PMID- 31312140 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 1663-9812 (Print) IS - 1663-9812 (Electronic) IS - 1663-9812 (Linking) VI - 10 DP - 2019 TI - Management of Adverse Events in Cancer Patients Treated With PD-1/PD-L1 Blockade: Focus on Asian Populations. PG - 726 LID - 10.3389/fphar.2019.00726 [doi] LID - 726 AB - The interaction between programmed cell death protein 1 (PD-1) and its ligand programmed death-ligand 1 (PD-L1) induces exhaustions of cytotoxic lymphocytes in the tumor microenvironment, which facilitates tumor immune evasion. PD-1/PD-L1 blockade therapy, which prevents the receptors and ligands from binding to each other, disrupts the T-cell exhaustion signaling, thereby increasing antitumor immunity. Inspiringly, it has revolutionized the treatment of many different types of cancers including non-small-cell lung carcinoma, melanoma, lymphoma, and so on. However, with the intention of generating an antitumor immune response, PD-1/PD-L1 blockade may also lead to a spectrum of side effects. The profile of adverse events (AEs) of PD-1/PD-L1 blockade is not exactly the same with other immune checkpoint blockades, such as blockade of cytotoxic T-lymphocyte-associated protein 4. Although cutaneous, gastrointestinal, and pulmonary systems are common victims, AEs of PD-1/PD-L1 blockade might occur in any other organ system of the human body. These toxicities can be life-threatening if not managed promptly, and proper treatment intervention is imperative for optimal control and prevention of severe damage. Currently, clinical practice for the management of AEs in PD-1/PD-L1 blockade remains sporadic and variable. The majority of initial clinical trials were carried out in Caucasians. The trials of multiple races usually included a small portion of Asian participants, and results were calculated and interpreted for the entire included subjects without any race-specific conclusions. Therefore, the information on PD-1/PD-L1 blockade in Asians is far from systematic or comprehensive. Recently, as the results of clinical trials of anti-PD-1/PD-L1 agents in Asian populations have been gradually released, we summarized current evidence with a specific focus on the Asian population, hoping to outline strategies and offer guidance on the management of AEs in cancer patients treated with PD-1/PD-L1 blockade in the Asian world. FAU - Yang, Jiqiao AU - Yang J AD - Laboratory of Tumor Targeted and Immune Therapy, Clinical Research Center for Breast, State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu, China. AD - Clinical Research Center for Breast, State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu, China. AD - Department of Breast Surgery, West China Hospital, Sichuan University, Chengdu, China. FAU - He, Xiujing AU - He X AD - Laboratory of Tumor Targeted and Immune Therapy, Clinical Research Center for Breast, State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu, China. AD - Clinical Research Center for Breast, State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu, China. FAU - Lv, Qing AU - Lv Q AD - Clinical Research Center for Breast, State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu, China. AD - Department of Breast Surgery, West China Hospital, Sichuan University, Chengdu, China. FAU - Jing, Jing AU - Jing J AD - Clinical Research Center for Breast, State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu, China. FAU - Shi, Hubing AU - Shi H AD - Laboratory of Tumor Targeted and Immune Therapy, Clinical Research Center for Breast, State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu, China. AD - Clinical Research Center for Breast, State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu, China. LA - eng PT - Journal Article PT - Review DEP - 20190702 PL - Switzerland TA - Front Pharmacol JT - Frontiers in pharmacology JID - 101548923 PMC - PMC6614522 OTO - NOTNLM OT - Asian OT - adverse event OT - cancer OT - immunotherapy OT - programmed cell death protein 1 OT - programmed death-ligand 1 EDAT- 2019/07/18 06:00 MHDA- 2019/07/18 06:01 PMCR- 2019/07/02 CRDT- 2019/07/18 06:00 PHST- 2019/04/15 00:00 [received] PHST- 2019/06/05 00:00 [accepted] PHST- 2019/07/18 06:00 [entrez] PHST- 2019/07/18 06:00 [pubmed] PHST- 2019/07/18 06:01 [medline] PHST- 2019/07/02 00:00 [pmc-release] AID - 10.3389/fphar.2019.00726 [doi] PST - epublish SO - Front Pharmacol. 2019 Jul 2;10:726. doi: 10.3389/fphar.2019.00726. eCollection 2019.