OX40 signaling in head and neck squamous cell carcinoma: Overcoming immunosuppression in the tumor microenvironment

Oral Oncol. 2016 Jan:52:1-10. doi: 10.1016/j.oraloncology.2015.11.009. Epub 2015 Nov 21.

Abstract

OX40 is a member of the tumor necrosis factor (TNF) receptor family and a potent co-stimulatory pathway that when triggered can enhance T-cell memory, proliferation and anti-tumor activity in patients with metastatic cancer. Ongoing investigations at our institution have demonstrated that OX40 expressing T cells are found in abundance in the tumors of patients with advanced stage head and neck squamous cell carcinoma (HNSCC). This has led to the initiation of human clinical trials investigating OX40-directed therapy for patients with HNSCC in both the metastatic and curative setting. The purpose of this review is to explore what is known about OX40 signaling and discuss how this pathway potentially can be modulated to improve outcome for patients with HNSCC.

Keywords: CTLA-4; Head and neck cancer; Immunotherapy; OX40; Oral cancer; PD-1.

Publication types

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

MeSH terms

  • Animals
  • CTLA-4 Antigen / metabolism
  • Carcinoma, Squamous Cell / immunology*
  • Carcinoma, Squamous Cell / metabolism
  • Head and Neck Neoplasms / immunology*
  • Head and Neck Neoplasms / metabolism
  • Humans
  • Mice
  • Programmed Cell Death 1 Receptor / metabolism
  • Receptors, OX40 / immunology*
  • Receptors, OX40 / metabolism
  • T-Lymphocytes / immunology*
  • T-Lymphocytes / metabolism
  • Tumor Microenvironment

Substances

  • CTLA-4 Antigen
  • PDCD1 protein, human
  • Programmed Cell Death 1 Receptor
  • Receptors, OX40
  • TNFRSF4 protein, human