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Selected markers of ovarian cancer and their relation to targeted therapy (Review)
Anna Markowska1, Zbigniew Kojs2, Damian Twardawa3
1Department of Perinatology and Women's Diseases, Poznan University of Medical Sciences, 60-535 Poznan, Poland.
Abstract:
Despite advances in surgical treatment techniques and chemotherapy-including anti-angiogenic and immune poly (ADP-ribose) polymerase inhibitors, the 5-year survival rate in ovarian cancer (OC) remains low. The reasons for this are the diagnosis of cancer in advanced clinical stages, chemoresistance and cancer recurrence. New therapeutic approaches are being developed, including the search for new biomarkers that are also targets for targeted therapy. The present review describes new molecular markers with relevance to targeted therapy, which to date have been studied only in experimental research. These include the angiogenic protein angiopoietin-2, the transmembrane glycoprotein ectonucleotide pyrophosphatase/phosphodiesterase 1, the adhesion protein E-cadherin, the TIMP metallopeptidase inhibitor 1 and Kruppel-like factor 7. Drugs affecting cancer stem cells (CSCs) in OC, such as metformin and salinomycin, as well as inhibitors of CSCs markers aldehyde dehydrogenase 1 (with the drug ATRA) and the transcription factor Nanog homeobox (microRNA) are also discussed. A new approach to prevention and possible therapies under investigation such as development of vaccines containing a subpopulation of CD117(+) and CD44(+) stem cells with a promising option for use in women with OC was described.
Insights
New molecular markers and targeted therapies show promise for improving ovarian cancer survival. Research explores novel biomarkers and drugs targeting cancer stem cells and immune responses to combat chemoresistance and recurrence.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- Ovarian cancer (OC) survival rates remain low despite advances in surgery and chemotherapy.
- Late-stage diagnosis, chemoresistance, and recurrence are major challenges in OC treatment.
Purpose of the Study:
- To review emerging molecular markers and targeted therapies for ovarian cancer.
- To discuss novel therapeutic strategies including targeting cancer stem cells and developing vaccines.
Main Methods:
- Literature review of experimental research on molecular markers and therapeutic agents.
- Analysis of potential drug targets such as angiopoietin-2, ectonucleotide pyrophosphatase/phosphodiesterase 1, E-cadherin, TIMP metallopeptidase inhibitor 1, and Kruppel-like factor 7.
- Discussion of drugs affecting cancer stem cells (CSCs) and CSC markers like aldehyde dehydrogenase 1 and Nanog homeobox.
Main Results:
- Identified several novel molecular markers with potential for targeted ovarian cancer therapy.
- Highlighted drugs like metformin and salinomycin that target CSCs.
- Explored the potential of ATRA and microRNA in inhibiting CSC markers.
- Described a novel vaccine approach using CD117(+) and CD44(+) stem cells.
Conclusions:
- Emerging molecular markers and targeted therapies offer new avenues for ovarian cancer treatment.
- Targeting cancer stem cells and exploring novel vaccine strategies represent promising future directions.
- Further research is needed to translate these experimental findings into clinical applications for improved ovarian cancer outcomes.
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