Immunometabolism in head and neck squamous cell carcinoma: Hope and challenge

Yi-Jia-Ning Zhang1, Yao Xiao1, Zi-Zhan Li1

  • 1State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China.

Insights

Metabolic reprogramming in head and neck squamous cell carcinoma (HNSCC) impacts immunotherapy effectiveness. Targeting cancer and immune cell metabolism in the tumor microenvironment (TME) may enhance treatment responses.

Area of Science:

  • Immunology
  • Oncology
  • Metabolism

Background:

  • Immunotherapy offers improved survival for head and neck squamous cell carcinoma (HNSCC) patients, yet durable responses are achieved in less than 20%.
  • Local recurrence and lymph node metastasis remain critical challenges, contributing to a suboptimal 5-year survival rate for HNSCC.
  • Tumor cells exhibit specialized metabolism to meet anabolic demands, altering the tumor microenvironment (TME) and influencing immune cell function.

Purpose of the Study:

  • To review the metabolic processes affecting immune cells within the HNSCC TME.
  • To explore the interplay between cancer cell metabolism and immune cell metabolism in HNSCC.
  • To propose strategies for metabolic intervention to enhance anti-tumor immune responses.

Main Methods:

  • Literature review focusing on cancer cell metabolism and immune cell metabolism in HNSCC.
  • Analysis of metabolic pathways influencing immune cell function within the tumor microenvironment.
  • Synthesis of current understanding to identify therapeutic targets.

Main Results:

  • Cancer cell metabolic reprogramming significantly impacts the TME.
  • Metabolic heterogeneity and plasticity are key features of immune cells in HNSCC.
  • Specific metabolic pathways are identified as crucial for immune cell function in HNSCC.

Conclusions:

  • Understanding cancer and immune cell metabolism is crucial for improving HNSCC immunotherapy.
  • Metabolic interventions hold promise for enhancing anti-tumor immunity in HNSCC.
  • Further research into metabolic reprogramming can lead to novel therapeutic strategies for HNSCC.

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