

Immunology 2018
J u l y 0 5 - 0 7 , 2 0 1 8
V i e n n a , A u s t r i a
Page 102
Journal of Clinical Immunology and Allergy
ISSN 2471-304X
1 5
t h
I n t e r n a t i o n a l C o n f e r e n c e o n
Immunology
C
ancer immunotherapy is coming of age; it has prompted a paradigm shift in oncology, in which therapeutic agents are used
to target immune cells rather than cancer cells. The first generation of new immunotherapies corresponds to antagonistic
antibodies that block specific immune checkpoint molecules cytotoxic T-lymphocyte-associated antigen 4 (CTLA-4), programmed
cell death protein (PD-1) and its ligand PD-L1. Targeting these checkpoints in patients living with cancer had led to long-lasting
tumour responses. By unbalancing the immune system, these new immunotherapies also generate dysimmune toxicities, called
immune-related adverse events (IRAEs) that mainly involve the gut, skin, endocrine glands, liver, and lung but can potentially
affect any tissue. In view of their undisputed clinical efficacy, anti-CTLA-4 and anti-PD-1 antibodies are entering in the routine
oncological practice, and the number of patients exposed to these drugs will increase dramatically in the near future. Although
steroids can be used to treat these IRAEs, the associated immunosuppression may compromise the antitumour response.
Oncologists must be ready to detect and manage these new types of adverse events. This topic will focus on the mechanisms
of IRAE generation, putative relationship between dysimmune toxicity and antitumour efficacy, immune-haematological and
emergent IRAEs, and basis for management guidelines.
jean-marie.michot@gustaveroussy.frImmune-related adverse events with immune
checkpoint blockade therapies
J M Michot
Gustave Roussy Cancer Campus, France
Hopital du Kremlin Bicêtre Assistance Publique des Hôpitaux de Paris, France
Insights Allergy Asthma Bronchitis 2018, Volume: 4
DOI: 10.21767/2471-304X-C1-003