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An Orthotopic Endometrial Cancer Model with Retroperitoneal Lymphadenopathy Made From In Vivo Propagated and Cultured VX2 Cells
Published on: September 12, 2019
Current status of molecular-targeted drugs for endometrial cancer (Review)
Yuya Nogami1, Kouji Banno1, Iori Kisu1
1Department of Obstetrics and Gynecology, School of Medicine, Keio University, Shinjuku-ku, Tokyo 1608582, Japan.
Abstract:
Endometrial cancer is a common gynecological malignant tumor in Western countries and its incidence has also been on the increase in Asia. Genetic abnormalities related to onset and progression of malignancy in the endometrial membrane and signaling system have been identified and the developmental mechanism of endometrial cancer is becoming elucidated. The identification of the molecules related to these abnormalities has led to new potential treatment regimens for endometrial cancer, using molecular-targeted drugs. The current chemotherapy for endometrial cancer often causes systemic side effects that require discontinuation of the treatment. Furthermore, a treatment regimen for cancers of rare histological types has not been established. Recent studies on endometrial cancer revealed patterns of genetic disorders that differ among the histological types. Genetic and molecular information that underlie pathological changes and is associated with DNA mismatch repair genes and epigenetic regulation was also identified. Targeting of these mechanisms with molecular-targeted drugs has been performed with the aim of linking treatment to the carcinogenic mechanism at the molecular and genetic levels. However, the response rates with single-agent therapy are generally low and several problems remain unresolved. Trials of combinations of molecular-targeted drugs with currently available treatments and identification of factors determining sensitivity are required to overcome these difficulties.
Insights
Endometrial cancer treatments are evolving with molecular-targeted drugs. However, single-agent therapies show low response rates, necessitating combination trials and sensitivity factor identification for improved outcomes.
Area of Science:
- Gynecology
- Oncology
- Molecular Biology
Background:
- Endometrial cancer is a prevalent gynecological malignancy with increasing incidence globally.
- Understanding the genetic and molecular mechanisms underlying endometrial cancer is crucial for developing effective treatments.
- Current chemotherapy often leads to severe side effects and lacks established regimens for rare histological types.
Purpose of the Study:
- To review the advancements in understanding endometrial cancer's molecular basis.
- To explore the potential of molecular-targeted drugs in treating endometrial cancer.
- To identify challenges and future directions for improving treatment efficacy.
Main Methods:
- Review of recent studies on endometrial cancer genetics and molecular pathways.
- Analysis of molecular-targeted drug development and application.
- Examination of treatment response rates and associated challenges.
Main Results:
- Genetic abnormalities and molecular signaling pathways are increasingly elucidated in endometrial cancer.
- Molecular-targeted drugs offer potential new treatment avenues, but single-agent efficacy is limited.
- Distinct genetic profiles exist among different histological types of endometrial cancer.
Conclusions:
- Targeting molecular and genetic mechanisms holds promise for endometrial cancer therapy.
- Low response rates with single-agent molecular-targeted drugs highlight the need for further research.
- Combination therapies and identification of sensitivity factors are essential for overcoming current treatment limitations.
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