Infectious Complications of Immune Checkpoint Inhibitors

Infect Dis Clin North Am. 2020 Jun;34(2):235-243. doi: 10.1016/j.idc.2020.02.004. Epub 2020 Apr 23.

Abstract

The clearance of both tumors and microbes depends on highly coordinated immune responses that are sufficiently potent to kill malignant or microbial cells while avoiding immunopathology from an overly exuberant inflammatory response. A molecular understanding of the immune pathways that regulate these responses paved the way for the development of checkpoint inhibitors (CPIs) as a therapeutic strategy to boost endogenous antitumor immunity. CPIs have demonstrated survival benefits across a wide spectrum of cancers. While infectious complications of CPIs are uncommon, immune-related adverse events occur frequently and often require immunosuppressive therapies that increase the risk of infection.

Keywords: Checkpoint inhibitors; Immune checkpoint; Immunosuppression; Immunotherapy; Infection; Infectious diseases.

Publication types

  • Research Support, N.I.H., Intramural
  • Review

MeSH terms

  • Humans
  • Immune Checkpoint Inhibitors / adverse effects*
  • Immune Checkpoint Inhibitors / therapeutic use
  • Infection Control
  • Infections / chemically induced*
  • Infections / epidemiology
  • Neoplasms / drug therapy*
  • Neoplasms / immunology
  • Risk Factors
  • Signal Transduction / drug effects
  • Tumor Microenvironment

Substances

  • Immune Checkpoint Inhibitors