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Ovarian Cancer: From Molecular Mechanisms to Targeted Therapy

A special issue of International Journal of Molecular Sciences (ISSN 1422-0067). This special issue belongs to the section "Molecular Oncology".

Deadline for manuscript submissions: closed (30 January 2024) | Viewed by 6440

Special Issue Editor

Special Issue Information

Dear Colleagues,

Ovarian cancer is the most lethal gynecological disease with various histological types, including high-grade serous, mucinous, endometrioid, clear-cell, and low-grade serous carcinomas. Due to the lack of symptoms associated with tumor development and the absence of a reliable screening regimen, most patients are diagnosed at later times, making the disease hard to treat. Recent studies have identified that each histotype of ovarian cancer shows different molecular mechanisms of carcinogenesis. Although carcinogenesis and molecular profiling are distinct among histological types, the treatment regimen is not histology-specific (i.e., Platinum–taxane is still a standard first-line regimen). In light of this, there will be a Special Issue in the International Journal of Molecular Sciences, “Ovarian Cancer: From Molecular Mechanisms to Targeted Therapy”, which will focus on how genomics, epigenomics, and proteomics are altered in ovarian cancer progression and the field of molecular-targeted therapy in ovarian cancer.

We invite you to contribute original articles on carcinogenesis; tumor microenvironment; in vitro/vivo models; organoid models; and targeted therapies that utilize clinical samples, cancer stem cells, next-generation sequencing, circular RNA, and exosomes in as many models and contexts as possible. In addition, recently increased longevity has caused the aging of not only ovarian but many other cancer patients. Along with the invention of new chemo drugs, patients’ tolerability should be taken into consideration, particularly that of older patients. Malnutrition and sarcopenia are frequently observed among seniors and have been recognized as modifiable prognostic factors. It has been recognized that nutritional care and rehabilitation can be effective supportive therapy for cancer patients. Review articles describing recent topics, including precision oncology using panel sequencing, tumor heterogeneity, cancer metabolism, immunotherapy, and attractive supportive therapy in ovarian cancer, are also welcome.

Prof. Dr. Kentaro Nakayama
Guest Editor

Manuscript Submission Information

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Keywords

  • ovarian cancer
  • cancer organoid
  • exosomes
  • clinical sequencing
  • cancer metabolism
  • immunotherapy
  • personalized medicine
  • molecular target therapy

Published Papers (5 papers)

