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头颈部鳞状细胞癌的新辅助免疫治疗:当前证据与未来展望。

Neoadjuvant immunotherapy in squamous cell carcinoma of the head and neck: current evidence and future perspectives.

作者信息

Zhang Bocheng, Tan Haolei, Kuang Jingyu, Zhou Bo, Liang Shixuan, Pang Xiao, Ouyang Yu, Zhang Zhang, Long Ying, Zhang Hailin

机构信息

Hunan provincial clinical research centre for oncoplastic surgery, The Affiliated Cancer Hospital of Xiangya School of Medicine, Hunan Cancer Hospital, Central South University, Changsha, Hunan, 410013, P. R. China.

Department of Head and Neck surgery, The Affiliated Cancer Hospital of Xiangya School of Medicine, Hunan Cancer Hospital, Central South University, Changsha, Hunan, 410013, P. R. China.

出版信息

Mol Cancer. 2025 Nov 10;24(1):284. doi: 10.1186/s12943-025-02487-4.

DOI:10.1186/s12943-025-02487-4
PMID:41214710
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12604315/
Abstract

Head and Neck Squamous Cell Carcinoma (HNSCC) is a highly aggressive malignant tumor. Traditional therapeutic approaches have limited efficacy in locally advanced HNSCC patients, and neoadjuvant immunotherapy has emerged as a new hope. However, the current outcomes of neoadjuvant immunotherapy for HNSCC are not yet optimal and urgently need improvement. This article comprehensively reviews the clinical research progress of neoadjuvant immunotherapy in the field of HNSCC treatment. By integrating perspectives from the regulatory mechanisms of the immune microenvironment, we propose future research directions for enhancing the efficacy of neoadjuvant immunotherapy for HNSCC patients.

摘要

头颈部鳞状细胞癌(HNSCC)是一种侵袭性很强的恶性肿瘤。传统治疗方法对局部晚期HNSCC患者的疗效有限,新辅助免疫治疗已成为新的希望。然而,目前HNSCC新辅助免疫治疗的效果尚不理想,迫切需要改进。本文全面综述了HNSCC治疗领域新辅助免疫治疗的临床研究进展。通过整合免疫微环境调控机制的观点,我们提出了提高HNSCC患者新辅助免疫治疗疗效的未来研究方向。

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Neoadjuvant and Adjuvant Pembrolizumab in Locally Advanced Head and Neck Cancer.新辅助和辅助帕博利珠单抗治疗局部晚期头颈癌
N Engl J Med. 2025 Jul 3;393(1):37-50. doi: 10.1056/NEJMoa2415434. Epub 2025 Jun 18.
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Neoadjuvant Nivolumab Plus Chemotherapy Followed by Response-Stratified Chemoradiation Therapy in HPV-Negative Head and Neck Cancer: The DEPEND Phase 2 Nonrandomized Clinical Trial.
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Nivolumab With or Without Ipilimumab in Patients With Recurrent or Metastatic Merkel Cell Carcinoma: A Nonrandomized, Open-Label, International, Multicenter Phase I/II Study.纳武利尤单抗联合或不联合伊匹木单抗治疗复发或转移性默克尔细胞癌患者:一项非随机、开放标签、国际性、多中心I/II期研究。
J Clin Oncol. 2025 Mar 20;43(9):1137-1147. doi: 10.1200/JCO-24-02138. Epub 2025 Jan 31.
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