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Intramucosal Inoculation of Squamous Cell Carcinoma Cells in Mice for Tumor Immune Profiling and Treatment Response Assessment
Published on: April 22, 2019
Immunotherapy for head and neck cancer patients: shifting the balance
Annelies W Turksma1, Boudewijn Jm Braakhuis, Elisabeth Bloemena
1VU University Medical Center - Cancer Center Amsterdam, Department of Pathology 2.26, de Boelelaan 1117, NL-1081 HV Amsterdam, The Netherlands.
Abstract:
Head and neck squamous cell carcinoma is the sixth most common cancer in the western world. Over the last few decades little improvement has been made to increase the relatively low 5-year survival rate. This calls for novel and improved therapies. Here, we describe opportunities in immunotherapy for head and neck cancer patients and hurdles yet to be overcome. Viruses are involved in a subset of head and neck squamous cell carcinoma cases. The incidence of HPV-related head and neck cancer is increasing and is a distinctly different disease from other head and neck carcinomas. Virus-induced tumors express viral antigens that are good targets for immunotherapeutic treatment options. The type of immunotherapeutic treatment, either active or passive, should be selected depending on the HPV status of the tumor and the immune status of the patient.
Insights
Immunotherapy offers new hope for head and neck squamous cell carcinoma (HNSCC) patients, especially those with increasing HPV-related HNSCC. Treatment selection depends on tumor and patient immune status for optimal outcomes.
Area of Science:
- Oncology
- Immunology
- Virology
Background:
- Head and neck squamous cell carcinoma (HNSCC) is a prevalent cancer with a historically low 5-year survival rate.
- Limited therapeutic advancements necessitate novel treatment strategies for HNSCC.
- A subset of HNSCC cases are associated with viral infections, notably human papillomavirus (HPV).
Purpose of the Study:
- To explore the potential of immunotherapy for head and neck cancer patients.
- To identify challenges and opportunities in applying immunotherapy to HNSCC.
- To discuss the distinct characteristics of HPV-related HNSCC and its implications for treatment.
Main Methods:
- Review of current understanding of HNSCC and viral involvement.
- Analysis of viral antigens as targets for immunotherapy.
- Consideration of patient and tumor factors in treatment selection.
Main Results:
- Virus-induced tumors, particularly HPV-related HNSCC, present unique targets for immunotherapy.
- The increasing incidence of HPV-related HNSCC represents a distinct clinical entity.
- Viral antigens are viable targets for immunotherapeutic interventions.
Conclusions:
- Immunotherapy holds promise for improving outcomes in HNSCC.
- Effective immunotherapy requires careful consideration of the tumor's HPV status and the patient's immune profile.
- Personalized immunotherapy approaches are crucial for maximizing treatment efficacy in HNSCC.
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