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[卵巢癌:分子病理学与分子靶向治疗]

[Ovarian cancer: molecular pathology and molecularly targeted therapy].

作者信息

Reis Henning, Völkl Lisa, Demes Melanie, Moinfar Farid, Wild Peter J

机构信息

Dr. Senckenbergisches Institut für Pathologie (SIP), Universitätsklinikum Frankfurt, Goethe Universität Frankfurt, Theodor-Stern-Kai 7, 60596, Frankfurt am Main, Deutschland.

Vinzenzpathologieverbund, Institut für klinische Pathologie und Molekularpathologie, Ordensklinikum Linz, Linz, Österreich.

出版信息

Pathologie (Heidelb). 2023 Sep;44(5):320-328. doi: 10.1007/s00292-023-01214-4. Epub 2023 Aug 16.

DOI:10.1007/s00292-023-01214-4
PMID:37584749
Abstract

Ovarian cancer is a common malignant genital neoplasm in women. Due to its frequent diagnosis only in advanced stages, prognosis is poor, although biomarker-driven targeted therapeutic approaches are evolving. These are currently based on molecular pathological analyses of homologous recombination deficiency (HRD) and the BRCA1/2 mutational status. The current CME article focuses on the histo- and molecular pathology of ovarian cancer, relevant molecular mechanisms, and test systems. These are discussed in the context of biomarker-driven targeted therapy.

摘要

卵巢癌是女性常见的恶性生殖系统肿瘤。由于其往往在晚期才被诊断出来,尽管基于生物标志物的靶向治疗方法不断发展,但其预后仍然很差。目前这些方法基于同源重组缺陷(HRD)和BRCA1/2突变状态的分子病理分析。当前这篇继续医学教育文章聚焦于卵巢癌的组织病理学和分子病理学、相关分子机制以及检测系统。这些将在生物标志物驱动的靶向治疗背景下进行讨论。

相似文献

1
[Ovarian cancer: molecular pathology and molecularly targeted therapy].[卵巢癌:分子病理学与分子靶向治疗]
Pathologie (Heidelb). 2023 Sep;44(5):320-328. doi: 10.1007/s00292-023-01214-4. Epub 2023 Aug 16.
2
PARP inhibitors for BRCA wild type ovarian cancer; gene alterations, homologous recombination deficiency and combination therapy.BRCA 野生型卵巢癌的 PARP 抑制剂;基因改变、同源重组缺陷和联合治疗。
Jpn J Clin Oncol. 2019 Aug 1;49(8):703-707. doi: 10.1093/jjco/hyz090.
3
Current strategies for the targeted treatment of high-grade serous epithelial ovarian cancer and relevance of BRCA mutational status.现行策略在高级别浆液性上皮性卵巢癌的靶向治疗中的应用及 BRCA 突变状态的相关性。
J Ovarian Res. 2019 Jan 28;12(1):9. doi: 10.1186/s13048-019-0484-6.
4
Homologous recombination deficiency and ovarian cancer.同源重组缺陷与卵巢癌
Eur J Cancer. 2016 Jun;60:49-58. doi: 10.1016/j.ejca.2016.03.005. Epub 2016 Apr 9.
5
Long-Term Responders on Olaparib Maintenance in High-Grade Serous Ovarian Cancer: Clinical and Molecular Characterization.奥拉帕利维持治疗在高级别浆液性卵巢癌中的长期应答者:临床和分子特征。
Clin Cancer Res. 2017 Aug 1;23(15):4086-4094. doi: 10.1158/1078-0432.CCR-16-2615. Epub 2017 Feb 21.
6
Two decades beyond BRCA1/2: Homologous recombination, hereditary cancer risk and a target for ovarian cancer therapy.BRCA1/2发现二十年后:同源重组、遗传性癌症风险与卵巢癌治疗靶点
Gynecol Oncol. 2015 May;137(2):343-50. doi: 10.1016/j.ygyno.2015.02.017. Epub 2015 Feb 25.
7
New Targeted Agents in Gynecologic Cancers: Synthetic Lethality, Homologous Recombination Deficiency, and PARP Inhibitors.妇科癌症中的新型靶向药物:合成致死、同源重组缺陷与PARP抑制剂
Curr Treat Options Oncol. 2016 Mar;17(3):12. doi: 10.1007/s11864-015-0378-9.
8
BRCA1- and BRCA2-related mutations: therapeutic implications in ovarian cancer.BRCA1 和 BRCA2 相关突变:在卵巢癌中的治疗意义。
Ann Oncol. 2013 Nov;24 Suppl 8:viii22-viii27. doi: 10.1093/annonc/mdt307.
9
Role of Poly (ADP-Ribose) Polymerase inhibitors beyond BReast CAncer Gene-mutated ovarian tumours: definition of homologous recombination deficiency?多聚(ADP-核糖)聚合酶抑制剂在乳腺癌基因突变卵巢肿瘤之外的作用:同源重组缺陷的定义?
Curr Opin Oncol. 2020 Sep;32(5):442-450. doi: 10.1097/CCO.0000000000000660.
10
The effect of PARP inhibitors in homologous recombination proficient ovarian cancer: meta-analysis.聚(ADP-核糖)聚合酶抑制剂在同源重组功能正常的卵巢癌中的作用:荟萃分析
J Chemother. 2023 Apr;35(2):150-157. doi: 10.1080/1120009X.2022.2073161. Epub 2022 May 13.