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Research

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28 pages, 5967 KiB  
Article
A Multi-Faceted Analysis Showing CRNDE Transcripts and a Recently Confirmed Micropeptide as Important Players in Ovarian Carcinogenesis
by Anna Balcerak, Laura Aleksandra Szafron, Tymon Rubel, Bianka Swiderska, Arkadiusz M. Bonna, Magdalena Konarzewska, Ireneusz Sołtyszewski, Jolanta Kupryjanczyk and Lukasz Michal Szafron
Int. J. Mol. Sci. 2024, 25(8), 4381; https://doi.org/10.3390/ijms25084381 - 16 Apr 2024
Viewed by 480
Abstract
CRNDE is considered an oncogene expressed as long non-coding RNA. Our previous paper is the only one reporting CRNDE as a micropeptide-coding gene. The amino acid sequence of this micropeptide (CRNDEP) has recently been confirmed by other researchers. This study aimed at providing [...] Read more.
CRNDE is considered an oncogene expressed as long non-coding RNA. Our previous paper is the only one reporting CRNDE as a micropeptide-coding gene. The amino acid sequence of this micropeptide (CRNDEP) has recently been confirmed by other researchers. This study aimed at providing a mass spectrometry (MS)-based validation of the CRNDEP sequence and an investigation of how the differential expression of CRNDE(P) influences the metabolism and chemoresistance of ovarian cancer (OvCa) cells. We also assessed cellular localization changes of CRNDEP, looked for its protein partners, and bioinformatically evaluated its RNA-binding capacities. Herein, we detected most of the CRNDEP sequence by MS. Moreover, our results corroborated the oncogenic role of CRNDE, portraying it as the gene impacting carcinogenesis at the stages of DNA transcription and replication, affecting the RNA metabolism, and stimulating the cell cycle progression and proliferation, with CRNDEP being detected in the centrosomes of dividing cells. We also showed that CRNDEP is located in nucleoli and revealed interactions of this micropeptide with p54, an RNA helicase. Additionally, we proved that high CRNDE(P) expression increases the resistance of OvCa cells to treatment with microtubule-targeted cytostatics. Furthermore, altered CRNDE(P) expression affected the activity of the microtubular cytoskeleton and the formation of focal adhesion plaques. Finally, according to our in silico analyses, CRNDEP is likely capable of RNA binding. All these results contribute to a better understanding of the CRNDE(P) role in OvCa biology, which may potentially improve the screening, diagnosis, and treatment of this disease. Full article
(This article belongs to the Special Issue Ovarian Cancer: From Molecular Mechanisms to Targeted Therapy)
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21 pages, 48324 KiB  
Article
Identification of TRPM2 as a Potential Therapeutic Target Associated with Immune Infiltration: A Comprehensive Pan-Cancer Analysis and Experimental Verification in Ovarian Cancer
by Danxi Zheng, Siyu Long and Mingrong Xi
Int. J. Mol. Sci. 2023, 24(15), 11912; https://doi.org/10.3390/ijms241511912 - 25 Jul 2023
Cited by 1 | Viewed by 1313
Abstract
The exact role of Transient receptor potential melastatin 2 (TRPM2) in tumor progression and immunomodulation remains elusive. We comprehensively investigated the expression pattern, diagnostic value, prognostic impact, genetic and epigenetic alterations of TRPM2 in pan-cancer. Then, we explored underlying pathways associated with TRPM2 [...] Read more.
The exact role of Transient receptor potential melastatin 2 (TRPM2) in tumor progression and immunomodulation remains elusive. We comprehensively investigated the expression pattern, diagnostic value, prognostic impact, genetic and epigenetic alterations of TRPM2 in pan-cancer. Then, we explored underlying pathways associated with TRPM2 and immune-related signatures. Ovarian cancer (OV) specimens were enrolled to test the expression of TRPM2 by immunohistochemistry and RT-qPCR. OV cell A2780 transfected with shRNA targeting TRPM2 was used in subsequent experiments. TRPM2 was aberrantly expressed and associated with unfavorable prognosis across various cancers. It possesses significant diagnostic values with AUC > 0.90. TRPM2 participated in pathways mediating immunoregulation and tumorigenesis. The expression of TRPM2 was significantly correlated with tumor microenvironment scores, tumor-stemness index, macrophages infiltration, immune checkpoints, and immune-related genes. OV single-cell datasets also indicated that TRPM2 was predominantly distributed on macrophages and malignancies. The overexpressed TRPM2 in OV tissues was validated at both the mRNA and protein levels. TRPM2 expression was significantly correlated with type2 macrophage marker CD206. Knockdown of TRPM2 inhibited OV cell proliferation and promoted apoptosis. Overall, TRPM2 has relevance to an immunosuppressive tumor microenvironment by modulating macrophage. It could serve as a powerful biomarker for tumor screening and prognosis, and a potential therapeutic target for tumor treatment, especially for OV. Full article
(This article belongs to the Special Issue Ovarian Cancer: From Molecular Mechanisms to Targeted Therapy)
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14 pages, 3952 KiB  
Article
Mechanism of Cell Death by Combined Treatment with an xCT Inhibitor and Paclitaxel: An Alternative Therapeutic Strategy for Patients with Ovarian Clear Cell Carcinoma
by Urara Idei, Tsuyoshi Ohta, Hizuru Yamatani, Manabu Seino and Satoru Nagase
Int. J. Mol. Sci. 2023, 24(14), 11781; https://doi.org/10.3390/ijms241411781 - 22 Jul 2023
Cited by 3 | Viewed by 1146
Abstract
Ovarian clear cell carcinoma (OCCC) is a rare subtype of epithelial ovarian carcinoma that responds poorly to chemotherapy. Glutathione (GSH) is a primary antioxidant, which protects cells against reactive oxygen species (ROS). High levels of GSH are related to chemotherapeutic resistance. The glutamine/cystine [...] Read more.
Ovarian clear cell carcinoma (OCCC) is a rare subtype of epithelial ovarian carcinoma that responds poorly to chemotherapy. Glutathione (GSH) is a primary antioxidant, which protects cells against reactive oxygen species (ROS). High levels of GSH are related to chemotherapeutic resistance. The glutamine/cystine transporter xCT is essential for intracellular GSH synthesis. However, whether xCT inhibition can overcome the resistance to chemotherapeutic agents in OCCC remains unclear. This study demonstrated that combined treatment with paclitaxel (PTX) and the xCT inhibitor sulfasalazine (SAS) significantly enhanced cytotoxicity more than the individual drugs did in OCCC cells. Treatment with PTX and SAS induced apoptosis more effectively than did individual drug treatments in the cells with significant generation of ROS. Moreover, combined treatment with PTX and SAS induced ferroptosis in the cells with low expression of glutathione peroxidase (GPx4), high levels of intracellular iron and significant lipid ROS accumulation. Therefore, our findings provide valuable information that the xCT inhibitor might be a promising therapeutic target for drug-resistant OCCC. The strategy of combined administration of PTX and SAS can potentially be used to treat OCCC and help to develop novel therapeutic methods. Full article
(This article belongs to the Special Issue Ovarian Cancer: From Molecular Mechanisms to Targeted Therapy)
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Review

