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Erschienen in: Current Cardiology Reports 8/2023

03.07.2023 | Cardio-Oncology (LA Baldassarre, Section Editor)

An Increased Understanding of the Association Between Atherosclerosis and Immune Checkpoint Inhibitors

verfasst von: Judah M. Ellison, Anju Nohria

Erschienen in: Current Cardiology Reports | Ausgabe 8/2023

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Abstract

Purpose of Review

Immune checkpoint inhibitor (ICI) therapy activates the host immune system to promote tumor cell death. This activation of the immune system can lead to off-target immune-related adverse events (irAEs). There is an established link between inflammation and atherosclerosis. The purpose of this manuscript is to review the existing body of literature discussing the potential association between ICI treatment and atherosclerosis.

Recent Findings

Pre-clinical studies suggest that ICI therapy may lead to T-cell-mediated progression of atherosclerosis. Recent retrospective clinical studies have shown higher rates of myocardial infarction and stroke with ICI therapy, particularly in patients with pre-existing cardiovascular risk factors. Additionally, small observational cohort studies have used imaging modalities to demonstrate higher rates of atherosclerotic progression with ICI treatment.

Summary

Early pre-clinical and clinical evidence suggests an association between ICI treatment and the progression of atherosclerosis. However, these findings are preliminary, and adequately powered prospective studies are needed to demonstrate a conclusive association. As ICI therapy is increasingly used to treat a variety of solid tumors, it is important to evaluate and mitigate the potential adverse atherosclerotic effects of ICI treatment.
Literatur
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Metadaten
Titel
An Increased Understanding of the Association Between Atherosclerosis and Immune Checkpoint Inhibitors
verfasst von
Judah M. Ellison
Anju Nohria
Publikationsdatum
03.07.2023
Verlag
Springer US
Erschienen in
Current Cardiology Reports / Ausgabe 8/2023
Print ISSN: 1523-3782
Elektronische ISSN: 1534-3170
DOI
https://doi.org/10.1007/s11886-023-01908-4

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