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Tropomodulin 3 Overexpression as a Marker for Platinum Resistance and Immune Infiltration in Ovarian Cancer
Published on: August 2, 2024
Platinum-sensitive recurrence in ovarian cancer: the role of tumor microenvironment
Jeremy Chien1, Rui Kuang, Charles Landen
1Department of Cancer Biology, University of Kansas Medical Center , Kansas City, KS , USA.
Abstract:
Despite several advances in the understanding of ovarian cancer pathobiology, in terms of driver genetic alterations in high-grade serous cancer, histologic heterogeneity of epithelial ovarian cancer, cell-of-origin for ovarian cancer, the survival rate from ovarian cancer is disappointingly low when compared to that of breast or prostate cancer. One of the factors contributing to the poor survival rate from ovarian cancer is the development of chemotherapy resistance following several rounds of chemotherapy. Although unicellular drug resistance mechanisms contribute to chemotherapy resistance, tumor microenvironment and the extracellular matrix (ECM), in particular, is emerging as a significant determinant of a tumor's response to chemotherapy. In this review, we discuss the potential role of the tumor microenvironment in ovarian cancer recurrence and resistance to chemotherapy. Finally, we propose an alternative view of platinum-sensitive recurrence to describe a potential role of the ECM in the process.
Insights
Ovarian cancer
Area of Science:
- Oncology
- Cancer Biology
- Tumor Microenvironment Research
Background:
- Ovarian cancer has a low survival rate despite advances in understanding its pathobiology.
- Chemotherapy resistance significantly contributes to poor patient outcomes.
- The tumor microenvironment, especially the extracellular matrix (ECM), is increasingly recognized for its role in treatment response.
Purpose of the Study:
- To review the role of the tumor microenvironment in ovarian cancer recurrence.
- To explore the impact of the tumor microenvironment on chemotherapy resistance.
- To propose a new perspective on platinum-sensitive recurrence involving the ECM.
Main Methods:
- Literature review of existing research on ovarian cancer pathobiology.
- Analysis of studies focusing on tumor microenvironment components, including the extracellular matrix.
- Synthesis of findings related to chemotherapy resistance mechanisms.
Main Results:
- The tumor microenvironment plays a critical role in ovarian cancer's resistance to chemotherapy.
- The extracellular matrix (ECM) is a key factor influencing treatment efficacy and recurrence.
- Existing models of platinum-sensitive recurrence may not fully account for ECM's influence.
Conclusions:
- Targeting the tumor microenvironment and ECM could offer new therapeutic strategies for ovarian cancer.
- Understanding the ECM's role may lead to improved prediction and treatment of ovarian cancer recurrence.
- A revised view of platinum-sensitive recurrence is proposed, emphasizing ECM interactions.
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