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Updated: Mar 27, 2026

Evaluating the Angiogenetic Properties of Ovarian Cancer Stem-Like Cells using the Three-Dimensional Co-Culture System, NICO-1
Published on: December 5, 2020
Targeting Stromal-Cancer Cell Crosstalk Networks in Ovarian Cancer Treatment
Tsz-Lun Yeung1, Cecilia S Leung2, Fuhai Li3
1Department of Gynecologic Oncology and Reproductive Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA. TYeung@mdanderson.org.
Abstract:
Ovarian cancer is a histologically, clinically, and molecularly diverse disease with a five-year survival rate of less than 30%. It has been estimated that approximately 21,980 new cases of epithelial ovarian cancer will be diagnosed and 14,270 deaths will occur in the United States in 2015, making it the most lethal gynecologic malignancy. Ovarian tumor tissue is composed of cancer cells and a collection of different stromal cells. There is increasing evidence that demonstrates that stromal involvement is important in ovarian cancer pathogenesis. Therefore, stroma-specific signaling pathways, stroma-derived factors, and genetic changes in the tumor stroma present unique opportunities for improving the diagnosis and treatment of ovarian cancer. Cancer-associated fibroblasts (CAFs) are one of the major components of the tumor stroma that have demonstrated supportive roles in tumor progression. In this review, we highlight various types of signaling crosstalk between ovarian cancer cells and stromal cells, particularly with CAFs. In addition to evaluating the importance of signaling crosstalk in ovarian cancer progression, we discuss approaches that can be used to target tumor-promoting signaling crosstalk and how these approaches can be translated into potential ovarian cancer treatment.
Insights
Ovarian cancer progression is influenced by signaling crosstalk between cancer cells and stromal cells, particularly cancer-associated fibroblasts (CAFs). Targeting this crosstalk offers new therapeutic strategies for ovarian cancer treatment.
Area of Science:
- Oncology
- Cell Biology
- Gynecologic Oncology
Background:
- Ovarian cancer is a diverse and lethal gynecologic malignancy with poor survival rates.
- Tumor tissue comprises cancer cells and stromal cells, with stromal involvement crucial in pathogenesis.
- Cancer-associated fibroblasts (CAFs) are key stromal components supporting tumor progression.
Purpose of the Study:
- To review signaling crosstalk between ovarian cancer cells and stromal cells, focusing on CAFs.
- To evaluate the role of signaling crosstalk in ovarian cancer progression.
- To discuss therapeutic strategies targeting tumor-promoting signaling crosstalk.
Main Methods:
- Literature review of signaling pathways and crosstalk in ovarian cancer.
- Analysis of the role of cancer-associated fibroblasts (CAFs) in tumor progression.
- Identification of potential therapeutic targets within stroma-specific signaling pathways.
Main Results:
- Stromal cells, especially CAFs, significantly influence ovarian cancer pathogenesis.
- Signaling crosstalk between cancer cells and CAFs promotes tumor progression.
- Stroma-specific pathways present opportunities for improved diagnosis and treatment.
Conclusions:
- Targeting signaling crosstalk between ovarian cancer cells and CAFs is a promising therapeutic avenue.
- Understanding stroma-cancer cell interactions is vital for developing effective ovarian cancer treatments.
- Therapeutic strategies focused on tumor stroma can potentially improve patient outcomes.
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