疫苗是头颈部癌症患者有望采用的免疫疗法。

IF 1.2 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Pakistan Journal of Medical Sciences Pub Date : 2024-08-01 DOI:10.12669/pjms.40.7.8791
Syed Fareed Mohsin
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引用次数: 0

摘要

头颈癌(HNC)是上消化道肿瘤的一种,包括口腔、喉和咽部。在全球范围内,这种癌症的发病率排名第六,每年的死亡率超过 325,000 人。手术、放疗和化疗是治疗 HNC 的主要方法,这些方法经常联合使用。尽管这些疗法被广泛使用,但通常并不成功,而且会严重影响患者的生活质量。为癌症患者注射治疗性疫苗,而不是为健康人群注射预防性疫苗。这种方式的疗效大大改变了癌症治疗的应用和成功率,为患者提供了另一种有效的治疗选择。抗 CTLA4、抗 PD-1 和抗 PD-L1.3 等免疫检查点受体抑制剂(ICR)的引入彻底改变了癌症治疗。ICR 还建立了针对自身产生的癌细胞的免疫力。癌症疫苗与检查点抑制剂具有非凡的协同潜力,可最大限度地提高肿瘤特异性 CD8+ 的扩增和活性,从而检测并摧毁肿瘤细胞。个性化新抗原疫苗疗法有可能对抗每位患者肿瘤的异质性。本综述的研究结果表明,癌症免疫学和遗传学的最新进展意味着癌症疫苗接种可以成为头颈部癌症患者的一种有前途的替代治疗方法。本综述进行了全面的文献检索,以确定头颈癌患者免疫疗法选择的相关研究。检索策略旨在获取2013年至2023年期间的大量同行评议文章、会议论文集和灰色文献。为确保文献的全面覆盖,检索的数据库包括PubMed、Web of Science和Google Scholar;还包括灰色文献和未被传统数据库收录的文章。
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Vaccine a promising immunotherapy option for head and neck cancer patients.

Head and neck cancer (HNC) is a diversified group of tumors arising from the upper aerodigestive tract, encompassing the oral cavity, larynx, and pharynx. Globally, this particular cancer ranks sixth in prevalence, resulting in an annual mortality rate above 325,000 individuals. Surgery, radiation, and chemotherapy are the primary therapeutic options for HNC, which are frequently used in combination. Despite their extensive use, these treatments are typically unsuccessful and can significantly impair patient quality of life. Therapeutic vaccinations are administered to cancer patients instead of preventative immunizations administered to a healthy population. The efficacy of this modality has considerably transformed the application and success of cancer management by providing an additional and effective therapeutic option for patients. Cancer treatment has been revolutionized by introducing Immune Checkpoint receptors inhibitors (ICR), such as anti-CTLA4, anti-PD-1, and anti-PD-L1.3. ICR have also established immunity against self-generated cancerous cells. Cancer vaccines have shown extraordinary synergistic potential with checkpoint inhibitors to maximize tumor-specific CD8+ expansion and activity, which detects and destroys tumor cells. Personalized neoantigen vaccination therapies can potentially combat the heterogeneity of each patient's tumor. The findings of this review suggest that recent advances in cancer immunology and genetics imply that cancer vaccination can be a promising alternative treatment for head and neck cancer patients. This review conducted a comprehensive literature search to identify relevant studies on immunotherapy options for head and neck cancer patients. The search strategy was designed to capture a wide range of peer-reviewed articles, conference proceedings, and grey literature from 2013 to 2023. The databases searched to ensure comprehensive coverage of the literature included PubMed, Web of Science, and Google Scholar; to include grey literature and articles not indexed in traditional databases.

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来源期刊
Pakistan Journal of Medical Sciences
Pakistan Journal of Medical Sciences 医学-医学:内科
CiteScore
4.10
自引率
9.10%
发文量
363
审稿时长
3-6 weeks
期刊介绍: It is a peer reviewed medical journal published regularly since 1984. It was previously known as quarterly "SPECIALIST" till December 31st 1999. It publishes original research articles, review articles, current practices, short communications & case reports. It attracts manuscripts not only from within Pakistan but also from over fifty countries from abroad. Copies of PJMS are sent to all the import medical libraries all over Pakistan and overseas particularly in South East Asia and Asia Pacific besides WHO EMRO Region countries. Eminent members of the medical profession at home and abroad regularly contribute their write-ups, manuscripts in our publications. We pursue an independent editorial policy, which allows an opportunity to the healthcare professionals to express their views without any fear or favour. That is why many opinion makers among the medical and pharmaceutical profession use this publication to communicate their viewpoint.
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