Metabolic reprogramming of the ovarian cancer microenvironment in the development of antiangiogenic resistance

Huiran Yue1,2, Xin Lu1,2

  • 1Obstetrics and Gynecology Hospital, Fudan University, Shanghai 200011, China.

Insights

Antiangiogenic therapies show limited success in ovarian cancer (OC) due to resistance. Targeting metabolic reprogramming in the tumor microenvironment (TME) offers a promising strategy to overcome this resistance and improve patient outcomes.

Area of Science:

  • Oncology
  • Cancer Biology
  • Tumor Microenvironment

Background:

  • Antiangiogenic therapies, like bevacizumab, provide modest survival benefits for ovarian cancer (OC) patients.
  • Resistance to antiangiogenic therapy develops due to compensatory proangiogenic pathways and alternative vascularization.
  • High OC mortality necessitates understanding antiangiogenic resistance mechanisms for new treatments.

Approach:

  • This review explores the metabolic crosstalk between OC and the TME.
  • It highlights regulatory mechanisms driving antiangiogenic resistance.
  • The focus is on how metabolic reprogramming influences tumor aggressiveness and angiogenesis.

Key Points:

  • Metabolic reprogramming in the TME is crucial for tumor aggressiveness and angiogenesis.
  • Understanding the metabolic interplay is key to overcoming resistance.
  • Targeting these metabolic pathways presents a novel therapeutic avenue.

Conclusions:

  • Metabolic interventions can disrupt the OC-TME interactive network.
  • This disruption may overcome antiangiogenic resistance.
  • Metabolic therapies hold promise for improving clinical outcomes in OC patients.

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