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Targeting Six Hallmarks of Cancer in Ovarian Cancer Therapy
Han Gong1, Dan Nie2, Zhengyu Li1
1Department of Obstetrics and Gynecology, Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, West China Second University Hospital, Sichuan University, Chengdu, 610041, China.
Abstract:
Normal cells must overcome multiple protective mechanisms to develop into cancer cells. Their new capabilities include self-sufficiency in growth signals and insensitivity to antigrowth signals, evasion of apoptosis, a limitless replicative potential, sustained angiogenesis, and tissue invasion and metastasis; these are also termed the six hallmarks of cancer. A deep understanding of the genetic and protein alterations involved in these processes has enabled the development of targeted therapeutic strategies and clinical trial design in the search for ovarian cancer treatments. Clinically, significantly longer progression-free survival has been observed in the single use of PARP, MEK, VEGF and Chk1/Chk2 inhibitors. However, the clinical efficacy of the targeted agents is still restricted to specific molecular subtypes and no trials illustrate a benefit in overall survival. Exploring novel drug targets or combining current feasible biological agents hold great promise to further improve outcomes in ovarian cancer. In this review, we intend to provide a comprehensive description of the molecular alterations involved in ovarian cancer carcinogenesis and of emerging biological agents and combined strategies that target aberrant pathways, which might shed light on future ovarian cancer treatment.
Insights
Understanding the six hallmarks of cancer and molecular alterations is key to developing new ovarian cancer treatments. Novel drug targets and combination strategies show promise for improving patient outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Cancer cells acquire capabilities like self-sufficiency in growth signals and insensitivity to anti-growth signals, known as the six hallmarks of cancer.
- Genetic and protein alterations drive these hallmarks, crucial for understanding cancer development and treatment.
Purpose of the Study:
- To provide a comprehensive overview of molecular alterations in ovarian cancer carcinogenesis.
- To discuss emerging biological agents and combination strategies targeting aberrant pathways for ovarian cancer treatment.
Main Methods:
- Review of genetic and protein alterations involved in cancer development.
- Analysis of targeted therapeutic strategies and clinical trial data for ovarian cancer.
- Exploration of novel drug targets and combination therapies.
Main Results:
- Targeted agents like PARP, MEK, VEGF, and Chk1/Chk2 inhibitors show improved progression-free survival in specific ovarian cancer subtypes.
- Current targeted therapies have limitations in overall survival benefits and are restricted to specific molecular subtypes.
Conclusions:
- Further research into novel drug targets and combination strategies is essential for improving ovarian cancer treatment outcomes.
- Targeting aberrant molecular pathways holds promise for future therapeutic advancements in ovarian cancer.
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