头颈部鳞癌(head and neck squamous cell carcinoma,HNSCC)是头颈部肿瘤的常见类型,其治疗水平有待提高。作为一种具有高度免疫缺陷的肿瘤,HNSCC主要机制包括免疫耐受的导入、局部的免疫逃逸和T细胞信号的破坏。免疫检查点是T细胞功能的重要决定因素,目前针对程序性细胞死亡1受体(programmed cell death 1,PD-1)的抑制剂得到了快速的发展。作为人源化的抗PD-1单克隆抗体,pembrolizumab和nivolumab均显示出针对复发或转移性HNSCC具有一定的解救治疗作用,进一步的研究值得期待。
Abstract
The predominant type of head and neck cancer is head and neck squamous cell carcinoma (HNSCC)
which needs more effective treatment. As a highly immunosuppressive malignancy
HNSCC has 3 major mechanisms including induction of immune tolerance
local immune evasion
and disruption of T-cell signaling. Immune checkpoint plays a critical role in the function of T-cell and rapid development has been achieved by inhibiting programmed cell death 1 (PD-1). As anti-PD1 humanized monoclonal antibodies
pembrolizumab and nivolumab have proven to be effective in the salvage treatment for recurrent or metastatic HNSCC
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Related Author
Ye GUO
Chaosu HU
Chenping ZHANG
Yuyang ZHANG
Qian LIU
Yingyun LIANG
Jianhua CHEN
Chunxia SU
Related Institution
Committee of Head and Neck Cancer, Chinese Society of Clinical Oncology
Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College
Shanghai Lung Tumor Clinical Medical Center, Shanghai Chest Hospital, School of Medicine, Shanghai Jiao Tong University
Department of Medical Oncology, Fudan University Shanghai Cancer Center, Department of Oncology, Shanghai Medical College, Fudan University
Department of Medical Oncology, Shanghai Pulmonary Hospital, Tongji University