本文引用的文献

1
Homologous Recombination Deficiency in Ovarian, Breast, Colorectal, Pancreatic, Non-Small Cell Lung and Prostate Cancers, and the Mechanisms of Resistance to PARP Inhibitors.卵巢癌、乳腺癌、结直肠癌、胰腺癌、非小细胞肺癌和前列腺癌中的同源重组缺陷以及对PARP抑制剂的耐药机制
Front Oncol. 2022 Jun 17;12:880643. doi: 10.3389/fonc.2022.880643. eCollection 2022.
2
[Next generation sequencing in histopathology : Applications and methodological challenges].[组织病理学中的下一代测序:应用与方法学挑战]
Pathologe. 2021 Jul;42(4):363-368. doi: 10.1007/s00292-021-00953-6. Epub 2021 Jun 25.
3
[Homologous recombination repair deficiency as a predictive biomarker : Basic mechanisms and detection methods].
[同源重组修复缺陷作为一种预测性生物标志物:基本机制与检测方法]
Pathologe. 2021 Jul;42(4):391-398. doi: 10.1007/s00292-021-00950-9. Epub 2021 Jun 21.
4
[Current WHO classification of the female genitals : Many new things, but also some old].[世界卫生组织当前的女性生殖器分类:新内容众多,但也有一些旧内容]
Pathologe. 2021 May;42(3):259-269. doi: 10.1007/s00292-021-00933-w. Epub 2021 Apr 6.
5
Phase III, randomized trial of mirvetuximab soravtansine versus chemotherapy in patients with platinum-resistant ovarian cancer: primary analysis of FORWARD I.III 期随机临床试验:索拉非尼单药治疗与化疗用于铂耐药卵巢癌患者的比较:FORWARD I 研究的主要分析。
Ann Oncol. 2021 Jun;32(6):757-765. doi: 10.1016/j.annonc.2021.02.017. Epub 2021 Mar 2.
6
Antibody-Drug Conjugates: A Promising Novel Therapy for the Treatment of Ovarian Cancer.抗体药物偶联物:一种治疗卵巢癌的有前景的新型疗法。
Cancers (Basel). 2020 Aug 9;12(8):2223. doi: 10.3390/cancers12082223.
7
Olaparib plus Bevacizumab as First-Line Maintenance in Ovarian Cancer.奥拉帕利联合贝伐珠单抗作为卵巢癌一线维持治疗。
N Engl J Med. 2019 Dec 19;381(25):2416-2428. doi: 10.1056/NEJMoa1911361.
8
Antibody-Drug Conjugates: A Comprehensive Review.抗体药物偶联物:全面综述。
Mol Cancer Res. 2020 Jan;18(1):3-19. doi: 10.1158/1541-7786.MCR-19-0582. Epub 2019 Oct 28.
9
PARP inhibitors in breast cancer: Bringing synthetic lethality to the bedside.PARP 抑制剂在乳腺癌中的应用:将合成致死性带入临床实践。
Cancer. 2018 Jun 15;124(12):2498-2506. doi: 10.1002/cncr.31307. Epub 2018 Apr 16.
10
Genetic epidemiology of ovarian cancer and prospects for polygenic risk prediction.卵巢癌的遗传流行病学及多基因风险预测前景
Gynecol Oncol. 2017 Dec;147(3):705-713. doi: 10.1016/j.ygyno.2017.10.001. Epub 2017 Oct 18.