Publications by authors named "Dennis N L M Nijenhuis"

Immune checkpoint inhibitors are approved for recurrent/metastatic head and neck squamous cell carcinoma (HNSCC) but the response rate is only 13-18%. For an effective antitumor immune response, trafficking of immune cells to the tumor microenvironment (TME) is essential. We aimed to better understand immune cell migration as well as the involved chemokines in HNSCC.

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Background: Approximately 50% of head and neck squamous cell carcinomas (HNSCC) recur after treatment with curative intent. Immune checkpoint inhibitors are treatment options for recurrent/metastatic HNSCC; however, less than 20% of patients respond. To increase this response rate, it is fundamental to increase our understanding of the spatial tumor immune microenvironment (TIME).

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Article Synopsis
  • The study investigates the immune microenvironment in head and neck squamous cell carcinoma (HNSCC) to better understand the low response rates (13%-18%) to PD-1 checkpoint inhibitors among patients.
  • Using flow cytometry and single-cell RNA sequencing on tumor samples, researchers discovered that immune cell composition varies significantly across different anatomical sites of HNSCC, particularly noting that oral cavity tumors have higher T cell infiltrates.
  • Results indicated a strong link between high percentages of PD-1+ T cells, especially in larynx tumors, and improved overall survival, emphasizing the role of T cell presence and PD-1 expression in influencing patient outcomes.
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Recent advances in immunotherapy for head and neck squamous cell carcinoma (HNSCC) have led to implementation of anti-programmed death receptor 1 (PD-1) immunotherapy to standard of care for recurrent/metastatic HNSCC. However, the majority of tumors do not respond to these therapies, indicating that these tumors are not immunogenic or other immunosuppressive mechanisms might be at play. Given their role in carcinogenesis as well as in immune modulation, we discuss the relation between the STAT3, PI3K/AKT/mTOR and Wnt signaling pathways to identify potential targets to empower the immune response against HNSCC.

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