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Ancient and Emerging Nanostructures for Innovations to Fight Head and Neck Cancer
Nina Kummer1, Ömür Acet2, Burcu Önal Acet3
1Department of Otorhinolaryngology Head and Neck Surgery, Nanobiomedicine/Molecular and Cellular Oncology, University Medical Center Mainz, Langenbeckstraße 1, 55131 Mainz, Germany.
Abstract:
Head and neck squamous cell carcinoma (HNSCC) remains a major global health challenge due to its aggressive behavior, late-stage diagnosis, and high incidence of therapy resistance. At the cellular level, these clinical limitations are driven by profound alterations in oncogenic signaling, stress adaptation, DNA damage response pathways, and immune regulation within the tumor microenvironment. Advances in nanotechnology offer powerful opportunities to address these challenges by enabling targeted interference with cellular processes that govern tumor growth, survival, and therapy resistance. "Ancient" (i.e., established, long-studied) nanostructures, including mineral-based nanoparticles, natural biopolymers, and plant-derived nanovesicles, provide inherently biocompatible and bioactive platforms capable of modulating cellular signaling, redox balance, and immune responses. In parallel, emerging nanosystems-such as nanobodies, engineered exosomes, DNA origami, and stimuli-responsive smart nanoparticles-allow precise molecular targeting, controlled cargo release, and direct manipulation of intracellular pathways and intercellular communication. This manuscript synthesizes historical and contemporary developments in nanostructure design, highlighting how the integration of ancient materials with advanced nanotechnology can reshape therapeutic strategies for HNSCC. By targeting key cellular and microenvironmental processes, including DNA damage response signaling, redox homeostasis, immune regulation and stress-adaptive survival mechanisms, rather than drug delivery alone, these integrated nano-platforms offer promising avenues to overcome resistance mechanisms, reprogram the tumor microenvironment, and improve therapeutic precision and patient outcomes.
Insights
Integrating traditional and advanced nanotechnology offers new strategies to combat head and neck squamous cell carcinoma (HNSCC). These nano-platforms target key cellular processes to overcome therapy resistance and improve patient outcomes.
Area of Science:
- Nanomedicine
- Oncology
- Biotechnology
Background:
- Head and neck squamous cell carcinoma (HNSCC) presents significant challenges due to aggressive behavior, late diagnosis, and therapy resistance.
- Tumor progression in HNSCC involves complex alterations in oncogenic signaling, stress adaptation, DNA damage response, and immune regulation.
- Current therapeutic strategies for HNSCC face limitations in overcoming resistance and improving patient outcomes.
Purpose of the Study:
- To explore the integration of established and emerging nanostructures for novel therapeutic strategies against HNSCC.
- To highlight how nanotechnology can target cellular processes critical for HNSCC growth, survival, and resistance.
- To synthesize historical and contemporary developments in nanostructure design for HNSCC treatment.
Main Methods:
- Review and synthesis of historical and contemporary nanostructures, including mineral-based nanoparticles, biopolymers, nanovesicles, nanobodies, engineered exosomes, DNA origami, and stimuli-responsive nanoparticles.
- Analysis of how these nanostructures can modulate cellular signaling, redox balance, immune responses, and DNA damage repair pathways.
- Focus on targeting key cellular and microenvironmental processes beyond simple drug delivery.
Main Results:
- Established nanostructures offer biocompatible platforms for modulating cellular signaling and immune responses.
- Emerging nanosystems enable precise molecular targeting, controlled release, and manipulation of intracellular and intercellular communication.
- Integrated nano-platforms can target DNA damage response, redox homeostasis, immune regulation, and stress adaptation.
Conclusions:
- The integration of ancient materials with advanced nanotechnology provides a powerful approach to reshape HNSCC therapeutic strategies.
- Targeting cellular and microenvironmental processes, rather than solely drug delivery, can overcome resistance mechanisms.
- These advanced nano-platforms hold promise for reprogramming the tumor microenvironment and improving therapeutic precision and patient outcomes in HNSCC.

