Kinase Inhibitors in the Treatment of Ovarian Cancer: Current State and Future Promises

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Ovarian cancer is the deadliest gynecological cancer, the high-grade serous ovarian carcinoma (HGSC) being its most common and most aggressive form. Despite the latest therapeutical advancements following the introduction of vascular endothelial growth factor receptor (VEGFR) targeting angiogenesis inhibitors and poly-ADP-ribose-polymerase (PARP) inhibitors to supplement the standard platinum- and taxane-based chemotherapy, the expected overall survival of HGSC patients has not improved significantly from the five-year rate of 42%. This calls for the development and testing of more efficient treatment options. Many oncogenic kinase-signaling pathways are dysregulated in HGSC. Since small-molecule kinase inhibitors have revolutionized the treatment of many solid cancers due to the generality of the increased activation of protein kinases in carcinomas, it is reasonable to evaluate their potential against HGSC. Here, we present the latest concluded and on-going clinical trials on kinase inhibitors in HGSC, as well as the recent work concerning ovarian cancer patient organoids and xenograft models. We discuss the potential of kinase inhibitors as personalized treatments, which would require comprehensive assessment of the biological mechanisms underlying tumor spread and chemoresistance in individual patients, and their connection to tumor genome and transcriptome to establish identifiable subgroups of patients who are most likely to benefit from a given therapy.

Original languageEnglish
Article number6257
JournalCancers
Volume14
Issue number24
Number of pages33
ISSN2072-6694
DOIs
Publication statusPublished - 2022

Bibliographical note

Funding Information:
This research was funded by the Research and Innovation programme under grant agreement No 965193 for DECIDER (S.H and T.K) and by Grosserer Alfred Nielsen og Hustrus Fond and Fabrikant Chas. Otzen´s Fond (T.K.). Open access funding provided by University of Helsinki.

Publisher Copyright:
© 2022 by the authors.

    Research areas

  • clinical trials, high-grade serous ovarian carcinoma, kinase inhibitor, patient-derived tumor organoids, patient-derived xenografts, personalized medicine

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