Immune checkpoint inhibitor colitis, a rising issue in targeted cancer therapy era: A literature review

Author:

Adiwinata Randy12,Tandarto Kevin3,Tanadi Caroline4,Waleleng Bradley Jimmy5,Haroen Harlinda6,Rotty Linda6,Gosal Fandy5,Rotty Luciana5,Hendratta Cecilia6,Lasut Pearla6,Winarta Jeanne5,Waleleng Andrew5,Simadibrata Paulus27,Simadibrata Marcellus8

Affiliation:

1. Department of Internal Medicine, Faculty of Medicine , Universitas Sam Ratulangi “Prof. dr. R. D. Kandou” Hospital , Manado , Indonesia

2. Gastrointestinal Cancer Center, MRCCC Siloam Hospital Semanggi , Jakarta , Indonesia

3. Intensive Care Unit, Columbia Asia Hospital , Semarang , Indonesia

4. Medical Doctor, St. Carolus Hospital , Jakarta , Indonesia

5. Division of Gastroenterology-Hepatology, Department of Internal Medicine, Faculty of Medicine , Universitas Sam Ratulangi “Prof. dr. R. D. Kandou” Hospital , Manado , Indonesia

6. Division of Hematology and Medical Oncology, Department of Internal Medicine, Faculty of Medicine , Universitas Sam Ratulangi/Prof. dr. R. D. Kandou Hospital , Manado , Indonesia

7. Abdi Waluyo Hospital , Jakarta , Indonesia

8. Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine , Universitas Indonesia, Cipto Mangunkusumo Hospital , Jakarta , Indonesia

Abstract

Abstract Research advances in the oncology treatment field have led to the widespread use of immunotherapy. The usage of immune checkpoint inhibitor (ICI) has improved the survival of cancer patients with metastases. This has also led to the rapidly expanding indications for ICI use. However, ICI usage may lead to toxicity, which may be immune-related, in different organ-specific targets. The immune-related adverse events (irAEs) of ICI may lead to increased morbidity, decreased quality of life, and early termination of ICI. The clinical manifestations of irAEs in the gastrointestinal system are variable, ranging from self-limited to life-threatening or fatal events. In this review article, we would like to focus on discussing ICI-induced colitis, which is one of the most common ICI irAEs in the gastrointestinal tract.

Publisher

Walter de Gruyter GmbH

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