Article ; Online: Immune suppression in head and neck cancers: a review.
Clinical & developmental immunology
2011 Volume 2010, Page(s) 701657
Abstract: Head and neck squamous cell carcinomas (HNSCCs) are the sixth most common cancer in the world. Despite significant advances in the treatment modalities involving surgery, radiotherapy, and concomitant chemoradiotherapy, the 5-year survival rate remained ... ...
Abstract | Head and neck squamous cell carcinomas (HNSCCs) are the sixth most common cancer in the world. Despite significant advances in the treatment modalities involving surgery, radiotherapy, and concomitant chemoradiotherapy, the 5-year survival rate remained below 50% for the past 30 years. The worse prognosis of these cancers must certainly be link to the fact that HNSCCs strongly influence the host immune system. We present a critical review of our understanding of the HNSCC escape to the antitumor immune response such as a downregulation of HLA class I and/or components of APM. Antitumor responses of HNSCC patients are compromised in the presence of functional defects or apoptosis of T-cells, both circulating and tumor-infiltrating. Langerhans cells are increased in the first steps of the carcinogenesis but decreased in invasive carcinomas. The accumulation of macrophages in the peritumoral areas seems to play a protumoral role by secreting VEGF and stimulating the neoangiogenesis. |
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MeSH term(s) | Animals ; Apoptosis ; Carcinoma, Squamous Cell/epidemiology ; Carcinoma, Squamous Cell/immunology ; Carcinoma, Squamous Cell/physiopathology ; HLA Antigens/genetics ; HLA Antigens/metabolism ; Head and Neck Neoplasms/epidemiology ; Head and Neck Neoplasms/immunology ; Head and Neck Neoplasms/physiopathology ; Humans ; Immunosuppression ; Macrophages/immunology ; Neovascularization, Pathologic ; T-Lymphocytes/immunology ; Tumor Escape ; Vascular Endothelial Growth Factor A/metabolism |
Chemical Substances | HLA Antigens ; Vascular Endothelial Growth Factor A |
Language | English |
Publishing date | 2011-03-10 |
Publishing country | Egypt |
Document type | Journal Article ; Research Support, Non-U.S. Gov't ; Review |
ZDB-ID | 2119646-1 |
ISSN | 1740-2530 ; 1740-2522 |
ISSN (online) | 1740-2530 |
ISSN | 1740-2522 |
DOI | 10.1155/2010/701657 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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