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Updated: Jul 23, 2025

Therapy Testing in a Spheroid-based 3D Cell Culture Model for Head and Neck Squamous Cell Carcinoma
Published on: April 20, 2018
Remodeling the tumor microenvironment to overcome treatment resistance in HPV-negative head and neck cancer
1Department of Radiation Oncology, Vall d'Hebron University Hospital Campus, Barcelona 08035, Spain.
Abstract:
Despite intensive efforts and refined techniques, overall survival in HPV-negative head and neck cancer remains poor. Robust immune priming is required to elicit a strong and durable antitumor immune response in immunologically cold and excluded tumors like HPV-negative head and neck cancer. This review highlights how the tumor microenvironment could be affected by different immune and stromal cell types, weighs the need to integrate metabolic regulation of the tumor microenvironment into cancer treatment strategies and summarizes the emerging clinical applicability of personalized immunotherapeutic strategies in HPV-negative head and neck cancer.
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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