Immunotherapy of Cervical Cancer

A special issue of Cancers (ISSN 2072-6694). This special issue belongs to the section "Cancer Immunology and Immunotherapy".

Deadline for manuscript submissions: closed (15 May 2022) | Viewed by 5298

Special Issue Editor


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Guest Editor
Department of Obstetrics and Gynecology, Keio University School of Medicine, Tokyo, Japan
Interests: Immunology of cervical cancer; squamous cell carcinoma (SCC); uterine cervical neoplasm; human papillomavirus (HPV); trachelectomy; cisplatin-based concurrent radiochemotherapy (CCRT); adoptive cell therapy; tumor infiltrating lymphocyte (TIL)
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Special Issue Information

Dear Colleagues,

Cervical cancer causes 528,000 new cases and 266,000 deaths worldwide every year, more than any other gynecological tumor, and is the fourth most common malignancy diagnosed in women. Although human papillomavirus (HPV) vaccines and cancer screenings have effectively decreased cervical cancer mortality in recent years, there is also an increasing demand for new therapeutic approaches to incurable metastatic cervical cancer, which cannot be treated with surgery or radiation.

Cervical cancer is closely linked to the persistent infection of carcinogenic HPV, which express viral oncogenes, causing the enhancement of genomic instability, accumulation of somatic mutations accumulation, then trigger immune system defects in cancer progress. Among these carcinogenic HPV types, the association with tumor risk and histological subtypes varies substantially, but the reasons for these differences remain elusive. Besides, therapeutic approaches for HPV-negative gastric type cervical cancer are needed in Asian countries.

A comprehensive understanding of tumor immunology has a certain promoting effect on the treatment of cervical cancer. Immune therapy including, but not limited to, the immune checkpoint blockade (ICB), adoptive cell transfer, therapeutic vaccines and cytokine treatment, has become a promising breakthrough in cancer treatment. This Special Issue will highlight the current state of tumor immunity in cervical cancer in all its diversity, covering both basic and (pre-)clinical aspects, advancing our knowledge to improve cervical cancer treatment.

Dr. Takashi Iwata
Guest Editor

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Keywords

  • cervical cancer
  • oncogenesis
  • immune therapy
  • human papillomavirus (HPV)
  • immune checkpoint inhibitor (ICI)
  • adoptive cell therapy (ACT)
  • therapeutic vaccines

Published Papers (1 paper)

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37 pages, 757 KiB  
Systematic Review
Efficacy and Safety of Immunotherapy for Cervical Cancer—A Systematic Review of Clinical Trials
by Mona W. Schmidt, Marco J. Battista, Marcus Schmidt, Monique Garcia, Timo Siepmann, Annette Hasenburg and Katharina Anic
Cancers 2022, 14(2), 441; https://doi.org/10.3390/cancers14020441 - 17 Jan 2022
Cited by 10 | Viewed by 4626
Abstract
Purpose: To systematically review the current body of evidence on the efficacy and safety of immunotherapy for cervical cancer (CC). Material and Methods: Medline, the Cochrane Central Register of Controlled Trials and Web of Science were searched for prospective trials assessing immunotherapy in [...] Read more.
Purpose: To systematically review the current body of evidence on the efficacy and safety of immunotherapy for cervical cancer (CC). Material and Methods: Medline, the Cochrane Central Register of Controlled Trials and Web of Science were searched for prospective trials assessing immunotherapy in CC patients in compliance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Full-text articles in English and German reporting outcomes of survival, response rates or safety were eligible. Results: Of 4655 screened studies, 51 were included (immune checkpoint inhibitors (ICI) n=20; therapeutic vaccines n = 25; adoptive cell transfer therapy n=9). Of these, one qualified as a phase III randomized controlled trial and demonstrated increased overall survival following treatment with pembrolizumab, chemotherapy and bevacizumab. A minority of studies included a control group (n = 7) or more than 50 patients (n = 15). Overall, response rates were low to moderate. No response to ICIs was seen in PD-L1 negative patients. However, few remarkable results were achieved in heavily pretreated patients. There were no safety concerns in any of the included studies. Conclusion: Strong evidence on the efficacy of strategies to treat recurrent or metastatic cervical cancer is currently limited to pembrolizumab in combination with chemotherapy and bevacizumab, which substantiates an urgent need for large confirmatory trials on alternative immunotherapies. Overall, there is sound evidence on the safety of immunotherapy in CC. Full article
(This article belongs to the Special Issue Immunotherapy of Cervical Cancer)
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