Advances in Ovarian Cancer Research and Treatment: 2nd Edition

A special issue of Cancers (ISSN 2072-6694). This special issue belongs to the section "Cancer Therapy".

Deadline for manuscript submissions: 25 December 2025 | Viewed by 1483

Special Issue Editor


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Guest Editor
Department of Biopharmaceutical Sciences, University of Illinois at Chicago, Chicago, IL 60607, USA
Interests: ovarian carcinoma; organ-specific metastasis; signal transduction; targets for treatment; chemoresistance
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Special Issue Information

Dear Colleagues,

This collection is the second edition of an existing Special Issue, titled “Advances in Ovarian Cancer Research and Treatment” (https://www.mdpi.com/journal/cancers/special_issues/Q35JY80Q7G).

Metastatic, chemotherapy-resistant, recurrent epithelial ovarian carcinoma remains one of the deadliest malignancies affecting women worldwide. It is a complex disease thought to arise from multiple cell types within the female reproductive tract. Several distinct histotypes of epithelial ovarian carcinoma exist, with the high-grade serous form being the most predominant and the deadliest. High-grade serous ovarian carcinoma is mainly disseminated transcoelomically, and patients succumb to metastases that form within the peritoneal cavity. A better understanding of the biology of these metastases and their responses to treatments from the perspective of the microenvironment at the organ sites within the peritoneal cavity and the cancer cells themselves could help with devising rational strategies for preventing or blocking recurrences. This Special Issue will highlight recent advances in the treatment of this deadly disease, as well as in research into the mechanisms of its metastasis and chemotherapy resistance.

Dr. Maria Barbolina
Guest Editor

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Keywords

  • ovarian carcinoma metastasis
  • mechanisms of dissemination
  • chemotherapy resistance
  • novel treatments and therapeutic approaches
  • novel molecular targets

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Published Papers (2 papers)

