免疫治疗在头颈部鳞状细胞癌中的应用及展望。

IF 4.9 3区 医学 Q2 IMMUNOLOGY
Immunology Pub Date : 2025-05-21 DOI:10.1111/imm.13951
Zihao Zhang, Xiaohui Meng, Liang Han
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引用次数: 0

摘要

头颈部鳞状细胞癌由于其肿瘤侵袭性和治疗的不确定性,给临床医生和患者带来了严峻的挑战。尽管手术、化疗和放疗等传统治疗方式有了很大的改善,但恶性鳞癌的复发率和死亡率仍然居高不下。传统上,复发/转移性HNSCC的一线治疗是铂类药物/紫杉醇、5-氟尿嘧啶和西妥昔单抗的合并治疗,但仅改善了部分患者的预后,整体治疗情况仍然严峻。免疫治疗是癌症治疗领域的新兴亮点,致力于改善肿瘤微环境,刺激免疫系统发挥抗肿瘤功能。免疫检查点抑制剂的不断更新也获得了良好的临床反馈,有望克服传统疗法的局限性。本文阐述了TME内免疫治疗的发展趋势和免疫治疗的进展,旨在为HNSCC治疗新格局中的治疗方案提供新的思路,为患者带来新的希望。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Application and Perspectives of Immunotherapy in Head and Neck Squamous Cell Carcinoma.

Head and neck squamous cell carcinoma poses grave challenges to clinicians and patients due to its tumour invasiveness and treatment uncertainties. Despite the substantial improvements in conventional treatment modalities such as surgery, chemotherapy and radiotherapy, the recurrence rate and mortality rate of HNSCC remain stubbornly high. Traditionally, the front-line therapy for recurrent/metastatic HNSCC has been the amalgamation of platinum-based drugs/paclitaxel, 5-fluorouracil and cetuximab, yet it only improves the prognosis of some patients, and the overall treatment situation remains severe. Immunotherapy, as an emerging luminary in the domain of cancer treatment, is committed to improving the tumour microenvironment and stimulating the immune system to perform anti-tumour functions. The continuous updates of immune checkpoint inhibitors have also obtained favourable clinical feedback and are expected to overcome the constraints of traditional therapies. This article elaborates on the trends of immunotherapy within the TME and the progress of immunotherapy, aiming to provide new ideas for treatment regimens in the new therapeutic landscape of HNSCC and offer new hope for patients.

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来源期刊
Immunology
Immunology 医学-免疫学
CiteScore
11.90
自引率
1.60%
发文量
175
审稿时长
4-8 weeks
期刊介绍: Immunology is one of the longest-established immunology journals and is recognised as one of the leading journals in its field. We have global representation in authors, editors and reviewers. Immunology publishes papers describing original findings in all areas of cellular and molecular immunology. High-quality original articles describing mechanistic insights into fundamental aspects of the immune system are welcome. Topics of interest to the journal include: immune cell development, cancer immunology, systems immunology/omics and informatics, inflammation, immunometabolism, immunology of infection, microbiota and immunity, mucosal immunology, and neuroimmunology. The journal also publishes commissioned review articles on subjects of topical interest to immunologists, and commissions in-depth review series: themed sets of review articles which take a 360° view of select topics at the heart of immunological research.
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