Remodeling the tumor microenvironment to overcome treatment resistance in HPV-negative head and neck cancer

Sergi Benavente1

  • 1Department of Radiation Oncology, Vall d'Hebron University Hospital Campus, Barcelona 08035, Spain.

Insights

For HPV-negative head and neck cancer, survival is poor. This review explores targeting the tumor microenvironment with immunotherapies and metabolic regulation for better treatment outcomes.

Area of Science:

  • Oncology
  • Immunology
  • Cancer Biology

Background:

  • Overall survival in HPV-negative head and neck cancer (HNSCC) remains poor despite advances.
  • HPV-negative HNSCC is characterized by an immunologically cold and excluded tumor microenvironment (TME).
  • Effective antitumor immune responses are challenging to elicit in this context.

Purpose of the Study:

  • To review the impact of immune and stromal cells on the TME in HPV-negative HNSCC.
  • To emphasize the importance of metabolic regulation within the TME for cancer treatment.
  • To summarize the clinical potential of personalized immunotherapeutic strategies for HPV-negative HNSCC.

Main Methods:

  • Literature review focusing on tumor microenvironment modulation.
  • Analysis of immune cell and stromal cell interactions within the TME.
  • Evaluation of metabolic pathways influencing TME.
  • Synthesis of current clinical data on immunotherapy in HPV-negative HNSCC.

Main Results:

  • The TME composition, including immune and stromal cells, significantly influences treatment response.
  • Metabolic reprogramming of the TME presents a critical target for therapeutic intervention.
  • Personalized immunotherapies show promise but require further clinical validation.

Conclusions:

  • Modulating the TME through immune and metabolic strategies is crucial for improving outcomes in HPV-negative HNSCC.
  • Integrating metabolic regulation into immunotherapy regimens may enhance efficacy.
  • Personalized approaches hold potential for overcoming treatment resistance in HPV-negative HNSCC.

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