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头颈部癌症中白细胞介素基因治疗的未来。

The future of interleukin gene therapy in head and neck cancers.

机构信息

Department of Otolaryngology, Head and Neck Surgery, TUM School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany.

Central Institute for Translational Cancer Research, Technical University of Munich (TranslaTUM), Munich, Germany.

出版信息

Expert Opin Biol Ther. 2024 Oct;24(10):1057-1073. doi: 10.1080/14712598.2024.2405568. Epub 2024 Sep 18.

Abstract

INTRODUCTION

Head and neck cancer (HNC), primarily head and neck squamous cell carcinomas, originates from the squamous epithelium in areas like the oral cavity, lip, larynx, and oropharynx. With high morbidity impacting critical functions, combined treatments like surgery, radiation, and chemotherapy often fall short in advanced stages, highlighting the need for innovative therapies.

AREAS COVERED

This review critically evaluates interleukin (IL) gene therapy for treating HNC. The discussion extends to key ILs in HNC, various gene therapy techniques and delivery methods. We particularly focus on the application of , , and gene therapies, examining their mechanisms and outcomes in preclinical studies and clinical trials. The final sections address IL gene therapy challenges in HNC, exploring solutions and critically assessing future therapeutic directions.

EXPERT OPINION

Despite advancements in genomic and immunotherapy, significant challenges in HNC treatment persist, primarily due to the immunosuppressive nature of the tumor microenvironment and the adverse effects of current therapies. The therapeutic efficacy of IL gene therapy hinges on overcoming these hurdles through refined delivery methods that ensure targeted, tumor-specific gene expression. Future strategies should focus on refining gene delivery methods and combining IL gene therapy with other treatments to optimize efficacy and minimize toxicity.

摘要

简介

头颈部癌症(HNC)主要来源于口腔、唇、喉和口咽等部位的鳞状上皮细胞。其高发病率影响着关键功能,手术、放疗和化疗等联合治疗在晚期往往效果不佳,凸显出创新疗法的必要性。

涵盖范围

本文批判性地评估了白细胞介素(IL)基因疗法在头颈部癌症治疗中的应用。讨论扩展到 HNC 中的关键 IL 以及各种基因治疗技术和递送方法。我们特别关注 、 和 基因疗法的应用,研究它们在临床前研究和临床试验中的机制和结果。最后部分探讨了 HNC 中 IL 基因治疗的挑战,探索解决方案并批判性评估未来的治疗方向。

专家意见

尽管在基因组学和免疫疗法方面取得了进展,但 HNC 治疗仍存在重大挑战,主要是由于肿瘤微环境的免疫抑制特性以及现有治疗方法的不良反应。IL 基因疗法的治疗效果取决于通过改进的递送方法克服这些障碍,这些方法确保了靶向、肿瘤特异性的基因表达。未来的策略应侧重于改进基因递送方法,并将 IL 基因疗法与其他治疗方法相结合,以优化疗效并最小化毒性。

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