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Immune checkpoint inhibitor-related endocrine adverse events
Received:March 27, 2020  Revised:May 08, 2020  Click here to download the full text
Citation of this paper:CAO Ling,LI Xiao-mu.Immune checkpoint inhibitor-related endocrine adverse events[J].Chinese Journal of Clinical Medicine,2020,27(6):931-937
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Author NameAffiliationE-mail
CAO Ling Department of Endocrinology and Metabolism, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
LI Xiao-mu Department of Endocrinology and Metabolism, Zhongshan Hospital, Fudan University, Shanghai 200032, China li.xiaomu@zs-hospital.sh.cn 
Abstract:Immune checkpoint inhibitors (ICIs) is a new type of anti-tumor drugs that produce anti-tumor effects by enhancing the anti-tumor immune response, and have shown significant efficacy in the treatment of various malignant tumors. Due to the specific targets and mechanisms of immune checkpoint inhibitors, they can cause autoimmune and inflammatory effects, known as immune-related adverse events (irAEs). With the wide application of ICIs, irAEs are attracting more and more attention. Among them, endocrine-related adverse events (thyroid dysfunction, hypophysitis, and adrenal insufficiency, etc.) are hidden at the onset, which is difficult to be found, leading to treatment delay, often bringing serious adverse consequences and even endangering patients' lives. This article summarizes the previous literature and reviews the incidence, possible pathogenesis, clinical manifestations, and diagnosis of ICIs-related endocrined adverse events.
keywords:immune checkpoint inhibitors  immune-related adverse events  endocrine system
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