Immune Checkpoint Inhibitors Induced Hepatotoxicity; Gastroenterologists' Perspectives

Middle East J Dig Dis. 2022 Apr;14(2):244-253. doi: 10.34172/mejdd.2022.279. Epub 2022 Apr 30.

Abstract

BACKGROUND: Immune checkpoint inhibitors (ICIs) have promising clinical activity and are essential medications for patients with several malignancies. However, by deranging the immune system, these novel agents could lead to immune-related adverse events (IRAEs). Hepatotoxicity with checkpoint inhibitors usually results in acute hepatitis or drug-induced liver injury. METHODS: This review article discusses the recent clinical evidence available regarding checkpoint inhibitor-induced hepatitis and reviews an approach to their diagnosis and management. CONCLUSION: ICIs have improved patients' outcomes with different forms of malignancy; however, ICIs-related liver damage is a clinically significant entity in these patients. All patients should be monitored carefully for IRAEs while undergoing treatment with ICIs.

Keywords: Checkpoint inhibitors; Immune-related adverse events; Liver injury.

Publication types

  • Review