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Innovative Strategies and Treatment Options for Head and Neck Cancer

A special issue of International Journal of Molecular Sciences (ISSN 1422-0067). This special issue belongs to the section "Molecular Oncology".

Deadline for manuscript submissions: closed (30 November 2022) | Viewed by 6664

Special Issue Editor


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Guest Editor
Faculty of Medicine, McGill University, Montreal, QC H3T 1E2, Canada
Interests: head and neck cancer; tumor progression; metastasis; molecular biology; genomics; epigenomics; translational medicine; personalized treatment; target and drug discovery
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

The number of new cases of head and neck cancer has noticeably rapidly increased in recent decades, especially among young adults. This is not only associated with tobacco and alcohol consumption, but due to HPV infection emerging as an additional risk factor, defining a new subtype of tumor that is distinct from “conventional” HPV‐negative ones. Head and neck cancer is remarkably heterogeneous, comprising several subtypes in different anatomic sites of the upper aerodigestive tracts (the nasal cavity, oral cavity, oropharynx, pharynx, hypopharynx, and larynx) with complex pathological and molecular features. Despite the advances in medical imaging and therapeutic approaches, the outcome of patients with advanced head and neck cancer remains poor, and the 5‐year survival is stagnant at <50%, with the lack of flexibility in therapeutic strategies often leading to patients suffering from inadequate or excessive treatments with severe side effects and lifelong consequences.

This Special Issue aims to expand the current molecular knowledge on treatment options and innovative approaches, one of the top priorities in the head and neck cancer field being to revert the obscure scenario of poor outcomes and improve patient survival. For this Special Issue, we welcome experts to discuss their experiences and results involving experimental studies in in vitro and in vivo models as well as review articles, noting the Special Issue focus on molecular research, so pure clinical research will not be accepted.

Dr. Sabrina Wurzba
Guest Editor

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Keywords

  • treatment options
  • therapeutic strategy
  • target therapy
  • personalized treatment
  • immunotherapy
  • chemotherapy
  • radiation therapy

Published Papers (2 papers)

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Research

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17 pages, 4289 KiB  
Article
Human Mesenchymal Stromal Cells Do Not Cause Radioprotection of Head-and-Neck Squamous Cell Carcinoma
by Alexander Rühle, Marie Lies, Maren Strack, Ramon Lopez Perez, Birgit Bieber, Andreas R. Thomsen, Peter Bronsert, Peter E. Huber, Jochen Hess, Andreas Knopf, Patrick Wuchter, Anca-Ligia Grosu and Nils H. Nicolay
Int. J. Mol. Sci. 2022, 23(14), 7689; https://0-doi-org.brum.beds.ac.uk/10.3390/ijms23147689 - 12 Jul 2022
Cited by 3 | Viewed by 1978
Abstract
Radiotherapy of head-and-neck squamous cell carcinoma (HNSCC) can cause considerable normal tissue injuries, and mesenchymal stromal cells (MSCs) have been shown to aid regeneration of irradiation-damaged normal tissues. However, utilization of MSC-based treatments for HNSCC patients undergoing radiotherapy is hampered by concerns regarding [...] Read more.
Radiotherapy of head-and-neck squamous cell carcinoma (HNSCC) can cause considerable normal tissue injuries, and mesenchymal stromal cells (MSCs) have been shown to aid regeneration of irradiation-damaged normal tissues. However, utilization of MSC-based treatments for HNSCC patients undergoing radiotherapy is hampered by concerns regarding potential radioprotective effects. We therefore investigated the influence of MSCs on the radiosensitivity of HNSCCs. Several human papillomavirus (HPV)-negative and HPV-positive HNSCCs were co-cultured with human bone marrow-derived MSCs using two-dimensional and three-dimensional assays. Clonogenic survival, proliferation, and viability of HNSCCs after radiotherapy were assessed depending on MSC co-culture. Flow cytometry analyses were conducted to examine the influence of MSCs on irradiation-induced cell cycle distribution and apoptosis induction in HNSCCs. Immunofluorescence stainings of γH2AX were conducted to determine the levels of residual irradiation-induced DNA double-strand breaks. Levels of connective tissue growth factor (CTGF), a multifunctional pro-tumorigenic cytokine, were analyzed using enzyme-linked immunosorbent assays. Neither direct MSC co-culture nor MSC-conditioned medium exerted radioprotective effects on HNSCCs as determined by clonogenic survival, proliferation, and viability assays. Consistently, three-dimensional microwell arrays revealed no radioprotective effects of MSCs. Irradiation resulted in a G2/M arrest of HNSCCs at 96 h independently of MSC co-culture. HNSCCs’ apoptosis rates were increased by irradiation irrespective of MSCs. Numbers of residual γH2AX foci after irradiation with 2 or 8 Gy were comparable between mono- and co-cultures. MSC mono-cultures and HNSCC-MSC co-cultures exhibited comparable CTGF levels. We did not detect radioprotective effects of human MSCs on HNSCCs. Our results suggest that the usage of MSC-based therapies for radiotherapy-related toxicities in HNSCC patients may be safe in the context of absent radioprotection. Full article
(This article belongs to the Special Issue Innovative Strategies and Treatment Options for Head and Neck Cancer)
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13 pages, 1605 KiB  
Review
Therapeutic Vaccines for HPV-Associated Oropharyngeal and Cervical Cancer: The Next De-Intensification Strategy?
by Grégoire B. Morand, Isabel Cardona, Sara Brito Silva Costa Cruz, Alex M. Mlynarek, Michael P. Hier, Moulay A. Alaoui-Jamali and Sabrina Daniela da Silva
Int. J. Mol. Sci. 2022, 23(15), 8395; https://0-doi-org.brum.beds.ac.uk/10.3390/ijms23158395 - 29 Jul 2022
Cited by 6 | Viewed by 4299
Abstract
The rise in human papillomavirus (HPV)-associated oropharyngeal squamous cell carcinoma (OPSCC) has prompted a quest for further understanding of the role of high-risk HPV in tumor initiation and progression. Patients with HPV-positive OPSCC (HPV+ OPSCC) have better prognoses than their HPV-negative counterparts; however, [...] Read more.
The rise in human papillomavirus (HPV)-associated oropharyngeal squamous cell carcinoma (OPSCC) has prompted a quest for further understanding of the role of high-risk HPV in tumor initiation and progression. Patients with HPV-positive OPSCC (HPV+ OPSCC) have better prognoses than their HPV-negative counterparts; however, current therapeutic strategies for HPV+ OPSCC are overly aggressive and leave patients with life-long sequalae and poor quality of life. This highlights a need for customized treatment. Several clinical trials of treatment de-intensification to reduce acute and late toxicity without compromising efficacy have been conducted. This article reviews the differences and similarities in the pathogenesis and progression of HPV-related OPSCC compared to cervical cancer, with emphasis on the role of prophylactic and therapeutic vaccines as a potential de-intensification treatment strategy. Overall, the future development of novel and effective therapeutic agents for HPV-associated head and neck tumors promises to meet the challenges posed by this growing epidemic. Full article
(This article belongs to the Special Issue Innovative Strategies and Treatment Options for Head and Neck Cancer)
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