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Published on: July 25, 2020
Molecular/genetic therapies in ovarian cancer: future opportunities and challenges
Angela J Ziebarth1, Charles N Landen, Ronald D Alvarez
1The Division of Gynecologic Oncology, The University of Alabama at Birmingham, Birmingham, Albama 35249, USA.
Abstract:
Ovarian cancer is the most lethal gynecologic cancer. Traditional therapies have included surgical management and cytotoxic chemotherapy; however, treatment paradigms continue to shift from empiric cytotoxic chemotherapy to more individualized treatment. Recent research efforts have focused on determining and targeting the molecular biological mechanisms of ovarian cancer in an attempt to develop novel therapeutic modalities with the ultimate goal of improving outcome while limiting toxicity. This chapter reviews progress in the development of novel therapies directed at major pathways implicated in ovarian tumorigenesis including angiogenesis, PARP inhibition, signal transduction, antifolate therapies, death receptor-mediated therapies, histone deacetylase inhibition, immunotherapeutics, and oncolytics.
Insights
Novel ovarian cancer therapies are shifting towards targeted molecular approaches to improve patient outcomes and reduce toxicity. This research reviews advancements in targeted treatments for ovarian tumorigenesis.
Area of Science:
- Gynecologic Oncology
- Molecular Biology
- Translational Medicine
Background:
- Ovarian cancer is the leading cause of gynecologic cancer mortality.
- Traditional treatments like surgery and chemotherapy have limitations.
- There is a need for more effective and less toxic ovarian cancer therapies.
Purpose of the Study:
- To review recent advancements in novel therapeutic modalities for ovarian cancer.
- To highlight the shift towards individualized, molecularly targeted treatments.
- To discuss therapies targeting key pathways in ovarian tumorigenesis.
Main Methods:
- Review of current literature on novel ovarian cancer therapies.
- Focus on molecular mechanisms driving ovarian cancer.
- Categorization of therapies by targeted pathways (e.g., angiogenesis, PARP inhibition).
Main Results:
- Significant progress has been made in developing targeted therapies.
- Novel agents target major tumorigenic pathways, including angiogenesis and DNA repair (PARP inhibition).
- Emerging treatments encompass signal transduction inhibitors, antifolates, death receptor agonists, HDAC inhibitors, and immunotherapeutics.
Conclusions:
- The treatment landscape for ovarian cancer is evolving towards precision medicine.
- Targeting molecular pathways offers a promising strategy to improve patient outcomes and minimize toxicity.
- Continued research into novel therapeutic modalities is crucial for advancing ovarian cancer care.
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