Genetic markers for prediction of treatment outcomes in ovarian cancer
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Published on: July 25, 2020
E Caiola1, M Broggini1, M Marabese1
1Laboratory of Molecular Pharmacology, Department of Oncology, IRCCS-Istituto di Ricerche Farmacologiche 'Mario Negri', Milan, Italy.
Abstract:
Drug resistance in epithelial ovarian cancer (EOC) limits the efficacy of therapies for this malignancy. This phenomenon might be partially explained by strong inter-individual genomic heterogeneity. Single nucleotide polymorphisms (SNPs) located in specific genes involved in platinum-based drugs inactivation and the metabolism and extrusion of taxanes could be relevant in terms of drugs response prediction. In this paper, we review candidates for genetic markers of treatment outcomes in ovarian cancer. Although an association between SNPs and response to chemotherapy has been detected in several studies, no clear conclusions can be drawn because of conflicting results. Genetic variants in determining response to chemotherapy and clinical outcome need to be clarified in EOC to allow stratification of patients, which would help optimize therapy.
Insights
Genetic variations influence how epithelial ovarian cancer (EOC) patients respond to chemotherapy. Identifying specific single nucleotide polymorphisms (SNPs) could help predict treatment outcomes and personalize therapy for better results.
Area of Science:
- Oncology
- Genetics
- Pharmacogenomics
Background:
- Drug resistance in epithelial ovarian cancer (EOC) poses a significant challenge to treatment efficacy.
- Inter-individual genomic heterogeneity may contribute to variable responses to chemotherapy.
- Genes involved in platinum and taxane metabolism and extrusion are potential targets for understanding drug response.
Purpose of the Study:
- To review candidate genetic markers, specifically single nucleotide polymorphisms (SNPs), for predicting treatment outcomes in ovarian cancer.
- To explore the potential of genetic variants in optimizing patient stratification and therapy selection.
Main Methods:
- Literature review of studies investigating the association between SNPs and chemotherapy response in ovarian cancer.
- Analysis of genetic markers related to platinum-based drugs inactivation and taxane metabolism/extrusion.
Main Results:
- Several studies have detected associations between SNPs and chemotherapy response in ovarian cancer.
- However, results are often conflicting, preventing clear conclusions.
- The role of specific genetic variants in determining treatment response and clinical outcome requires further clarification.
Conclusions:
- Clarifying the role of genetic variants in EOC chemotherapy response is crucial for patient stratification.
- Personalized therapeutic strategies based on genetic profiles could optimize treatment outcomes.
- Further research is needed to resolve conflicting results and establish reliable genetic markers for ovarian cancer therapy.
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