Immune-related adverse events in non-small cell lung cancer: Occurrence, mechanisms and therapeutic strategies

Xuwen Lin , Mei Xie , Jie Yao , Xidong Ma , Lin Qin , Xu-Mei Zhang , Jialin Song , Xinyu Bao , Xin Zhang , Yinguang Zhang , Yiming Liu , Wenya Han , Yiran Liang , Ying Jing , Xinying Xue

Clinical and Translational Medicine ›› 2024, Vol. 14 ›› Issue (3) : e1613

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Clinical and Translational Medicine ›› 2024, Vol. 14 ›› Issue (3) : e1613 DOI: 10.1002/ctm2.1613
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Immune-related adverse events in non-small cell lung cancer: Occurrence, mechanisms and therapeutic strategies

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Abstract

The emergence of immune checkpoint inhibitors (ICIs) has heralded a transformative era in the therapeutic landscape of non-small cell lung cancer (NSCLC). While ICIs have demonstrated clinical efficacy in a portion of patients with NSCLC, these treatments concurrently precipitate a spectrum of immune-related adverse events (irAEs), encompassing mild to severe manifestations, collectively posing a risk of significant organ damage. Consequently, there exists an imperative to augment our comprehension of the pathophysiological underpinnings of irAEs and to formulate more efficacious preventive and ameliorative strategies. In this comprehensive review, we delineate the clinical presentation of organ-specific irAEs in patients with NSCLC and provide an in-depth analysis of recent advancements in understanding the mechanisms driving ICI-induced toxicity. Furthermore, we discuss potential strategies and targets for ameliorating these irAEs. Ultimately, this review aims to furnish valuable insights to guide further research endeavours in the context of irAEs in NSCLC patients.

Keywords

immune checkpoint inhibitors / immune-related adverse events / mechanism / non-small cell lung cancer

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Xuwen Lin,Mei Xie,Jie Yao,Xidong Ma,Lin Qin,Xu-Mei Zhang,Jialin Song,Xinyu Bao,Xin Zhang,Yinguang Zhang,Yiming Liu,Wenya Han,Yiran Liang,Ying Jing,Xinying Xue. Immune-related adverse events in non-small cell lung cancer: Occurrence, mechanisms and therapeutic strategies. Clinical and Translational Medicine, 2024, 14(3): e1613 DOI:10.1002/ctm2.1613

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2024 The Authors. Clinical and Translational Medicine published by John Wiley & Sons Australia, Ltd on behalf of Shanghai Institute of Clinical Bioinformatics.

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