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EphA2 as a target for ovarian cancer therapy
Charles N Landen1, Michael S Kinch, Anil K Sood
1Department of Gynecologic Oncology, U.T.M.D. Anderson Cancer Center, Houston, TX 77030, USA.
Abstract:
EphA2 is a receptor tyrosine kinase that is overexpressed by many human cancers, and is often associated with poor prognostic features. It is involved in many processes crucial to malignant progression, such as migration, invasion, metastasis, proliferation, survival and angiogenesis. Inducing EphA2 downregulation by any one of several mechanisms (antibody-mediated inhibition of signalling, antibody-mediated downregulation of total EphA2 expression and siRNA-mediated inhibition of expression) has been shown to decrease tumour growth, prolong survival and inhibit angiogenesis in multiple preclinical models of ovarian, breast and pancreatic cancer. Targeting EphA2 is especially attractive in ovarian cancer, in which overexpression is present in > 75% of cases. This disease is highly responsive to chemotherapy, and EphA2 inhibition is especially effective in combination with taxanes. This demonstrated efficacy, along with the low expression of EphA2 by normal adult tissues and lack of demonstrable toxicities in preclinical models, suggest that long-term treatment with EphA2-targeting agents is an attractive approach for ovarian cancer therapy.
Insights
Targeting EphA2 receptor tyrosine kinase, overexpressed in many cancers like ovarian cancer, can inhibit tumor growth and metastasis. EphA2 downregulation shows promise for effective cancer therapies, especially with taxanes.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- EphA2 receptor tyrosine kinase is overexpressed in numerous human cancers, correlating with poor prognosis.
- EphA2 plays a critical role in malignant progression, including cancer cell migration, invasion, metastasis, proliferation, survival, and angiogenesis.
Purpose of the Study:
- To evaluate the therapeutic potential of targeting EphA2 in preclinical cancer models.
- To investigate the efficacy of EphA2 downregulation as a strategy for cancer treatment, particularly in ovarian cancer.
Main Methods:
- EphA2 downregulation was induced using antibody-mediated inhibition of signaling, antibody-mediated downregulation of total EphA2 expression, and siRNA-mediated inhibition of expression.
- Therapeutic efficacy was assessed in preclinical models of ovarian, breast, and pancreatic cancer.
Main Results:
- Inducing EphA2 downregulation significantly decreased tumor growth, prolonged survival, and inhibited angiogenesis in preclinical models.
- EphA2 targeting demonstrated particular efficacy in ovarian cancer, where it is overexpressed in over 75% of cases.
- EphA2 inhibition showed enhanced effectiveness when combined with taxanes in ovarian cancer models.
Conclusions:
- Targeting EphA2 is a promising therapeutic strategy for various cancers, especially ovarian cancer.
- The low expression of EphA2 in normal tissues and lack of preclinical toxicity suggest its potential for long-term therapeutic use.
- Combination therapy with EphA2 inhibitors and taxanes represents an attractive approach for ovarian cancer treatment.
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