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Updated: Sep 25, 2025

Evaluating the Angiogenetic Properties of Ovarian Cancer Stem-Like Cells using the Three-Dimensional Co-Culture System, NICO-1
Published on: December 5, 2020
Antiangiogenic Strategies in Epithelial Ovarian Cancer: Mechanism, Resistance, and Combination Therapy
Chengwen Jin1, Mingyuan Yuan2, Hualei Bu3
1Department of Central Laboratory, Shanghai Chest Hospital, Shanghai Jiao Tong University, 241 Huaihai West Road, Shanghai, China 200030.
Abstract:
Angiogenesis is one of the hallmarks of cancer and plays a crucial role in carcinogenesis and progression of epithelial ovarian cancer. Antiangiogenic agent is the first approved targeted agent in ovarian cancer. Anti-angiogenic agents mainly include agents target VEGF/VEGFR pathway, such as bevacizumab and agents target receptor tyrosine kinase, and non-VEGF/VEGFR targets of angiogenesis. Antiangiogenic agents demonstrate certain effects in ovarian cancer treatment either as monotherapy or combined with chemotherapy. Unfortunately, antiangiogenic agents, such as bevacizumab, integrated into the ovarian cancer treatment paradigm do not increase cures. Thus, the benefits of anti-angiogenic agents must be carefully weighed against the cost and associated toxicities. Antiangiogenic agents drug resistance and short of predictive biomarkers are main obstacles in ovarian cancer treatment. A combination of poly (ADP-ribose) polymerase inhibitors or immune checkpoint inhibitors might be great strategies to overcome resistance as well as enhance anti-tumor activity of anti-angiogenic drugs. Predictive biomarkers of antiangiogenic agents are in urgent need.
Insights
Antiangiogenic agents show promise in ovarian cancer treatment but do not increase cures. Combining them with other therapies may overcome resistance and improve outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Angiogenesis is vital for epithelial ovarian cancer progression.
- Antiangiogenic agents, targeting pathways like VEGF/VEGFR, were the first targeted therapies approved for ovarian cancer.
- Despite some efficacy, these agents haven't improved cure rates and face challenges like drug resistance and lack of predictive biomarkers.
Purpose of the Study:
- To review the role and challenges of antiangiogenic agents in epithelial ovarian cancer.
- To explore potential strategies for overcoming resistance and enhancing treatment efficacy.
- To highlight the need for predictive biomarkers in antiangiogenic therapy.
Main Methods:
- Literature review of antiangiogenic agents in ovarian cancer.
- Analysis of current treatment paradigms and their limitations.
- Exploration of combination strategies and biomarker development.
Main Results:
- Antiangiogenic agents, including bevacizumab, offer benefits but do not increase cures in ovarian cancer.
- Drug resistance and the absence of predictive biomarkers are significant hurdles.
- Balancing benefits against costs and toxicities is crucial.
Conclusions:
- Combination therapies with poly (ADP-ribose) polymerase inhibitors or immune checkpoint inhibitors may enhance anti-tumor activity and overcome resistance.
- Development of predictive biomarkers for antiangiogenic agents is urgently required for personalized treatment strategies.
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