Targeting tumor microenvironment in ovarian cancer: Premise and promise

Biochim Biophys Acta Rev Cancer. 2020 Apr;1873(2):188361. doi: 10.1016/j.bbcan.2020.188361. Epub 2020 Mar 29.

Abstract

Ovarian cancer is the leading cause of gynecological cancer-related mortality globally. The majority of ovarian cancer patients suffer from relapse after standard of care therapies and the clinical benefits from cancer therapies are not satisfactory owing to drug resistance. Certain novel drugs targeting the components of tumor microenvironment (TME) have been approved by US Food and Drug Administration in solid cancers. As such, the passion is rekindled to exploit the role of TME in ovarian cancer progression and metastasis for discovery of novel therapeutics for this deadly disease. In the current review, we revisit the recent mechanistic insights into the contributions of TME to the development, progression, prognosis prediction and therapeutic efficacy of ovarian cancer via modulating cancer hallmarks. We also explored potentially promising predictive and prognostic biomarkers for ovarian cancer patients.

Keywords: Growth; Immune cells; Metastasis; Ovarian cancer; Stromal cells; Tumor microenvironment.

Publication types

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

MeSH terms

  • Adaptive Immunity / drug effects
  • Antineoplastic Agents / pharmacology*
  • Antineoplastic Agents / therapeutic use
  • Biomarkers, Tumor / analysis*
  • Clinical Trials as Topic
  • Disease Progression
  • Drug Approval
  • Female
  • Humans
  • Immunity, Innate / drug effects
  • Ovarian Neoplasms / diagnosis
  • Ovarian Neoplasms / drug therapy*
  • Ovarian Neoplasms / mortality
  • Ovarian Neoplasms / pathology
  • Prognosis
  • Progression-Free Survival
  • Tumor Escape / drug effects
  • Tumor Microenvironment / drug effects*
  • Tumor Microenvironment / immunology
  • United States
  • United States Food and Drug Administration

Substances

  • Antineoplastic Agents
  • Biomarkers, Tumor