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Targeted molecular therapies for ovarian cancer: an update and future perspectives (Review)
Hiroshi Shigetomi1, Yumi Higashiura, Hirotaka Kajihara
1Department of Obstetrics and Gynecology, Nara Medical University, Nara 634-8522, Japan.
Abstract:
Identification of the potential gene expression profiles of epithelial ovarian cancer and the arrival of newly targeted therapies have advanced the strategies used for treatment of this disease. This review focuses on the design of ongoing and planned clinical trials and offers a synopsis of the English-language literature for preclinical and clinical targeted therapies for epithelial ovarian cancer. Among many targeted agents, a promising, novel class of targeted drugs for special patient populations expected to improve the effectiveness of current therapy include inhibitors of angiogenesis, poly (ADP ribose) polymerase (PARP) and DNA repair mechanisms. Inhibition of PARP or homologous recombination (HR) repair mediated by Chk1 (checkpoint kinase 1) would selectively sensitize p53 mutation, BRCAness phenotype (serous type ovarian cancer) or HNF (hepatocyte nuclear factor)-1β-overexpressing tumor cells (clear cell type ovarian cancer) to chemotherapeutic agents. The therapeutic response is likely to be limited to a targeted patient, but not to the broad population. This review discusses some of the key current developments and existing challenges.
Insights
New targeted therapies, including angiogenesis and poly (ADP ribose) polymerase (PARP) inhibitors, show promise for specific epithelial ovarian cancer patient groups. These treatments aim to improve current therapeutic strategies by targeting DNA repair mechanisms.
Area of Science:
- Oncology
- Genetics
Background:
- Epithelial ovarian cancer (EOC) treatment strategies are evolving with advances in gene expression profiling and targeted therapies.
- Novel therapeutic agents are being developed to improve patient outcomes.
Purpose of the Study:
- To review ongoing and planned clinical trials for EOC.
- To provide a synopsis of preclinical and clinical targeted therapies for EOC.
Main Methods:
- Literature review of English-language publications.
- Focus on ongoing and planned clinical trials.
- Analysis of targeted agents including angiogenesis inhibitors, poly (ADP ribose) polymerase (PARP) inhibitors, and DNA repair mechanism inhibitors.
Main Results:
- Targeted therapies, such as PARP or homologous recombination (HR) repair inhibitors, show potential for specific patient populations.
- Inhibition of PARP or HR repair can sensitize specific tumor cells (e.g., BRCAness phenotype, HNF-1β-overexpressing cells) to chemotherapy.
- Therapeutic response is likely to be patient-specific rather than broadly applicable.
Conclusions:
- Targeted therapies offer a promising avenue for improving EOC treatment effectiveness in select patient groups.
- Challenges remain in identifying responsive populations and optimizing treatment strategies.
- Further research into personalized medicine approaches is warranted for EOC.
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