Amano Tsukuru, Chano Tokuhiro, Yoshino Fumi, Kimura Fuminori, Murakami Takashi
Department of Obstetrics & Gynecology, Shiga University of Medical Science, Otsu, Shiga 520-2192, Japan.
Department of Clinical Laboratory Medicine, Shiga University of Medical Science, Seta Tsukinowa-cho, Otsu, Shiga 520-2192, Japan.
Healthcare (Basel). 2019 Jul 30;7(3):94. doi: 10.3390/healthcare7030094.
Ovarian clear cell carcinoma (OCCC) shows low sensitivity to conventional chemotherapy and has a poor prognosis, especially in advanced stages. Therefore, the development of innovative therapeutic strategies and precision medicine for the treatment of OCCC are important. Recently, several new molecular targets have been identified for OCCC, which can be broadly divided into four categories: a) downstream pathways of receptor tyrosine kinases, b) anti-oxidative stress molecules, c) AT-rich interactive domain 1A-related chromatin remodeling errors, and d) anti-programmed death ligand 1/programmed cell death 1 agents. Several inhibitors have been discovered for these targets, and the suppression of OCCC cells has been demonstrated both in vitro and in vivo. However, no single inhibitor has shown a sufficient effectiveness in clinical pilot studies. This review outlines recent progress regarding the molecular biological characteristics of OCCC to identify future directions for the development of precision medicine and combinatorial therapies to treat OCCC.
卵巢透明细胞癌(OCCC)对传统化疗敏感性低,预后较差,尤其是在晚期。因此,开发创新的治疗策略和精准医学来治疗OCCC非常重要。最近,已确定了几种针对OCCC的新分子靶点,大致可分为四类:a)受体酪氨酸激酶的下游通路;b)抗氧化应激分子;c)富含AT的交互结构域1A相关的染色质重塑错误;d)抗程序性死亡配体1/程序性细胞死亡1药物。已针对这些靶点发现了几种抑制剂,并在体外和体内均证明了对OCCC细胞的抑制作用。然而,在临床前期研究中,没有一种单一抑制剂显示出足够的疗效。本综述概述了OCCC分子生物学特征的最新进展,以确定精准医学和联合疗法治疗OCCC的未来发展方向。