The Tumor Microenvironment of Epithelial Ovarian Cancer and Its Influence on Response to Immunotherapy

Galaxia M Rodriguez1,2, Kristianne J C Galpin3,4, Curtis W McCloskey5,6

  • 1Cancer Therapeutics Program, Ottawa Hospital Research Institute, 501 Smyth Road, Ottawa, ON K1H 8L6, Canada. garodriguez@toh.ca.

Cancers
|July 26, 2018
PubMed

Insights

Immunotherapy shows limited success in epithelial ovarian cancer. Understanding tumor cells and the microenvironment is key to improving immunotherapy response for ovarian cancer patients.

Area of Science:

  • Oncology
  • Immunology

Background:

  • Immunotherapy is a promising cancer treatment, but its efficacy in epithelial ovarian cancer (EOC) remains limited.
  • Challenges in EOC immunotherapy response stem from tumor cell characteristics and the tumor microenvironment (TME).

Purpose of the Study:

  • To provide an overview of factors within EOC cells and the TME that impact immunotherapy response.
  • To highlight key cellular and molecular components influencing treatment outcomes in ovarian cancer.

Main Methods:

  • Literature review and synthesis of current research on EOC biology and immunotherapy.
  • Analysis of ovarian cancer cell features: tumor-associated antigens, exosomes, tumor mutational burden, and immunosuppressive molecules.
  • Description of TME components: immune cells (T/B lymphocytes, Tregs, NK cells, TAMs, MDSCs), fibroblasts, and omental adipocytes.

Main Results:

  • EOC cells possess features like tumor-associated antigens and immunosuppressive molecules that hinder immune responses.
  • The TME comprises diverse cell types, including various immune cells and stromal components, that modulate treatment efficacy.
  • Ovarian cancer-derived exosomes can influence the TME and immune evasion.

Conclusions:

  • A comprehensive understanding of EOC cell biology and TME interactions is crucial for developing effective immunotherapies.
  • Targeting specific tumor features and TME components may overcome resistance to current treatments.
  • Further research into these factors will guide the development of novel therapeutic strategies for ovarian cancer.

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