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11 pages, 1064 KiB  
Article
The Association Between Location of BRCA Mutation and Efficacy of PARP Inhibitor as a Frontline Maintenance Therapy in Advanced Epithelial Ovarian Cancer
by Ji Hyun Kim, Se Ik Kim, Eun Taeg Kim, Hyeong In Ha, Dong-eun Lee, Yong Jae Lee, Jung-Yun Lee, Sunghoon Kim, Sang Wun Kim, Young Tae Kim, Sang-Yoon Park, Myong Cheol Lim and Eun-Ji Nam
Cancers 2025, 17(5), 756; https://doi.org/10.3390/cancers17050756 - 23 Feb 2025
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Abstract
Background: The location of BRCA mutations within functional domains may affect sensitivity to poly (ADP-ribose) polymerase (PARP) inhibitors and platinum-based chemotherapy. This study aimed to evaluate the progression-free survival (PFS) benefit from the PARP inhibitor in relation to the location of mutations in [...] Read more.
Background: The location of BRCA mutations within functional domains may affect sensitivity to poly (ADP-ribose) polymerase (PARP) inhibitors and platinum-based chemotherapy. This study aimed to evaluate the progression-free survival (PFS) benefit from the PARP inhibitor in relation to the location of mutations in BRCA1/BRCA2 in newly diagnosed ovarian cancer. Materials and methods: Patients with advanced stage III-IV epithelial ovarian cancer who had deleterious BRCA1 or BRCA2 were analyzed. PFS and clinical and molecular data were compared between patients who received olaparib or niraparib as frontline maintenance therapy and those who did not. Subgroup analyses were conducted based on the location of BRCA mutations within the functional domain or the ovarian cancer cluster region (OCCR). Results: Of the 380 patients, 242 (63.7%) harbored BRCA1 mutation, 137 (36.1%) harbored BRCA2, and one (0.3%) harbored both BRCA1 and BRCA2. With a median follow-up of 35.8 months, the DNA binding domain in BRCA1 (HR, 0.34; 95% CI, 0.15–0.79; p = 0.01) and BRCA2 (HR, 0.25; 95% CI, 0.08–0.78; p = 0.01) demonstrated particularly significant benefit. In patients who harbored BRCA1 mutation in the C-terminal domain (BRCT), no statistically significant PFS benefit from PARP inhibitor was observed (HR, 0.76; 95% CI, 0.39–1.52; p = 0.44). PFS benefit from PARP inhibitor maintenance was observed in both OCCR (HR, 0.49; 95% CI, 0.32–0.74; p < 0.01) and non-OCCR (HR, 0.51; 95% CI, 0.27–0.63; p < 0.01). Conclusions: Frontline PARP inhibitor maintenance therapy demonstrated a significant PFS benefit in patients with BRCA1/2 mutations, with particularly pronounced benefits for those with mutations located in the DBD of BRCA1 and BRCA2. However, the benefit was less evident for patients with BRCA1 mutations located in the BRCT domain. Full article
(This article belongs to the Special Issue Advances in Ovarian Cancer Research and Treatment: 2nd Edition)
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19 pages, 2552 KiB  
Systematic Review
Evaluating the Impact of Hyperthermic Intraperitoneal Chemotherapy (HIPEC) on Interval and Secondary Debulking in Ovarian Cancer: A Systematic Review
by Dimitrios Tsolakidis, Dimitrios Kyziridis, Theodoros Panoskaltsis, Apostolos Kalakonas, Vasileios Theodoulidis, Kimon Chatzistamatiou, Dimitrios Zouzoulas and Antonios-Apostolos Tentes
Cancers 2025, 17(5), 904; https://doi.org/10.3390/cancers17050904 - 6 Mar 2025
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Abstract
Background/Objectives: Hyperthermic intraperitoneal chemotherapy (HIPEC) was revealed as a promising adjunct to cytoreductive surgery (CRS) in the treatment of advanced epithelial ovarian cancer (EOC). This review evaluated the impact HIPEC had on survival outcomes, recurrence patterns and safety in patients that underwent HIPEC [...] Read more.
Background/Objectives: Hyperthermic intraperitoneal chemotherapy (HIPEC) was revealed as a promising adjunct to cytoreductive surgery (CRS) in the treatment of advanced epithelial ovarian cancer (EOC). This review evaluated the impact HIPEC had on survival outcomes, recurrence patterns and safety in patients that underwent HIPEC in conjunction with interval and secondary CRS for advanced and recurrent ovarian cancer. Methods: A thorough search was conducted using PubMed, Scopus, Cochrane Library, and Google Scholar to identify relevant studies published until 1 January 2025. The studies were assessed for survival outcomes, recurrence patterns, safety, and quality of life. The risk of bias was evaluated using the ROB 2 tool for randomized and ROBINS-I for non-randomized articles. The results are presented narratively, highlighting key findings, comparing results and assessing inconsistencies and limitations. Results: HIPEC demonstrated significant improvements in progression-free survival (PFS) and overall survival (OS), particularly in cases with optimal cytoreduction (CC-0/CC-1). The recurrence patterns showed a reduction in peritoneal dissemination with HIPEC, although extraperitoneal recurrences were reported in some cases. Most studies reported comparable morbidity rates between HIPEC and non-HIPEC groups, with acceptable safety profiles. The variability in the HIPEC protocols and the limited quality-of-life and cost-effectiveness data were noteworthy limitations. Conclusions: HIPEC, when performed during interval or secondary CRS, offers survival benefits and can modify recurrence patterns in advanced EOC, although challenges related to protocol standardization, patient selection, and long-term outcomes persist. Future research should focus on multicenter trials with uniform protocols, long follow-up periods and patient-centered outcomes to further validate the role of HIPEC in clinical practice. Full article
(This article belongs to the Special Issue Advances in Ovarian Cancer Research and Treatment: 2nd Edition)
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