Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka 565-0871, Japan.
J Oncol. 2012;2012:915140. doi: 10.1155/2012/915140. Epub 2011 Dec 25.
Ovarian cancer is a deadly disease, with a cure rate of only 30%. Despite aggressive treatments, relapse remains almost inevitable in patients with advanced-stage disease. In recent years, great progress has been made towards targeting integrins in cancer treatment, and clinical studies with various integrin inhibitors have demonstrated their effectiveness in blocking cancer progression. Given that the initial critical step of ovarian cancer metastasis is the attachment of cancer cells onto the peritoneum or omentum, in addition to the proven positive clinical results of anti-angiogenic therapy, targeting integrins is likely to be one of the most feasible approaches. This paper summarizes the current understanding of the integrin biology in ovarian cancer metastasis and the various therapeutic approaches attempted with integrin inhibitors. Although no integrin inhibitors have shown favorable results so far, integrin-targeted therapies continue to be a promising approach to be explored for further clinical investigation.
卵巢癌是一种致命的疾病,治愈率仅为 30%。尽管采用了积极的治疗方法,但晚期患者的复发几乎是不可避免的。近年来,在针对癌症治疗中的整合素方面取得了重大进展,各种整合素抑制剂的临床研究已经证明了它们在阻断癌症进展方面的有效性。鉴于卵巢癌转移的初始关键步骤是癌细胞附着在腹膜或大网膜上,再加上抗血管生成治疗的已证实的积极临床结果,靶向整合素可能是最可行的方法之一。本文总结了目前对卵巢癌转移中整合素生物学的理解,以及尝试使用整合素抑制剂的各种治疗方法。尽管到目前为止还没有整合素抑制剂显示出良好的结果,但针对整合素的治疗仍然是一种很有前途的方法,值得进一步进行临床研究。