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Endometrial Cancer: From Molecular Pathology to Novel Therapeutic Approaches

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 (31 May 2024) | Viewed by 999

Special Issue Editor


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Guest Editor
Immunology and General Pathology Laboratory, