Targeted therapy in head and neck cancer

Tumori. 2011 Mar-Apr;97(2):137-41. doi: 10.1177/030089161109700201.

Abstract

Aims and background: This review focuses on recent advances in understanding the molecular mechanisms at the basis of cancer initiation and progression in the head and neck and also discusses the possible development of targeted cellular strategies. Intrinsic and acquired resistance of cancer cells to current conventional treatments, as well as recurrence, represent a major challenge in treating and curing the most aggressive and metastatic tumors also in the head and neck. Even though in some hematologic malignancies (i.e., non-Hodgkin's lymphomas) antibodies specifically designed to target tumor-specific cells have already been introduced, in solid tumors molecular targeted therapy is now entering clinical practice.

Methods: A PubMed database systematic review.

Results and conclusions: Molecular targeting could achieve specific damage to cancer cells, at the same time preserving functionally important tissues. This could offer new prospectives in primary and adjuvant treatment also of head and neck tumors.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review
  • Systematic Review

MeSH terms

  • Antineoplastic Agents / pharmacology*
  • Antineoplastic Agents / therapeutic use*
  • Antineoplastic Combined Chemotherapy Protocols / pharmacology
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Cell Transformation, Neoplastic / drug effects*
  • Chemotherapy, Adjuvant
  • Cyclooxygenase 2 / drug effects
  • Disease Progression
  • Drug Resistance, Neoplasm* / drug effects
  • ErbB Receptors / drug effects
  • Head and Neck Neoplasms / drug therapy*
  • Head and Neck Neoplasms / metabolism
  • Head and Neck Neoplasms / pathology*
  • Humans
  • Molecular Targeted Therapy / trends*
  • Proto-Oncogene Proteins c-bcl-2 / drug effects
  • Proto-Oncogene Proteins c-myc / drug effects
  • Receptor, IGF Type 1 / drug effects
  • Secondary Prevention
  • Telomerase / drug effects
  • Tumor Suppressor Protein p53 / drug effects

Substances

  • Antineoplastic Agents
  • MYC protein, human
  • Proto-Oncogene Proteins c-bcl-2
  • Proto-Oncogene Proteins c-myc
  • Tumor Suppressor Protein p53
  • Cyclooxygenase 2
  • PTGS2 protein, human
  • ErbB Receptors
  • Receptor, IGF Type 1
  • Telomerase