Exploring the Potential of Drug Response Assays for Precision Medicine in Ovarian Cancer

Int J Mol Sci. 2020 Dec 30;22(1):305. doi: 10.3390/ijms22010305.

Abstract

One of the major challenges in the treatment of cancer are differential responses of patients to existing standard of care anti-cancer drugs. These differential responses may, in part, be due to a diverse range of genomic, epigenomic, proteomic, and metabolic alterations among individuals suffering from the same type of cancer. Precision medicine is an emerging approach in cancer therapeutics that takes into account specific molecular alterations, environmental factors as well as lifestyle of individual patients. This approach allows clinicians and researchers to select or predict treatments that would most likely benefit the patient based on their individual tumor characteristics. One class of precision medicine tools are predictive, in vitro drug-response assays designed to test the sensitivity of patient tumor cells to existing or novel therapies. These assays have the potential to rapidly identify the most effective treatments for cancer patients and thus hold great promise in the field of precision medicine. In this review, we have highlighted several drug-response assays developed in ovarian cancer and discussed the current challenges and future prospects of these assays in the clinical management of this disease.

Keywords: cancer therapeutics; drug response assays; ovarian cancer; precision medicine; tumor organoids; tumor spheroids.

Publication types

  • Review

MeSH terms

  • Animals
  • Antineoplastic Agents / pharmacology*
  • Antineoplastic Agents / therapeutic use
  • Antineoplastic Combined Chemotherapy Protocols / adverse effects
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Cell Culture Techniques
  • Clinical Trials as Topic
  • Drug Evaluation, Preclinical / methods*
  • Drug Resistance, Neoplasm / drug effects*
  • Drug Screening Assays, Antitumor
  • Female
  • Humans
  • Ovarian Neoplasms / diagnosis*
  • Ovarian Neoplasms / drug therapy
  • Ovarian Neoplasms / etiology
  • Practice Guidelines as Topic
  • Precision Medicine* / methods
  • Spheroids, Cellular
  • Tissue Culture Techniques
  • Treatment Outcome

Substances

  • Antineoplastic Agents