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Updated: May 28, 2026

Therapy Testing in a Spheroid-based 3D Cell Culture Model for Head and Neck Squamous Cell Carcinoma
Published on: April 20, 2018
Therapeutic targets in head and neck squamous cell carcinoma: identification, evaluation, and clinical translation
Jason D Howard1, Bo Lu, Christine H Chung
1Department of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD 21231-1000, United States.
Abstract:
Head and neck squamous cell carcinoma (HNSCC) encompasses a diverse group of malignancies originating in the oral cavity, oropharynx, larynx and hypopharynx. Although treatment modalities have improved, carefully designed biomarker-driven clinical trials will yield the best opportunities to enhance HNSCC therapy options in the future. Due to the heterogeneous nature of HNSCC, discovering a "silver bullet" for the treatment of HNSCC is unlikely. Consequently, impactful HNSCC clinical trials will require multiple assay platforms and expanded technical expertise. In this review, we will outline pathways critical to HNSCC oncogenesis and highlight signaling nodes within these pathways that represent biomarkers for prognosis and potential targeted therapies. All treatment modalities are subject to mechanisms of resistance; thus, lessons learned from HNSCC investigations and studies of similar targeted agents in other pertinent malignancies will be discussed.
Insights
Future head and neck squamous cell carcinoma (HNSCC) treatments require biomarker-driven trials. Understanding HNSCC oncogenesis pathways and resistance mechanisms is key to developing effective targeted therapies for this diverse cancer.
Area of Science:
- Oncology
- Cancer Research
- Molecular Biology
Background:
- Head and neck squamous cell carcinoma (HNSCC) is a diverse group of cancers affecting the oral cavity, oropharynx, larynx, and hypopharynx.
- Current treatment modalities have improved, but significant challenges remain due to the heterogeneous nature of HNSCC.
- A single "silver bullet" treatment is unlikely; progress relies on sophisticated, multi-platform approaches.
Purpose of the Study:
- To review critical oncogenic pathways in HNSCC.
- To identify signaling nodes as potential biomarkers for prognosis and targeted therapies.
- To discuss mechanisms of resistance and lessons learned from HNSCC and other malignancies.
Main Methods:
- Literature review of HNSCC oncogenesis pathways.
- Analysis of signaling nodes for biomarker potential.
- Examination of treatment resistance mechanisms.
Main Results:
- Identification of key pathways driving HNSCC development.
- Highlighting specific signaling nodes as prognostic and therapeutic targets.
- Discussion of resistance mechanisms impacting treatment efficacy.
Conclusions:
- Biomarker-driven clinical trials utilizing multiple assay platforms are essential for advancing HNSCC therapy.
- Targeted therapies focusing on identified signaling nodes show promise.
- Understanding resistance mechanisms is crucial for optimizing treatment strategies in HNSCC.
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