| Literature DB >> 30539714 |
Rawad Elias1, Kevan Hartshorn2, Osama Rahma3, Nina Lin4, Jennifer E Snyder-Cappione5.
Abstract
The advent of immune checkpoint inhibitors (ICIs) has changed the landscape of cancer treatment. Older adults represent the majority of cancer patients; however, direct data evaluating ICIs in this patient population is lacking. Aging is associated with changes in the immune system known as "immunosenescence" that could impact the efficacy and safety profile of ICIs. In this paper, we review aging-associated changes in the immune system as they may relate to cancer and immunotherapy, with mention of the effect of chronic viral infections and frailty. Furthermore, we summarize the current clinical evidence of ICI effectiveness and toxicity among older adults with cancer.Entities:
Keywords: Checkpoint inhibitors; Frailty; Immune senescence; Immunotherapy; Older adults
Mesh:
Year: 2018 PMID: 30539714 DOI: 10.1053/j.seminoncol.2018.08.006
Source DB: PubMed Journal: Semin Oncol ISSN: 0093-7754 Impact factor: 5.385