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Cell death in head and neck cancer pathogenesis and treatment.

Abstract
Many cancer therapies aim to trigger apoptosis in cancer cells. Nevertheless, the presence of oncogenic alterations in these cells and distorted composition of tumour microenvironment largely limit the clinical efficacy of this type of therapy. Luckily, scientific consensus describes about 10 different cell death subroutines with different regulatory pathways and cancer cells are probably not able to avoid all of cell death types at once. Therefore, a focused and individualised therapy is needed to address the specific advantages and disadvantages of individual tumours. Although much is known about apoptosis, therapeutic opportunities of other cell death pathways are often neglected. Molecular heterogeneity of head and neck squamous cell carcinomas (HNSCC) causing unpredictability of the clinical response represents a grave challenge for oncologists and seems to be a critical component of treatment response. The large proportion of this clinical heterogeneity probably lies in alterations of cell death pathways. How exactly cells die is very important because the predominant type of cell death can have multiple impacts on the therapeutic response as cell death itself acts as a second messenger. In this review, we discuss the different types of programmed cell death (PCD), their connection with HNSCC pathogenesis and possible therapeutic windows that result from specific sensitivity to some form of PCD in some clinically relevant subgroups of HNSCC.
AuthorsMartina Raudenská, Jan Balvan, Michal Masařík
JournalCell death & disease (Cell Death Dis) Vol. 12 Issue 2 Pg. 192 (02 18 2021) ISSN: 2041-4889 [Electronic] England
PMID33602906 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't, Review)
Chemical References
  • Antineoplastic Agents
Topics
  • Animals
  • Antineoplastic Agents (therapeutic use)
  • Apoptosis (drug effects)
  • Autophagy (drug effects)
  • Drug Resistance, Neoplasm
  • Ferroptosis (drug effects)
  • Genetic Heterogeneity
  • Head and Neck Neoplasms (drug therapy, genetics, metabolism, pathology)
  • Humans
  • Necroptosis (drug effects)
  • Pyroptosis (drug effects)
  • Regulated Cell Death (drug effects)
  • Signal Transduction
  • Squamous Cell Carcinoma of Head and Neck (drug therapy, genetics, metabolism, pathology)
  • Tumor Microenvironment

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