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免疫疗法在头颈部鳞状细胞癌中的应用及前景

Application and Perspectives of Immunotherapy in Head and Neck Squamous Cell Carcinoma.

作者信息

Zhang Zihao, Meng Xiaohui, Han Liang

机构信息

Department of Head and Neck Surgery, Nantong Tumor Hospital/Affiliated Tumor Hospital of Nantong University & Department of Otolaryngology, Medical School of Nantong University, Nantong, China.

Department of Otorhinolaryngology Head and Neck Surgery, Central Hospital AffilIated to Shandong First Medical University, Jinan, China.

出版信息

Immunology. 2025 Oct;176(2):164-178. doi: 10.1111/imm.13951. Epub 2025 May 21.

Abstract

Head and neck squamous cell carcinoma poses grave challenges to clinicians and patients due to its tumour invasiveness and treatment uncertainties. Despite the substantial improvements in conventional treatment modalities such as surgery, chemotherapy and radiotherapy, the recurrence rate and mortality rate of HNSCC remain stubbornly high. Traditionally, the front-line therapy for recurrent/metastatic HNSCC has been the amalgamation of platinum-based drugs/paclitaxel, 5-fluorouracil and cetuximab, yet it only improves the prognosis of some patients, and the overall treatment situation remains severe. Immunotherapy, as an emerging luminary in the domain of cancer treatment, is committed to improving the tumour microenvironment and stimulating the immune system to perform anti-tumour functions. The continuous updates of immune checkpoint inhibitors have also obtained favourable clinical feedback and are expected to overcome the constraints of traditional therapies. This article elaborates on the trends of immunotherapy within the TME and the progress of immunotherapy, aiming to provide new ideas for treatment regimens in the new therapeutic landscape of HNSCC and offer new hope for patients.

摘要

头颈部鳞状细胞癌因其肿瘤侵袭性和治疗的不确定性,给临床医生和患者带来了严峻挑战。尽管手术、化疗和放疗等传统治疗方式有了显著进步,但头颈部鳞状细胞癌的复发率和死亡率仍然居高不下。传统上,复发/转移性头颈部鳞状细胞癌的一线治疗方案是铂类药物/紫杉醇、5-氟尿嘧啶和西妥昔单抗的联合使用,但这仅改善了部分患者的预后,整体治疗形势依然严峻。免疫疗法作为癌症治疗领域的新兴明星,致力于改善肿瘤微环境并刺激免疫系统发挥抗肿瘤功能。免疫检查点抑制剂的不断更新也获得了良好的临床反馈,有望克服传统疗法的局限性。本文阐述了肿瘤微环境中免疫疗法的趋势以及免疫疗法的进展,旨在为头颈部鳞状细胞癌新治疗格局下的治疗方案提供新思路,并为患者带来新希望。

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