## Background: The benefits of ct scanning of the chest and abdomen as a routine screening method for patients with newly diagnosed head and neck squamous cell carcinoma (hnscc) remain unclear. ## Methods: Consecutive patients with a primary hnscc (t classification, t2-t4) and or regionally metas
Pharmacodynamic evaluation of temsirolimus in patients with newly diagnosed advanced-stage head and neck squamous cell carcinoma
β Scribed by Oleksandr Ekshyyan; Glenn M. Mills; Timothy Lian; Nazanin Amirghahari; Xiaohua Rong; Mary Lowery-Nordberg; Fleurette Abreo; Diana M. Veillon; Gloria Caldito; Lisa Speicher; Jonathan Glass; Cherie-Ann O. Nathan
- Publisher
- John Wiley and Sons
- Year
- 2010
- Tongue
- English
- Weight
- 244 KB
- Volume
- 32
- Category
- Article
- ISSN
- 1043-3074
No coin nor oath required. For personal study only.
β¦ Synopsis
Abstract
Background:
Activation of the mammalian target of rapamycin (mTOR) pathway in surgical margins of head and neck squamous cell carcinoma (HNSCC) is a predictor of recurrence and patients with minimal residual disease may benefit from adjuvant therapy with temsirolimus, an mTOR inhibitor.
Methods:
The effects of 3 weekly doses of 25 mg of temsirolimus on Akt/mTOR pathway biomarkers were evaluated in tumor and peripheral blood mononuclear cells (PBMCs) of patients with HNSCC. Adverse events were assessed.
Results:
Temsirolimus significantly decreased pS6 and p4EβBP1 in tumors, and pS6 and pAkt in PBMCs (p < .05). There was no significant upregulation of pAkt(Ser^473^) in tumor tissue. Side effects were minimal and reversible.
Conclusion:
Significant inhibition of the mTOR pathway was noted in both tumors and PBMCs of HNSCC with minimal side effects. The mTOR inhibitors can potentially be used as adjuvant therapy for patients with minimal residual disease and PBMCs are potential surrogate markers in this setting. Β© 2010 Wiley Periodicals, Inc. Head Neck, 2010
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