effective dosage of hormone, treatments for hormone-refractory patients, and immunotherapy re-challenge. Additional, finding predictors with high specificity and sensitivity is a pressing concern.https://xhyxzz.pumch.cn/en/article/doi/10.12290/xhyxzz.2021-0138immunotherapy-related liver toxicityimmune checkpoint inhibitorsimmune-related adverse eventsprogrammed death-1cytotoxic t lymphocyte associated antigen-4
spellingShingle HUA Yuwei
ZHAO Lin
Diagnosis and Management of Immunotherapy-related Liver Toxicity
Xiehe Yixue Zazhi
immunotherapy-related liver toxicity
immune checkpoint inhibitors
immune-related adverse events
programmed death-1
cytotoxic t lymphocyte associated antigen-4
title Diagnosis and Management of Immunotherapy-related Liver Toxicity
title_full Diagnosis and Management of Immunotherapy-related Liver Toxicity
title_fullStr Diagnosis and Management of Immunotherapy-related Liver Toxicity
title_full_unstemmed Diagnosis and Management of Immunotherapy-related Liver Toxicity
title_short Diagnosis and Management of Immunotherapy-related Liver Toxicity
title_sort diagnosis and management of immunotherapy related liver toxicity
topic immunotherapy-related liver toxicity
immune checkpoint inhibitors
immune-related adverse events
programmed death-1
cytotoxic t lymphocyte associated antigen-4
url https://xhyxzz.pumch.cn/en/article/doi/10.12290/xhyxzz.2021-0138
work_keys_str_mv AT huayuwei diagnosisandmanagementofimmunotherapyrelatedlivertoxicity
AT zhaolin diagnosisandmanagementofimmunotherapyrelatedlivertoxicity