国际肿瘤学杂志 ›› 2026, Vol. 53 ›› Issue (4): 234-239.doi: 10.3760/cma.j.cn371439-20250513-00039

• 综述 • 上一篇    下一篇

PD-1/PD-L1抑制剂在头颈部鳞状细胞癌治疗中的研究进展

张奥1, 崔雨1,2()   

  1. 1 山东第二医科大学口腔医学院潍坊 261053
    2 山东第二医科大学附属医院口腔科潍坊 261053
  • 收稿日期:2025-05-13 出版日期:2026-04-08 发布日期:2026-04-01
  • 通讯作者: 崔雨,Email: cuiyu@sdsmu.edu.cn
  • 基金资助:
    山东省自然科学基金(ZR2023QH506)

Research progress of PD-1/PD-L1 inhibitor in the treatment of head and neck squamous cell carcinoma

Zhang Ao1, Cui Yu1,2()   

  1. 1 School of StomatologyShandong Second Medical UniversityWeifang 261053, China
    2 Department of StomatologyAffiliated Hospital of Shandong Second Medical UniversityWeifang 261053, China
  • Received:2025-05-13 Online:2026-04-08 Published:2026-04-01
  • Contact: Cui Yu, Email: cuiyu@sdsmu.edu.cn
  • Supported by:
    Natural Science Foundation of Shandong Province of China(ZR2023QH506)

摘要:

头颈部鳞状细胞癌(HNSCC)预后不良,晚期患者生存率低。免疫检查点抑制剂已成为复发/转移性HNSCC的重要治疗手段,显著改善患者预后,但仍面临原发性耐药、生物标志物异质性及免疫相关不良反应等挑战。其中,程序性死亡受体1/程序性死亡受体配体1抑制剂作为免疫疗法的核心药物,其耐药机制的多维解析是突破治疗瓶颈的核心。系统探讨程序性死亡受体1/程序性死亡受体配体1抑制剂单药及联合治疗策略在HNSCC中的研究进展,揭示肿瘤微环境中多重免疫逃逸网络的调控作用,可为解析耐药机制、指导精准治疗提供理论依据。

关键词: 头颈鳞癌, 免疫疗法, 免疫检查点抑制剂

Abstract:

Head and neck squamous cell carcinoma (HNSCC) has a poor prognosis, and the survival rate of advanced patients is low. Immune checkpoint inhibitors have become an important treatment for recurrent or metastatic HNSCC, significantly improving the prognosis of patients. However, they still face challenges such as primary drug resistance, biomarker heterogeneity, and immune-related adverse reactions. Among them, programmed death-1/programmed death-ligand 1 inhibitors serve as cornerstone agents in cancer immunotherapy; thus, a comprehensive, multi-dimensional analysis of their resistance mechanisms is essential to overcoming current treatment limitations. To systematically explore the research progress of monotherapy and combined treatment strategies of programmed death-1/programmed death-ligand 1 inhibitors in HNSCC, and to reveal the regulatory role of multiple immune escape networks in the tumor microenvironment, can provide a theoretical basis for analyzing the mechanism of drug resistance and guiding precise treatment.

Key words: Squamous cell carcinoma of head and neck, Immunotherapy, Immune checkpoint inhibitors