帕博利珠单抗联合二甲双胍治疗转移性头颈部癌的 II 期可行性研究
A Phase II Feasibility Study Combining Pembrolizumab and Metformin in Patients with Metastatic Head and Neck Cancer.
二甲双胍联合帕博利珠单抗耐受性良好,仅出现轻度胃肠道不良事件,并展现出有前景的活性,值得在随机试验中进一步研究。
英文原题:Dendritic cell-based immunotherapy for head and neck squamous cell carcinoma: advances and challenges.
头颈部鳞状细胞癌(HNSCC)是一种常见癌症,对手术、化疗和放疗等常规治疗反应不佳。
头颈部鳞状细胞癌(HNSCC)是一种常见的癌症,对手术、化疗和放疗等传统治疗反应不佳。免疫检查点抑制剂(ICIs)已经彻底改变了HNSCC的治疗,但由于肿瘤微环境中T细胞浸润不足和树突状细胞(DC)功能受损,许多患者仍然表现出不良反应。DC对于启动抗肿瘤免疫反应至关重要,但其在HNSCC中的功能障碍导致T细胞活化不足和免疫逃逸。基于DC的免疫疗法提供了一种有前景的方法,通过改善DC功能和增强T细胞介导的抗肿瘤免疫反应来提高ICIs治疗的疗效。本综述讨论了HNSCC中DC功能障碍的机制、基于DC的免疫疗法的最新进展,以及联合疗法克服ICIs耐药性的潜力。未来的策略应侧重于优化DC疫苗和开发个性化治疗,以改善HNSCC患者的预后。
Head and neck squamous cell carcinoma (HNSCC) is a prevalent cancer with poor response to conventional treatments such as surgery, chemotherapy and radiotherapy. Immune checkpoint inhibitors (ICIs) have revolutionized the treatment of HNSCC, but many patients still exhibit poor responses due to insufficient T cell infiltration and impaired dendritic cell (DC) function within the tumor microenvironment. DCs are crucial for initiating anti-tumor immune responses, but their dysfunction in HNSCC leads to inadequate T cell activation and immune evasion. DC-based immunotherapy offers a promising approach to enhance ICIs therapy efficacy by improving DC function and enhancing T cell-mediated anti-tumor immune response. This review discusses the mechanisms underlying DC dysfunction in HNSCC, recent advances in DC-based immunotherapy, and the potential for combination therapies to overcome resistance to ICIs. Future strategies should focus on optimizing DC vaccines and developing personalized treatments to improve outcomes for HNSCC patients.
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