PMID- 29204551 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 2095-8811 (Print) IS - 2589-1081 (Electronic) IS - 2095-8811 (Linking) VI - 2 IP - 2 DP - 2016 Jun TI - mTOR, metabolism, and the immune response in HPV-positive head and neck squamous cell cancer. PG - 76-83 LID - 10.1016/j.wjorl.2016.05.010 [doi] AB - Extensive preclinical studies have identified mammalian target of rapamycin (mTOR) activation as a frequent molecular signature underlying head and neck squamous cell carcinoma (HNSCC), including the distinct clinical subtype that is human papillomavirus (HPV) related, and have demonstrated the potential therapeutic utility of mTOR inhibitors in the treatment of these cancers. Numerous clinical studies have begun to evaluate this potential, however few have selected for and fewer have focused specifically on HPV-related disease. While HPV-positive (HPV+) HNSCC patients have a generally favorable prognosis, the overall number of patients who suffer failed treatment, recurrent disease, metastasis, and death is increasing due to the rapidly increasing incidence of HPV-related cancers. In this review, we discuss the rationale for proposing the adjuvant use of mTOR inhibition in the treatment of HPV+ HNSCC, highlighting the interplay of virally activated mTOR signaling, cellular metabolism, and the anti-tumor immune response. FAU - Coppock, Joseph D AU - Coppock JD AD - Cancer Biology Research Center, Sanford Research/USD, Sioux Falls, SD 57104, USA. FAU - Lee, John H AU - Lee JH AD - Cancer Biology Research Center, Sanford Research/USD, Sioux Falls, SD 57104, USA. AD - Department of Otolaryngology-Head and Neck Surgery, Sanford Health, Sioux Falls, SD 57105, USA. LA - eng PT - Journal Article PT - Review DEP - 20160720 PL - United States TA - World J Otorhinolaryngol Head Neck Surg JT - World journal of otorhinolaryngology - head and neck surgery JID - 101690857 PMC - PMC5698505 OTO - NOTNLM OT - Head and neck oropharyngeal carcinoma OT - Human papillomavirus OT - Metabolism OT - Rapamycin OT - mTOR EDAT- 2016/07/20 00:00 MHDA- 2016/07/20 00:01 PMCR- 2016/07/20 CRDT- 2017/12/06 06:00 PHST- 2016/04/05 00:00 [received] PHST- 2016/05/11 00:00 [accepted] PHST- 2017/12/06 06:00 [entrez] PHST- 2016/07/20 00:00 [pubmed] PHST- 2016/07/20 00:01 [medline] PHST- 2016/07/20 00:00 [pmc-release] AID - S2095-8811(16)30015-4 [pii] AID - 10.1016/j.wjorl.2016.05.010 [doi] PST - epublish SO - World J Otorhinolaryngol Head Neck Surg. 2016 Jul 20;2(2):76-83. doi: 10.1016/j.wjorl.2016.05.010. eCollection 2016 Jun.