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Evaluating the Angiogenetic Properties of Ovarian Cancer Stem-Like Cells using the Three-Dimensional Co-Culture System, NICO-1
Published on: December 5, 2020
Therapeutic Strategies Focused on Cancer-Associated Hypercoagulation for Ovarian Clear Cell Carcinoma
Ryo Tamura1, Kosuke Yoshihara1, Takayuki Enomoto1
1Department of Obstetrics and Gynecology, Niigata University Graduate School of Medical and Dental Sciences, Niigata 951-8510, Japan.
Abstract:
Ovarian clear cell carcinoma (OCCC) is associated with chemotherapy resistance and poor prognosis, especially in advanced cases. Although comprehensive genomic analyses have clarified the significance of genomic alterations such as ARID1A and PIK3CA mutations in OCCC, therapeutic strategies based on genomic alterations have not been confirmed. On the other hand, OCCC is clinically characterized by a high incidence of thromboembolism. Moreover, OCCC specifically shows high expression of tissue factor and interleukin-6, which play a critical role in cancer-associated hypercoagulation and may be induced by OCCC-specific genetic alterations or the endometriosis-related tumor microenvironment. In this review, we focused on the association between cancer-associated hypercoagulation and molecular biology in OCCC. Moreover, we reviewed the effectiveness of candidate drugs targeting hypercoagulation, such as tissue factor- or interleukin-6-targeting drugs, anti-inflammatory drugs, anti-hypoxia signaling drugs, anticoagulants, and combined immunotherapy with these drugs for OCCC. This review is expected to contribute to novel basic research and clinical trials for the prevention, early detection, and treatment of OCCC focused on hypercoagulation.
Insights
Ovarian clear cell carcinoma (OCCC) shows high rates of blood clots due to specific molecular factors. Targeting hypercoagulation may offer new therapeutic strategies for this challenging cancer.
Area of Science:
- Oncology
- Molecular Biology
- Hematology
Background:
- Ovarian clear cell carcinoma (OCCC) presents poor prognosis and chemotherapy resistance, particularly in advanced stages.
- Genomic alterations like ARID1A and PIK3CA mutations are known in OCCC, but targeted therapies remain unconfirmed.
- OCCC exhibits a high incidence of thromboembolism, linked to elevated tissue factor and interleukin-6 expression.
Purpose of the Study:
- To review the molecular basis of cancer-associated hypercoagulation in OCCC.
- To explore the potential of targeting hypercoagulation pathways for OCCC treatment.
- To identify candidate drugs and therapeutic strategies for OCCC management.
Main Methods:
- Literature review focusing on the association between hypercoagulation and OCCC molecular biology.
- Analysis of OCCC-specific genetic alterations and their role in the tumor microenvironment.
- Evaluation of potential therapeutic agents targeting hypercoagulation pathways.
Main Results:
- OCCC is characterized by molecular factors promoting hypercoagulation, including tissue factor and interleukin-6.
- Endometriosis-related tumor microenvironment may contribute to OCCC-associated hypercoagulation.
- Candidate drugs include those targeting tissue factor, interleukin-6, anti-inflammatory agents, anti-hypoxia drugs, and anticoagulants.
Conclusions:
- Hypercoagulation is a critical aspect of OCCC biology and clinical presentation.
- Targeting hypercoagulation pathways presents a promising avenue for novel OCCC therapies.
- Combined immunotherapy with hypercoagulation-targeting drugs warrants further investigation in OCCC.
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