Li Lanyu, Qiu Cheng, Hou Min, Wang Xinyu, Huang Changzhen, Zou Jialin, Liu Tianyi, Qu Jinfeng
Department of Obstetrics and Gynecology, Jinan Central Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China.
Cheeloo College of Medicine, Shandong University, Jinan, China.
Front Oncol. 2021 Apr 29;11:665945. doi: 10.3389/fonc.2021.665945. eCollection 2021.
Ovarian cancer (OVCA) is one of the most lethal malignancies with a five-year relative survival below 50% by virtue of its high recurrence rate and inadequate early detection methods. For OVCA patients, modern approaches include debulking surgery, chemotherapies, angiogenesis inhibitors, poly ADP-ribose polymerase (PARP) inhibitors, and immunotherapies depending on the histological type and staging of the tumor. However, in most cases, simple standard treatment is not satisfactory. Thus, a more effective way of treatment is needed. Ferroptosis is a newly recognized type of regulated cell death marked by lipid peroxidation, iron accumulation and glutathione deprivation, having a connection with a variety of disorders and showing great potential in anti-tumor therapy. Intriguingly, a possible connection between ferroptosis and OVCA is shown on the basis of previously published findings. Furthermore, a growing number of ferroptosis protection pathways have been identified during the past few years with increasing ferroptosis regulators being discovered. In this review, we summarized several major pathways involved in ferroptosis and the study foundation of ferroptosis and ovarian cancer, hoping to provide clues regarding OVCA treatment. And some important issues were also raised to point out future research directions.
卵巢癌(OVCA)是最致命的恶性肿瘤之一,由于其高复发率和早期检测方法不足,五年相对生存率低于50%。对于卵巢癌患者,现代治疗方法包括减瘤手术、化疗、血管生成抑制剂、聚ADP核糖聚合酶(PARP)抑制剂和免疫疗法,具体取决于肿瘤的组织学类型和分期。然而,在大多数情况下,单纯的标准治疗并不令人满意。因此,需要一种更有效的治疗方法。铁死亡是一种新发现的程序性细胞死亡类型,其特征是脂质过氧化、铁蓄积和谷胱甘肽耗竭,与多种疾病有关,在抗肿瘤治疗中显示出巨大潜力。有趣的是,根据先前发表的研究结果,铁死亡与卵巢癌之间可能存在联系。此外,在过去几年中,随着越来越多的铁死亡调节因子被发现,越来越多的铁死亡保护途径也被确定。在这篇综述中,我们总结了铁死亡涉及的几个主要途径以及铁死亡与卵巢癌的研究基础,希望为卵巢癌的治疗提供线索。我们还提出了一些重要问题,以指出未来的研究方向。