Moving beyond the T cell synapse for combination neoadjuvant immunotherapy in head and neck cancer

被引:6
作者
Bell, R. Bryan [1 ]
Gough, Michael [1 ]
Crittenden, Marka [1 ]
Young, Kristina [1 ]
机构
[1] Earle A Chiles Res Inst, Div Providence Canc Inst, Portland, OR USA
关键词
CARCINOMA; RECURRENT; THERAPY;
D O I
10.1172/JCI162733
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Patients with HPV-unrelated head and neck squamous cell carcinoma (HPV-unrelated HNSCC) show only modest benefit from treatment with PD-1 inhibitors (PD-1i). Targeting transforming growth factor beta (TGF-beta) may make PD-1i more effective by inducing T cell responses. In this issue of the JCI, Redman et al. performed a clinical trial in 14 patients with HPV-unrelated HNSCC using bintrafusp alfa, a bifunctional fusion protein that blocks PD-L1 and TGF-beta. Primary tumors displayed pathologic responses with 5 of 14 patients having at least a partial response. While no primary tumor or metastatic lymph node demonstrated a complete pathologic response, the findings suggest that concurrent neoadjuvant inhibition of PD-L1 and TGF-beta may provide a rational strategy to improve pathologic response and clinical outcome in patients with HPV-unrelated HNSCC.
引用
收藏
页数:5
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