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Updated: Mar 23, 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
Immune checkpoint inhibition in ovarian cancer
Junzo Hamanishi1, Masaki Mandai2, Ikuo Konishi3
1Department of Gynecology and Obstetrics, Kyoto University Graduate School of Medicine, 54 Shogoinkawahara-cho, Shogoin, Sakyo-ku, Kyoto 606-8507, Japan jnkhmns@kuhp.kyoto-u.ac.jp.
Abstract:
Recent studies have shown that tumor cells acquire escape mechanisms to evade host immunity in the tumor microenvironment. Two key immune checkpoint pathways mediated by immunosuppressive co-signaling, the first via programmed cell death 1 (PD-1) and PD-1 ligand 1 (PD-1/PD-L1) and the second via CTLA-4 and B7 (CTLA-4/B7), have been previously described. Several clinical trials have revealed an outstanding anti-tumor efficacy of immune checkpoint inhibitors (anti-CTLA-4 antibody, anti-PD-1 antibody and/or anti-PD-L1 antibody) in patients with various types of solid malignancies, including non-small cell lung cancer, melanoma, renal cell cancer and ovarian cancer. In this review, we examine pre-clinical studies that described the local immune status and immune checkpoint signals in ovarian cancer, highlight recent clinical trials that evaluated immune checkpoint inhibitors against ovarian cancer and discuss the clinical issues regarding immune checkpoint inhibitors.
Insights
Immune checkpoint inhibitors targeting PD-1/PD-L1 and CTLA-4 show promise against ovarian cancer by overcoming tumor immune evasion. This review examines preclinical data and clinical trials of these therapies in ovarian malignancies.
Area of Science:
- Oncology
- Immunology
Background:
- Tumor cells develop immune escape mechanisms within the tumor microenvironment.
- Key immunosuppressive pathways include programmed cell death 1 (PD-1)/PD-1 ligand 1 (PD-1/PD-L1) and CTLA-4/B7.
Purpose of the Study:
- To review preclinical findings on ovarian cancer's immune status and checkpoint signals.
- To highlight recent clinical trials of immune checkpoint inhibitors in ovarian cancer.
- To discuss clinical challenges associated with these therapies.
Main Methods:
- Review of preclinical studies on ovarian cancer immunology.
- Analysis of clinical trial data for immune checkpoint inhibitors in ovarian cancer.
- Discussion of clinical issues and future directions.
Main Results:
- Immune checkpoint inhibitors (anti-CTLA-4, anti-PD-1, anti-PD-L1) demonstrate significant anti-tumor efficacy in various solid tumors.
- Evidence suggests potential for these inhibitors in treating ovarian cancer.
Conclusions:
- Immune checkpoint inhibitors represent a promising therapeutic strategy for ovarian cancer.
- Further research and clinical evaluation are needed to optimize their use and overcome resistance mechanisms.
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