Andreescu Mihaela
Department of Clinical Sciences, Titu Maiorescu University of Bucharest, Bucharest, ROU.
Hematology, Colentina Clinical Hospital, Bucharest, ROU.
Cureus. 2024 Jan 10;16(1):e52050. doi: 10.7759/cureus.52050. eCollection 2024 Jan.
Concurrent infections in hematological malignancies (HM) are major contributors to adverse clinical outcomes, including prolonged hospitalization and reduced life expectancy. Individuals diagnosed with HM are particularly susceptible to infectious pathogens due to immunosuppression, which can either be inherent to the hematological disorder or induced by specific therapeutic therapies. Over the years, the treatment paradigm for HM has witnessed a tremendous shift from broad-spectrum treatment approaches to more specific, targeted therapies. Even now, the therapeutic landscape of HM is constantly evolving due to the advent of novel targeted therapies and enhanced utilization of these agents for treatment purposes. By initiating unique molecular pathways, these agents hinder the proliferation of malignant cells, consequently affecting innate and adaptive immunity, which increases the risk of infectious complications. Due to the complexity of novel targeted therapies and their associated risk of infection, it often becomes a daunting task for physicians to maintain updated knowledge in their clinical practice. The situation is further aggravated by the fact that most of the initial clinical trials on targeted therapies provide inadequate information to conclude the associated risk of infection. In such a scenario, a cumulative body of evidence is paramount for guiding clinicians regarding the infectious complications that can arise following targeted therapies. In this review, I summarize the recent knowledge on infectious complications arising in targeted therapies for HM.
血液系统恶性肿瘤(HM)中的合并感染是导致不良临床结局的主要因素,包括住院时间延长和预期寿命缩短。由于免疫抑制,被诊断为HM的个体特别容易受到感染病原体的影响,这种免疫抑制可能是血液系统疾病所固有的,也可能是由特定治疗方法诱导的。多年来,HM的治疗模式经历了从广谱治疗方法到更具体、靶向治疗的巨大转变。即便如此,由于新型靶向治疗的出现以及这些药物在治疗中的更多应用,HM的治疗格局仍在不断演变。通过启动独特的分子途径,这些药物阻碍恶性细胞的增殖,从而影响先天免疫和适应性免疫,增加了感染并发症的风险。由于新型靶向治疗的复杂性及其相关的感染风险,医生在临床实践中保持最新知识往往是一项艰巨的任务。大多数靶向治疗的初始临床试验提供的信息不足以确定相关感染风险,这一事实进一步加剧了这种情况。在这种情况下,积累的证据对于指导临床医生了解靶向治疗后可能出现的感染并发症至关重要。在这篇综述中,我总结了关于HM靶向治疗中出现的感染并发症的最新知识。