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Updated: Jun 21, 2026

Strategy for Biobanking of Ovarian Cancer Organoids: Addressing the Interpatient Heterogeneity across Histological Subtypes and Disease Stages
Published on: February 23, 2024
Advances in immunotherapies in ovarian cancer
Ruveyda Ayasun1, Dmitriy Zamarin2,3,4
1Department of Medicine, Icahn School of Medicine at Mount Sinai, New York City, New York, USA.
Abstract:
Ovarian cancer (OC) remains one of the deadliest gynecologic malignancies, and, despite the presence of tumor-infiltrating lymphocytes (TILs) in nearly half of cases, immune checkpoint inhibitors have shown only modest clinical benefit. These observations have stimulated interest in antigen-directed immunotherapies, including adoptive cell therapies (chimeric antigen receptor T cell, TIL therapy), bispecific antibodies, cancer vaccines, cytokine-based agents, and antibody-drug conjugates. Multiple targets, such as mesothelin, folate receptor-α, HER2, MUC16, EpCAM, and claudin-6, are currently under clinical investigation. In this review, we summarize the current landscape of immunotherapy in OC and examine the biological and clinical factors that have limited therapeutic efficacy to date. We also discuss emerging strategies aimed at overcoming resistance, including rational combinations and biomarker-driven approaches. Finally, we highlight the critical role of integrated genomic and immune profiling to elucidate mechanisms of response and resistance and to guide the next generation of immunotherapeutic strategies for OC.
Insights
Ovarian cancer immunotherapy shows promise but faces challenges. New antigen-directed therapies and combination strategies are being explored to improve patient outcomes and overcome resistance.
Area of Science:
- Oncology
- Immunology
- Gynecologic Oncology
Background:
- Ovarian cancer (OC) is a leading cause of cancer death among women.
- Tumor-infiltrating lymphocytes (TILs) are present in OC, but immune checkpoint inhibitors offer limited benefit.
- This necessitates exploration of novel immunotherapeutic strategies.
Purpose of the Study:
- To review the current landscape of immunotherapy for ovarian cancer.
- To examine factors limiting therapeutic efficacy.
- To discuss emerging strategies and future directions.
Main Methods:
- Review of current clinical investigations in ovarian cancer immunotherapy.
- Analysis of biological and clinical factors influencing treatment response.
- Discussion of emerging combination therapies and biomarker-driven approaches.
Main Results:
- Several antigen targets (e.g., mesothelin, folate receptor-α) are under investigation.
- Adoptive cell therapies, bispecific antibodies, vaccines, and ADCs are being explored.
- Limited clinical benefit from current immune checkpoint inhibitors highlights resistance mechanisms.
Conclusions:
- Antigen-directed immunotherapies show potential for ovarian cancer treatment.
- Overcoming resistance requires rational combinations and biomarker-guided strategies.
- Integrated genomic and immune profiling is crucial for advancing OC immunotherapy.
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