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Updated: May 19, 2026

Therapy Testing in a Spheroid-based 3D Cell Culture Model for Head and Neck Squamous Cell Carcinoma
Published on: April 20, 2018
Molecular characterization of head and neck cancer: how close to personalized targeted therapy?
Maria J Worsham1, Haythem Ali, Jadranka Dragovic
1Department of OtolaryngologyHead and Neck Surgery, Henry Ford Health System, Detroit, MI 48202, USA. mworsha1@hfhs.org
Abstract:
Molecular targeted therapy in head and neck squamous cell carcinoma (HNSCC) continues to make strides, and holds much promise. Cetuximab remains the sole US FDA-approved molecular targeted therapy available for HNSCC, though several new biologic agents targeting the epidermal growth factor receptor (EGFR) and other pathways are currently in the regulatory approval pipeline. While targeted therapies have the potential to be personalized, their current use in HNSCC is not personalized. This is illustrated for EGFR-targeted drugs, where EGFR as a molecular target has yet to be individualized for HNSCC. Future research needs to identify factors that correlate with response (or lack of one) and the underlying genotype-phenotype relationship that dictates this response. Comprehensive exploration of genetic and epigenetic landscapes in HNSCC is opening new frontiers to further enlighten and mechanistically inform newer as well as existing molecular targets, and to set a course for eventually translating these discoveries into therapies for patients. This opinion offers a snapshot of the evolution of molecular subtyping in HNSCC and its current clinical applicability, as well as new emergent paradigms with implications for controlling this disease in the future.
Insights
Molecular targeted therapy shows promise for head and neck squamous cell carcinoma (HNSCC). Future research must personalize treatments by understanding genotype-phenotype links for better patient outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Head and neck squamous cell carcinoma (HNSCC) treatment is evolving with molecular targeted therapies.
- Cetuximab is the only FDA-approved targeted therapy for HNSCC, with others in development targeting EGFR and other pathways.
Purpose of the Study:
- To review the evolution and current clinical applicability of molecular subtyping in HNSCC.
- To discuss emergent paradigms for future targeted therapy development and personalized treatment strategies.
Main Methods:
- Review of current literature on molecular targeted therapies in HNSCC.
- Analysis of the clinical application of epidermal growth factor receptor (EGFR) targeted drugs.
- Exploration of genetic and epigenetic landscapes in HNSCC.
Main Results:
- Current targeted therapy use in HNSCC is not personalized, despite the potential for individualized treatment.
- EGFR as a molecular target has not yet been individualized for HNSCC treatment.
- Genetic and epigenetic research is crucial for identifying response predictors and informing future therapies.
Conclusions:
- Personalization of molecular targeted therapy in HNSCC is a critical unmet need.
- Further research into genotype-phenotype relationships is essential for optimizing targeted treatments.
- Comprehensive genomic and epigenomic analysis will drive the development of novel therapeutic strategies for HNSCC.
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