Exploring molecular imaging to investigate immune checkpoint inhibitor-related toxicity

Immune checkpoint inhibitors (ICI) boost the endogenous anticancer immunity, evoking long-lasting anticancer responses in a subset of patients with solid tumors. Simultaneously, ICI are also associated with serious toxicities, impacting treatment duration and the quality of life. The proposed proces...

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Main Authors: Rachel S van der Post, I Jolanda M de Vries, Willemijn A van Dop, Erik Aarntzen, Sandra Heskamp, Hans J P M Koenen, Harm Westdorp, Manfred Kneilling, Eva Peeters, Evelien A J van Genugten, Carla van Herpen
Format: Article
Language:English
Published: BMJ Publishing Group 2025-05-01
Series:Journal for ImmunoTherapy of Cancer
Online Access:https://jitc.bmj.com/content/13/5/e011009.full
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author Rachel S van der Post
I Jolanda M de Vries
Willemijn A van Dop
Erik Aarntzen
Sandra Heskamp
Hans J P M Koenen
Harm Westdorp
Manfred Kneilling
Eva Peeters
Evelien A J van Genugten
Carla van Herpen
author_facet Rachel S van der Post
I Jolanda M de Vries
Willemijn A van Dop
Erik Aarntzen
Sandra Heskamp
Hans J P M Koenen
Harm Westdorp
Manfred Kneilling
Eva Peeters
Evelien A J van Genugten
Carla van Herpen
author_sort Rachel S van der Post
collection DOAJ
description Immune checkpoint inhibitors (ICI) boost the endogenous anticancer immunity, evoking long-lasting anticancer responses in a subset of patients with solid tumors. Simultaneously, ICI are also associated with serious toxicities, impacting treatment duration and the quality of life. The proposed processes underlying ICI-related toxicity include T-cell activation and recruitment to non-tumor tissues, involvement of other immune cells and fibroblasts and the host’ microbiome composition. However, the exact mechanisms of these processes remain incompletely understood, hindering clinicians’ ability to predict and identify ICI-related toxicity in the early stages of treatment. Molecular imaging may play a role as a non-invasive biomarker, providing a tool to study ICI-related toxicity. This review discusses the applications of molecular imaging to answer questions regarding the mechanisms, detection, and prediction of ICI-related toxicity. Potential targets and the current state of development of suitable imaging techniques are discussed.
format Article
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issn 2051-1426
language English
publishDate 2025-05-01
publisher BMJ Publishing Group
record_format Article
series Journal for ImmunoTherapy of Cancer
spelling doaj-art-531c405b0ec74bcd989203ddca687bc12025-08-20T03:09:28ZengBMJ Publishing GroupJournal for ImmunoTherapy of Cancer2051-14262025-05-0113510.1136/jitc-2024-011009Exploring molecular imaging to investigate immune checkpoint inhibitor-related toxicityRachel S van der Post0I Jolanda M de Vries1Willemijn A van Dop2Erik Aarntzen3Sandra Heskamp4Hans J P M Koenen5Harm Westdorp6Manfred Kneilling7Eva Peeters8Evelien A J van Genugten9Carla van Herpen10Department of Pathology, Radboud University Medical Center, Nijmegen, Gelderland, The NetherlandsMedical BioSciences, Radboud University Medical Center, Nijmegen, The NetherlandsDepartment of Gastroenterology, Radboud University Medical Center, Nijmegen, Gelderland, The NetherlandsMedical Imaging, Radboud University Medical Center, Nijmegen, The NetherlandsMedical Imaging, Radboud University Medical Center, Nijmegen, The NetherlandsLaboratory of Medical Immunology, Radboud University Medical Center, Nijmegen, Gelderland, The NetherlandsMedical Oncology, Radboud University Medical Center, Nijmegen, The NetherlandsDepartment of Preclinical Imaging and Radiopharmacy, Werner Siemens Imaging Center, University of Tübingen, Tubingen, Baden-Württemberg, GermanyMedical Imaging, Radboud University Medical Center, Nijmegen, The NetherlandsMedical Imaging, Radboud University Medical Center, Nijmegen, The NetherlandsMedical Oncology, Radboud University Medical Center, Nijmegen, The NetherlandsImmune checkpoint inhibitors (ICI) boost the endogenous anticancer immunity, evoking long-lasting anticancer responses in a subset of patients with solid tumors. Simultaneously, ICI are also associated with serious toxicities, impacting treatment duration and the quality of life. The proposed processes underlying ICI-related toxicity include T-cell activation and recruitment to non-tumor tissues, involvement of other immune cells and fibroblasts and the host’ microbiome composition. However, the exact mechanisms of these processes remain incompletely understood, hindering clinicians’ ability to predict and identify ICI-related toxicity in the early stages of treatment. Molecular imaging may play a role as a non-invasive biomarker, providing a tool to study ICI-related toxicity. This review discusses the applications of molecular imaging to answer questions regarding the mechanisms, detection, and prediction of ICI-related toxicity. Potential targets and the current state of development of suitable imaging techniques are discussed.https://jitc.bmj.com/content/13/5/e011009.full
spellingShingle Rachel S van der Post
I Jolanda M de Vries
Willemijn A van Dop
Erik Aarntzen
Sandra Heskamp
Hans J P M Koenen
Harm Westdorp
Manfred Kneilling
Eva Peeters
Evelien A J van Genugten
Carla van Herpen
Exploring molecular imaging to investigate immune checkpoint inhibitor-related toxicity
Journal for ImmunoTherapy of Cancer
title Exploring molecular imaging to investigate immune checkpoint inhibitor-related toxicity
title_full Exploring molecular imaging to investigate immune checkpoint inhibitor-related toxicity
title_fullStr Exploring molecular imaging to investigate immune checkpoint inhibitor-related toxicity
title_full_unstemmed Exploring molecular imaging to investigate immune checkpoint inhibitor-related toxicity
title_short Exploring molecular imaging to investigate immune checkpoint inhibitor-related toxicity
title_sort exploring molecular imaging to investigate immune checkpoint inhibitor related toxicity
url https://jitc.bmj.com/content/13/5/e011009.full
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