Immunological control of ovarian carcinoma by chemotherapy and targeted anticancer agents

Trends Cancer. 2022 May;8(5):426-444. doi: 10.1016/j.trecan.2022.01.010. Epub 2022 Feb 16.

Abstract

At odds with other solid tumors, epithelial ovarian cancer (EOC) is poorly sensitive to immune checkpoint inhibitors (ICIs), largely reflecting active immunosuppression despite CD8+ T cell infiltration at baseline. Accumulating evidence indicates that both conventional chemotherapeutics and targeted anticancer agents commonly used in the clinical management of EOC not only mediate a cytostatic and cytotoxic activity against malignant cells, but also drive therapeutically relevant immunostimulatory or immunosuppressive effects. Here, we discuss such an immunomodulatory activity, with a specific focus on molecular and cellular pathways that can be harnessed to develop superior combinatorial regimens for clinical EOC care.

Keywords: PARP inhibitors; antiangiogenic agents; bevacizumab; immunogenic cell death; platinum derivatives; taxanes.

Publication types

  • Review
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antineoplastic Agents* / pharmacology
  • Antineoplastic Agents* / therapeutic use
  • Carcinoma, Ovarian Epithelial / drug therapy
  • Female
  • Humans
  • Immunomodulation
  • Ovarian Neoplasms* / drug therapy

Substances

  • Antineoplastic Agents