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Therapy Testing in a Spheroid-based 3D Cell Culture Model for Head and Neck Squamous Cell Carcinoma
Published on: April 20, 2018
Molecular biology in head and neck cancer
Ricardo Hitt1, María José Echarri
1Division of Medical Oncology. Hospital Universitario 12 de Octubre. Madrid. Spain. rhitt@h12o.es
Abstract:
Major changes in the treatment of head and neck cancer are possible today because of the knowledge that we have on the molecular biology of these tumors. Different pathways are active in the development of this cancer and field cancerization is a major problem for the cure in early stage disease. Epidermal growth factor signal transduction pathway is now the principal target for this disease. New therapeutic strategies such as monoclonal antibodies and small molecules have appeared, however no more than 20% of the patients have objective responses with these therapies. Consequently, new alternatives of treatment in the basis of the understanding of molecular biology are necessary to increase the number of patients that can be cured in the future.
Insights
Understanding head and neck cancer
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Head and neck cancers involve complex molecular pathways.
- Field cancerization poses a significant challenge in early-stage disease management.
- The epidermal growth factor (EGF) signaling pathway is a key target.
Purpose of the Study:
- To review current knowledge on head and neck cancer molecular biology.
- To discuss the role of EGF signaling in head and neck cancer treatment.
- To highlight the need for novel therapeutic strategies.
Main Methods:
- Review of current literature on head and neck cancer molecular biology.
- Analysis of targeted therapies focusing on the EGF pathway.
- Evaluation of treatment response rates for existing therapies.
Main Results:
- Targeting the EGF pathway with monoclonal antibodies and small molecules shows limited efficacy (objective responses <20%).
- Field cancerization complicates curative treatment in early stages.
- Current targeted therapies do not significantly improve cure rates.
Conclusions:
- Advances in molecular biology offer potential for major changes in head and neck cancer treatment.
- New therapeutic alternatives are crucial to improve patient outcomes.
- Further research into molecular mechanisms is needed to develop more effective treatments.
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