武凌鸽, 徐燕, 李乃适. 免疫检查点抑制剂相关甲状腺毒症[J]. 协和医学杂志, 2021, 12(1): 129-135. DOI: 10.3969/j.issn.1674-9081.2020.00.004
引用本文: 武凌鸽, 徐燕, 李乃适. 免疫检查点抑制剂相关甲状腺毒症[J]. 协和医学杂志, 2021, 12(1): 129-135. DOI: 10.3969/j.issn.1674-9081.2020.00.004
WU Ling-ge, XU Yan, LI Nai-shi. Thyrotoxicosis Related to Immune Checkpoint Inhibitors[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(1): 129-135. DOI: 10.3969/j.issn.1674-9081.2020.00.004
Citation: WU Ling-ge, XU Yan, LI Nai-shi. Thyrotoxicosis Related to Immune Checkpoint Inhibitors[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(1): 129-135. DOI: 10.3969/j.issn.1674-9081.2020.00.004

免疫检查点抑制剂相关甲状腺毒症

Thyrotoxicosis Related to Immune Checkpoint Inhibitors

  • 摘要: 免疫检查点抑制剂(immune checkpoint inhibitors, ICIs)是近年来恶性肿瘤治疗领域的一项重大突破。其通过针对T细胞的调节作用,增强抗肿瘤免疫反应,改善恶性肿瘤患者的预后,延长患者生存期,现已获批用于治疗多种肿瘤,但ICIs在应用过程中产生的甲状腺毒症是不容忽视的临床问题。本文对ICIs相关甲状腺毒症的发生机制、临床表现、处理对策等进行综述。

     

    Abstract: Immune checkpoint inhibitors (ICIs) have come out in recent years as a breakthrough of the treatments for malignant tumors by regulating T cells with the purpose of enhancing their anti-tumor response, which can improve prognosis and increase survival. However, thyrotoxicosis caused by ICIs has become a clinical problem that cannot be ignored. This review summarizes the pathogenic mechanisms, clinical manifesta-tions, and treatments of ICIs associated thyrotoxicosis.

     

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