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KMID : 0361120220360020082
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Korean Journal of Transplantation
2022 Volume.36 No. 2 p.82 ~ p.98
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Immune checkpoint inhibitors for solid organ transplant recipients: clinical updates
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Shun Kawashima
Kole Joachim
Maen Abdelrahim
Ala Abudayyeh
Kenar D. Jhaveri
Naoka Murakami
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Abstract
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Transplant care continues to advance with increasing clinical experience and improvements in immunosuppressive therapy. As the population ages and long-term survival improves, transplant patient care has become more complex due to comorbidities, frailty, and the increased prevalence of cancer posttransplantation. Immune checkpoint inhibitors (ICIs) have become a standard treatment option for many cancers in non-transplant patients, but the use of ICIs in transplant patients is challenging due to the possibility of disrupting immune tolerance. However, over the past few years, ICIs have gradually started to be used in transplant patients as well. In this study, we review the current use of ICIs after all solid organ transplantation procedures (kidney, liver, heart, and lung). Increasing data suggest that the type and number of immunosuppressants may affect the risk of rejection after immunotherapy. Immunotherapy for cancer in transplant patients may be a feasible option for selected patients; however, prospective trials in specific organ transplant recipients are needed.
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KEYWORD
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Immune checkpoint inhibitor, Transplantation, Graft rejection, Programmed cell death protein 1, Cytotoxic T-lymphocyte-associated protein 4
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