In Vitro Models of Ovarian Cancer: Bridging the Gap between Pathophysiology and Mechanistic Models

Biomolecules. 2023 Jan 4;13(1):103. doi: 10.3390/biom13010103.

Abstract

Ovarian cancer (OC) is a disease of major concern with a survival rate of about 40% at five years. This is attributed to the lack of visible and reliable symptoms during the onset of the disease, which leads over 80% of patients to be diagnosed at advanced stages. This implies that metastatic activity has advanced to the peritoneal cavity. It is associated with both genetic and phenotypic heterogeneity, which considerably increase the risks of relapse and reduce the survival rate. To understand ovarian cancer pathophysiology and strengthen the ability for drug screening, further development of relevant in vitro models that recapitulate the complexity of OC microenvironment and dynamics of OC cell population is required. In this line, the recent advances of tridimensional (3D) cell culture and microfluidics have allowed the development of highly innovative models that could bridge the gap between pathophysiology and mechanistic models for clinical research. This review first describes the pathophysiology of OC before detailing the engineering strategies developed to recapitulate those main biological features.

Keywords: ascites; biological engineering; epithelial-to-mesenchymal transition; extracellular matrix; in vitro models; mechanotransduction; microfluidics; ovarian cancer; shear stress.

Publication types

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

MeSH terms

  • Cell Culture Techniques
  • Female
  • Humans
  • Ovarian Neoplasms* / metabolism
  • Tumor Microenvironment

Grants and funding

The authors thank the China Scholarship Council for the PhD grant of C.C., and the Oversea Study Program of Guangzhou Elite Project for the PhD grant of Z.W. We thank the CNRS through the MITI interdisciplinary programs and CY Initiative of Excellence for financial support.