4.7 Review

Current status and perspective of tumor immunotherapy for head and neck squamous cell carcinoma

Journal

Publisher

FRONTIERS MEDIA SA
DOI: 10.3389/fcell.2022.941750

Keywords

immunotherapy; head and neck cancer; squamous cell carcinoma; immune escape; oral squamous cell carcinoma

Funding

  1. National Natural Sciences Foundation of China [81571800]
  2. Development of Science and Technology of Nanjing [YKK19094, 201803036]
  3. Jiangsu Provincial Medical Talent [ZDRCC2016016]
  4. Key Project of Research and Development Plan of Jiangsu Province [BE2020629]
  5. 3456 Cultivation Program for Junior Talents of Nanjing Stomatological Hospital, Medical School of Nanjing University [2022-R-212]

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Head and neck squamous cell carcinoma (HNSCC) has a high incidence and mortality rate. Immunotherapy, with its potential for a broad and long-lasting antitumor response, has become an important therapeutic strategy for HNSCC. However, immune escape limits the effectiveness of immunotherapy. Various immunotherapy strategies, including immune checkpoint inhibitors, costimulatory agonists, antigenic vaccines, oncolytic virus therapy, adoptive T cell transfer, and targeted therapy, have been developed for HNSCC. Each strategy has its unique advantages, and their appropriate application has significant value for the treatment of HNSCC.
Head and neck squamous cell carcinoma (HNSCC) have a high incidence and mortality rate, and investigating the pathogenesis and potential therapeutic strategies of HNSCC is required for further progress. Immunotherapy is a considerable therapeutic strategy for HNSCC due to its potential to produce a broad and long-lasting antitumor response. However, immune escape, which involves mechanisms including dyregulation of cytokines, perturbation of immune checkpoints, and recruitment of inhibitory cell populations, limit the efficacy of immunotherapy. Currently, multiple immunotherapy strategies for HNSCC have been exploited, including immune checkpoint inhibitors, costimulatory agonists, antigenic vaccines, oncolytic virus therapy, adoptive T cell transfer (ACT), and epidermal growth factor receptor (EGFR)-targeted therapy. Each of these strategies has unique advantages, and the appropriate application of these immunotherapies in HNSCC treatment has significant value for patients. Therefore, this review comprehensively summarizes the mechanisms of immune escape and the characteristics of different immunotherapy strategies in HNSCC to provide a foundation and consideration for the clinical treatment of HNSCC.

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