REVIEW article

Front. Oncol.

Sec. Head and Neck Cancer

Volume 15 - 2025 | doi: 10.3389/fonc.2025.1553284

This article is part of the Research TopicPathophysiology and Therapeutic Strategies for Oral and Head and Neck CancersView all 11 articles

Immune-Metabolic Crosstalk in HNSCC: Mechanisms and Therapeutic Opportunities

Provisionally accepted
Xiyuan  QinXiyuan QinHui  WuHui WuJiaqi  PanJiaqi PanKai  KangKai KangYujie  ShiYujie Shi*Shoushan  BuShoushan Bu*
  • Nanjing Medical University, Nanjing, China

The final, formatted version of the article will be published soon.

Head and neck squamous cell carcinoma (HNSCC) is a prevalent malignancy, chraracterized by metabolic reprogramming. This reprogramming creates an acidic and hypoxic environment within tumor cells to adapt to metabolic changes. Experimental data indicate that in HNSCC, the metabolic reprogramming of tumor cells regulates immune cells via metabolites or signaling pathways, thereby promoting cancer progression or immune evasion. This article reviews the metabolic reprogramming in HNSCC, including glucose, fatty acids, amino acids, and nucleotide metabolism. These metabolic pathways play crucial roles in the proliferation, differentiation, and effector functions of immune cells, and influence immunosuppressive checkpoints. Additionally, this review explores the potential relationships between metabolic reprogramming, tumor immunity, and related treatments. Thus, targeting metabolic reprogramming and interactions between immune cells may help overcome therapeutic resistance in HNSCC patients.

Keywords: HNSCC, metabolic reprogramming, immune, Tumor Microenvironment, tumor

Received: 30 Dec 2024; Accepted: 21 Apr 2025.

Copyright: © 2025 Qin, Wu, Pan, Kang, Shi and Bu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence:
Yujie Shi, Nanjing Medical University, Nanjing, China
Shoushan Bu, Nanjing Medical University, Nanjing, China

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