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Published on: July 25, 2020
Targeting Aurora kinases in ovarian cancer
Siqing Fu1, Wei Hu, John J Kavanagh
1Department of Gynecologic Medical Oncology, The University of Texas, MD Anderson Cancer Center, PO Box 301439, Houston, Texas 77230-1439, USA. siqingfu@mdanderson.org
Abstract:
Although recurrent epithelial ovarian cancer initially responds well to current first-line adjuvant therapy, eventually the disease becomes resistant to chemotherapy. Novel strategies are needed to reverse chemoresistance in order to treat relapsed ovarian cancer effectively. One strategy is to target aberrant expression activation of Aurora kinases that are essential for the regulation of chromosome segregation and cytokinesis during mitosis and which play a role in tumourigenesis and progression in a wide range of human tumours, including ovarian cancer. The purpose of this article is to review Aurora kinases and their inhibitors in human epithelial ovarian cancer as an impetus to the development of effective and less toxic regimens for ovarian cancer. In addition, this review tries to define the differences between cytotoxic chemotherapeutic agents and molecular therapeutic agents: both groups of agents have either a single specific target or multiple specific targets, while their differences lie in their toxicity profiles and the way to determine their dosages for further studies. The authors propose that Aurora kinase inhibitors be developed as molecular therapeutic agents in order to minimise their toxicities and maximise their antitumour activities for ovarian cancer treatment.
Insights
Novel strategies targeting Aurora kinases are crucial for overcoming chemotherapy resistance in recurrent ovarian cancer. Developing Aurora kinase inhibitors as molecular agents may offer less toxic and more effective treatments.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Recurrent epithelial ovarian cancer often develops resistance to conventional chemotherapy.
- Aurora kinases are critical for cell division and are implicated in various cancers, including ovarian cancer.
Purpose of the Study:
- To review the role of Aurora kinases and their inhibitors in epithelial ovarian cancer.
- To explore strategies for reversing chemoresistance and developing novel therapeutic regimens.
- To differentiate between cytotoxic and molecular therapeutic agents for ovarian cancer treatment.
Main Methods:
- Literature review of Aurora kinases and their inhibitors in ovarian cancer.
- Analysis of the mechanisms of action and toxicity profiles of therapeutic agents.
- Comparison of cytotoxic and molecular therapeutic approaches.
Main Results:
- Aurora kinases play a significant role in ovarian tumorigenesis and progression.
- Aurora kinase inhibitors show potential as targeted therapies.
- Differences in toxicity and dosage determination exist between cytotoxic and molecular agents.
Conclusions:
- Targeting Aurora kinases presents a promising strategy to overcome chemoresistance in ovarian cancer.
- Developing Aurora kinase inhibitors as molecular therapeutic agents could lead to improved efficacy and reduced toxicity.
- Further research is needed to optimize Aurora kinase inhibitor-based regimens for ovarian cancer treatment.
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