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25 pages, 2330 KiB  
Review
Developments in Genetics: Better Management of Ovarian Cancer Patients
by Ovidiu-Virgil Maioru, Viorica-Elena Radoi, Madalin-Codrut Coman, Iulian-Andrei Hotinceanu, Andra Dan, Anca-Elena Eftenoiu, Livia-Mălina Burtavel, Laurentiu-Camil Bohiltea and Emilia-Maria Severin
Int. J. Mol. Sci. 2023, 24(21), 15987; https://doi.org/10.3390/ijms242115987 - 05 Nov 2023
Cited by 1 | Viewed by 2024
Abstract
The purpose of this article is to highlight the new advancements in molecular and diagnostic genetic testing and to properly classify all ovarian cancers. In this article, we address statistics, histopathological classification, molecular pathways implicated in ovarian cancer, genetic screening panels, details about [...] Read more.
The purpose of this article is to highlight the new advancements in molecular and diagnostic genetic testing and to properly classify all ovarian cancers. In this article, we address statistics, histopathological classification, molecular pathways implicated in ovarian cancer, genetic screening panels, details about the genes, and also candidate genes. We hope to bring new information to the medical field so as to better prevent and diagnose ovarian cancer. Full article
(This article belongs to the Special Issue Ovarian Cancer: From Molecular Mechanisms to Targeted Therapy)
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19 pages, 542 KiB  
Review
The Contribution of Lipidomics in Ovarian Cancer Management: A Systematic Review
by Vasiliki Tzelepi, Helen Gika, Olga Begou and Eleni Timotheadou
Int. J. Mol. Sci. 2023, 24(18), 13961; https://doi.org/10.3390/ijms241813961 - 11 Sep 2023
Viewed by 881
Abstract
Lipidomics is a comprehensive study of all lipid components in living cells, serum, plasma, or tissues, with the aim of discovering diagnostic, prognostic, and predictive biomarkers for diseases such as malignant tumors. This systematic review evaluates studies, applying lipidomics to the diagnosis, prognosis, [...] Read more.
Lipidomics is a comprehensive study of all lipid components in living cells, serum, plasma, or tissues, with the aim of discovering diagnostic, prognostic, and predictive biomarkers for diseases such as malignant tumors. This systematic review evaluates studies, applying lipidomics to the diagnosis, prognosis, prediction, and differentiation of malignant and benign ovarian tumors. A literature search was performed in PubMed, Science Direct, and SciFinder. Only publications written in English after 2012 were included. Relevant citations were identified from the reference lists of primary included studies and were also included in our list. All studies included referred to the application of lipidomics in serum/plasma samples from human cases of OC, some of which also included tumor tissue samples. In some of the included studies, metabolome analysis was also performed, in which other metabolites were identified in addition to lipids. Qualitative data were assessed, and the risk of bias was determined using the ROBINS-I tool. A total of twenty-nine studies were included, fifteen of which applied non-targeted lipidomics, seven applied targeted lipidomics, and seven were reviews relevant to our objectives. Most studies focused on the potential application of lipidomics in the diagnosis of OC and showed that phospholipids and sphingolipids change most significantly during disease development. In conclusion, this systematic review highlights the potential contribution of lipids as biomarkers in OC management. Full article
(This article belongs to the Special Issue Ovarian Cancer: From Molecular Mechanisms to Targeted Therapy)
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