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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
Personalized cancer vaccination in head and neck cancer
Hirofumi Shibata1,2, Liye Zhou1, Na Xu1,3
1Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Abstract:
Cancer is characterized by an accumulation of somatic mutations that represent a source of neoantigens for targeting by antigen-specific T cells. Head and neck squamous cell carcinoma (HNSCC) has a relatively high mutation burden across all cancer types, and cellular immunity to neoantigens likely plays a key role in HNSCC clinical outcomes. Immune checkpoint inhibitors (CPIs) have brought new treatment options and hopes to patients with recurrent and/or metastatic HNSCC. However, many patients do not benefit from CPI therapies, highlighting the need for novel immunotherapy or combinatorial strategies. One such approach is personalized cancer vaccination targeting tumor-associated antigens and tumor-specific antigens, either as single agents or in combination with other therapies. Recent advances in next-generation genomic sequencing technologies and computational algorithms have enabled efficient identification of somatic mutation-derived neoantigens and are anticipated to facilitate the development of cancer vaccine strategies. Here, we review cancer vaccine approaches against HNSCC, including fundamental mechanisms of a cancer vaccine, considerations for selecting appropriate antigens, and combination therapies.
Insights
Personalized cancer vaccines targeting neoantigens offer a promising immunotherapy strategy for head and neck squamous cell carcinoma (HNSCC). This review explores cancer vaccine approaches, antigen selection, and combination therapies for HNSCC treatment.
Area of Science:
- Oncology
- Immunology
- Genomics
Background:
- Head and neck squamous cell carcinoma (HNSCC) is characterized by a high mutation burden, generating neoantigens that can be targeted by T cells.
- Immune checkpoint inhibitors (CPIs) offer new treatment options for advanced HNSCC, but response rates vary, necessitating novel therapeutic strategies.
- Understanding cellular immunity to neoantigens is crucial for improving clinical outcomes in HNSCC.
Purpose of the Study:
- To review current cancer vaccine approaches for HNSCC.
- To discuss the mechanisms, antigen selection, and combination therapies for personalized cancer vaccines in HNSCC.
Main Methods:
- Review of existing literature on cancer vaccines, neoantigen identification, and immunotherapy for HNSCC.
- Analysis of next-generation sequencing and computational algorithms for neoantigen discovery.
- Examination of clinical trial data and preclinical studies on HNSCC vaccines.
Main Results:
- Somatic mutations in HNSCC provide a source of tumor-specific neoantigens for T cell recognition.
- Personalized cancer vaccines can be developed by identifying and targeting these neoantigens.
- Combination strategies involving vaccines and CPIs show potential for enhancing anti-tumor immunity.
Conclusions:
- Personalized cancer vaccines represent a viable immunotherapy strategy for HNSCC, particularly for patients unresponsive to CPIs.
- Advances in genomic sequencing facilitate the identification of neoantigens for vaccine development.
- Further research into optimal antigen selection and combination therapies is essential for advancing HNSCC vaccine strategies.
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