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[头颈部癌的免疫治疗。当前进展]

[Immunotherapy of head and neck cancer. Current developments].

作者信息

Schuler P J, Hoffmann T K, Gauler T C, Bergmann C, Brandau S, Lang S

机构信息

Klinik und Poliklinik für Hals-, Nasen- und Ohrenkrankheiten, Universität Duisburg-Essen.

出版信息

HNO. 2013 Jul;61(7):559-72. doi: 10.1007/s00106-012-2635-6.

Abstract

In order to improve the prognosis for patients with head and neck squamous cell cancer (HNSCC) the introduction of new therapeutic strategies is necessary. The concept of immunotherapy has been applied and improved for several years and recent studies have used tumor-specific antigens which facilitates targeted oncologic therapy. However, immunotherapy is hampered by the fact that immunosuppressive mechanisms are pronounced and relevant effector cells are suppressed, especially in patients with HNSCC. Successful immunotherapy could induce an antitumor immune response by restitution of these cell populations. Current anti-tumor immunotherapy includes unspecific immune stimulation, genetic modification of tumor and immune cells, the use of monoclonal antibodies, e.g. cetuximab, adoptive cell transfer and tumor vaccination. In the future, these biologic therapies alone or in combination with conventional therapeutic regimens could present a valuable therapeutic option for HNSCC patients.

摘要

为了改善头颈部鳞状细胞癌(HNSCC)患者的预后,引入新的治疗策略是必要的。免疫疗法的概念已经应用和改进了数年,最近的研究使用了肿瘤特异性抗原,这有助于靶向肿瘤治疗。然而,免疫疗法受到免疫抑制机制明显且相关效应细胞受到抑制这一事实的阻碍,尤其是在HNSCC患者中。成功的免疫疗法可以通过恢复这些细胞群体来诱导抗肿瘤免疫反应。目前的抗肿瘤免疫疗法包括非特异性免疫刺激、肿瘤和免疫细胞的基因改造、单克隆抗体(如西妥昔单抗)的使用、过继性细胞转移和肿瘤疫苗接种。未来,这些生物疗法单独或与传统治疗方案联合使用,可能为HNSCC患者提供有价值的治疗选择。

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