Wang Che-Wei, Biswas Pulak Kumar, Islam Atikul, Chen Mu-Kuan, Chueh Pin Ju
Institute of Biomedical Sciences, National Chung Hsing University, Taichung 40227, Taiwan.
Department of Otorhinolaryngology-Head and Neck Surgery, Changhua Christian Hospital, Changhua 50006, Taiwan.
Cells. 2024 Feb 27;13(5):413. doi: 10.3390/cells13050413.
Immunotherapy has emerged as a promising new treatment modality for head and neck cancer, offering the potential for targeted and effective cancer management. Squamous cell carcinomas pose significant challenges due to their aggressive nature and limited treatment options. Conventional therapies such as surgery, radiation, and chemotherapy often have limited success rates and can have significant side effects. Immunotherapy harnesses the power of the immune system to recognize and eliminate cancer cells, and thus represents a novel approach with the potential to improve patient outcomes. In the management of head and neck squamous cell carcinoma (HNSCC), important contributions are made by immunotherapies, including adaptive cell therapy (ACT) and immune checkpoint inhibitor therapy. In this review, we are focusing on the latter. Immune checkpoint inhibitors target proteins such as programmed cell death protein 1 (PD-1) and cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) to enhance the immune response against cancer cells. The CTLA-4 inhibitors, such as ipilimumab and tremelimumab, have been approved for early-stage clinical trials and have shown promising outcomes in terms of tumor regression and durable responses in patients with advanced HNSCC. Thus, immune checkpoint inhibitor therapy holds promise in overcoming the limitations of conventional therapies. However, further research is needed to optimize treatment regimens, identify predictive biomarkers, and overcome potential resistance mechanisms. With ongoing advancements in immunotherapy, the future holds great potential for transforming the landscape of oral tumor treatment and providing new hope for patients.
免疫疗法已成为头颈部癌症一种很有前景的新治疗方式,为有针对性且有效的癌症管理提供了可能。鳞状细胞癌因其侵袭性本质和有限的治疗选择而带来重大挑战。诸如手术、放疗和化疗等传统疗法往往成功率有限,且会有显著的副作用。免疫疗法利用免疫系统识别和清除癌细胞的能力,因此代表了一种有望改善患者预后的新方法。在头颈部鳞状细胞癌(HNSCC)的治疗中,免疫疗法做出了重要贡献,包括适应性细胞疗法(ACT)和免疫检查点抑制剂疗法。在本综述中,我们聚焦于后者。免疫检查点抑制剂靶向程序性细胞死亡蛋白1(PD-1)和细胞毒性T淋巴细胞相关蛋白4(CTLA-4)等蛋白质,以增强针对癌细胞的免疫反应。CTLA-4抑制剂,如伊匹木单抗和曲美木单抗,已获批用于早期临床试验,并在晚期HNSCC患者的肿瘤消退和持久反应方面显示出有前景的结果。因此,免疫检查点抑制剂疗法有望克服传统疗法的局限性。然而,需要进一步研究以优化治疗方案、确定预测性生物标志物并克服潜在的耐药机制。随着免疫疗法的不断进步,未来在改变口腔肿瘤治疗格局和为患者提供新希望方面具有巨大潜力。