AUTHOR=Li Xuewei , Ji Lina , Li Xiaofang , Sun Dong , Yang Wenhui 

TITLE=Application of artificial liver in immune-related liver injury induced by immune checkpoint inhibitor: Case reports and review of the literature

JOURNAL=Frontiers in Immunology

VOLUME=13

YEAR=2022

URL=https://www.frontiersin.org/journals/immunology/articles/10.3389/fimmu.2022.1001823

DOI=10.3389/fimmu.2022.1001823

ISSN=1664-3224

ABSTRACT=<p>The use of immune checkpoint inhibitors (ICIs) can improve survival of patients with malignant tumors, however, the ICI treatment is associated with unpredictable toxicity as immune-related adverse effects (irAEs). Here we report two cases of metastatic malignant gastrointestinal tumors where severe immune-mediated hepatotoxicity (IMH) developed, characterized by liver failure, after the ICI therapy. Through a strong immunosuppressive treatment and a non-biological artificial liver and supportive treatment, the liver function was restored in both cases, and the anti-tumor treatment effect was guaranteed. These results showed that the non-biological artificial liver could be capable of improve prognosis during the ICI therapy.</p>