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口腔鳞状细胞癌免疫治疗的生物标志物:现状与挑战

Biomarkers for Immunotherapy of Oral Squamous Cell Carcinoma: Current Status and Challenges.

作者信息

Almangush Alhadi, Leivo Ilmo, Mäkitie Antti A

机构信息

Department of Pathology, University of Helsinki, Helsinki, Finland.

Research Program in Systems Oncology, Faculty of Medicine, University of Helsinki, Helsinki, Finland.

出版信息

Front Oncol. 2021 Mar 8;11:616629. doi: 10.3389/fonc.2021.616629. eCollection 2021.

Abstract

Oral squamous cell carcinoma (OSCC) forms a major health problem in many countries. For several decades the management of OSCC consisted of surgery with or without radiotherapy or chemoradiotherapy. Aiming to increase survival rate, recent research has underlined the significance of harnessing the immune response in treatment of many cancers. The promising finding of checkpoint inhibitors as a weapon for targeting metastatic melanoma was a key event in the development of immunotherapy. Furthermore, clinical trials have recently proven inhibitor of PD-1 for treatment of recurrent/metastatic head and neck cancer. However, some challenges (including patient selection) are presented in the era of immunotherapy. In this mini-review we discuss the emergence of immunotherapy for OSCC and the recently introduced biomarkers of this therapeutic strategy. Immune biomarkers and their prognostic perspectives for selecting patients who may benefit from immunotherapy are addressed. In addition, possible use of such biomarkers to assess the response to this new treatment modality of OSCC will also be discussed.

摘要

口腔鳞状细胞癌(OSCC)在许多国家都是一个重大的健康问题。几十年来,OSCC的治疗方法包括单纯手术、手术联合放疗或放化疗。为了提高生存率,最近的研究强调了在多种癌症治疗中利用免疫反应的重要性。检查点抑制剂作为治疗转移性黑色素瘤的有效武器这一有前景的发现是免疫治疗发展中的一个关键事件。此外,近期临床试验已证实PD -1抑制剂可用于治疗复发/转移性头颈癌。然而,免疫治疗时代也存在一些挑战(包括患者选择)。在这篇小型综述中,我们讨论了OSCC免疫治疗的出现以及这种治疗策略最近引入的生物标志物。探讨了免疫生物标志物及其在选择可能从免疫治疗中获益的患者方面的预后前景。此外,还将讨论此类生物标志物在评估OSCC对这种新治疗方式的反应方面的可能用途。

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