Pulmonary adverse events due to immune checkpoint inhibitors: A literature review

Monaldi Arch Chest Dis. 2021 Oct 11;92(2). doi: 10.4081/monaldi.2021.2008.

Abstract

Cancer immunotherapy aims to stimulate the immune system to fight against tumors, utilizing the presentation of molecules on the surface of the malignant cells that can be recognized by the antibodies of the immune system. Immune checkpoint inhibitors, a type of cancer immunotherapy, are broadly used in different types of cancer, improving patients' survival and quality of life. However, treatment with these agents causes immune-related toxicities affecting many organs. The most frequent pulmonary adverse event is pneumonitis representing a non-infective inflammation localized to the interstitium and alveoli. Other lung toxicities include airway disease, pulmonary vasculitis, sarcoid-like reactions, infections, pleural effusions, pulmonary nodules, diaphragm myositis and allergic bronchopulmonary aspergillosis. This review aims to summarize these pulmonary adverse events, underlining the significance of an optimal expeditious diagnosis and management.

Publication types

  • Review

MeSH terms

  • Humans
  • Immune Checkpoint Inhibitors*
  • Immunotherapy / adverse effects
  • Lung
  • Neoplasms*
  • Quality of Life

Substances

  • Immune Checkpoint Inhibitors