1. Immune Checkpoint Inhibitor-Associated Cutaneous Adverse Events: Mechanisms of Occurrence.
- Author
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Eshaq, Abdulaziz M., Flanagan, Thomas W., Ba Abbad, Abdulqader A., Makarem, Zain Alabden A., Bokir, Mohammed S., Alasheq, Ahmed K., Al Asheikh, Sara A., Almashhor, Abdullah M., Binyamani, Faroq, Al-Amoudi, Waleed A., Bawzir, Abdulaziz S., Haikel, Youssef, Megahed, Mossad, and Hassan, Mohamed
- Subjects
IMMUNE checkpoint proteins ,CYTOTOXIC T cells ,NON-small-cell lung carcinoma ,IMMUNE checkpoint inhibitors ,RENAL cancer ,BREAST - Abstract
Immunotherapy, particularly that based on blocking checkpoint proteins in many tumors, including melanoma, Merkel cell carcinoma, non-small cell lung cancer (NSCLC), triple-negative breast (TNB cancer), renal cancer, and gastrointestinal and endometrial neoplasms, is a therapeutic alternative to chemotherapy. Immune checkpoint inhibitor (ICI)-based therapies have the potential to target different pathways leading to the destruction of cancer cells. Although ICIs are an effective treatment strategy for patients with highly immune-infiltrated cancers, the development of different adverse effects including cutaneous adverse effects during and after the treatment with ICIs is common. ICI-associated cutaneous adverse effects include mostly inflammatory and bullous dermatoses, as well as severe cutaneous side reactions such as rash or inflammatory dermatitis encompassing erythema multiforme; lichenoid, eczematous, psoriasiform, and morbilliform lesions; and palmoplantar erythrodysesthesia. The development of immunotherapy-related adverse effects is a consequence of ICIs' unique molecular action that is mainly mediated by the activation of cytotoxic CD4
+ /CD8+ T cells. ICI-associated cutaneous disorders are the most prevalent effects induced in response to anti-programmed cell death 1 (PD-1), anti-cytotoxic T-lymphocyte-associated antigen-4 (CTLA-4), and anti-programmed cell death ligand 1 (PD-L1) agents. Herein, we will elucidate the mechanisms regulating the occurrence of cutaneous adverse effects following treatment with ICIs. [ABSTRACT FROM AUTHOR]- Published
- 2025
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