Use of glucocorticoids in the management of immunotherapy-related adverse effects.

Abstract:

:Immune checkpoint inhibitors (ICIs) activate host antitumor immunity to kill tumor cells. However, ICI therapy may be accompanied by a series of immunotherapy-related adverse effects (irAEs) caused by activated autoreactive T cells. Glucocorticoids are the mainstream therapy for irAEs. However, the usage, dosage and course of treatment of irAEs with glucocorticoids differs from those used in classic autoimmune diseases. Furthermore, the long-term use of large doses of glucocorticoids may cause serious adverse effects. In this article, the mechanism, dosage forms, adverse effects and management of glucocorticoids are described in detail, providing references and suggestions for oncologists to use glucocorticoids in the treatment of irAEs.

journal_name

Thorac Cancer

journal_title

Thoracic cancer

authors

Wang H,Zhou J,Guo X,Li Y,Duan L,Si X,Zhang L

doi

10.1111/1759-7714.13589

subject

Has Abstract

pub_date

2020-10-01 00:00:00

pages

3047-3052

issue

10

eissn

1759-7706

issn

1759-7714

journal_volume

11

pub_type

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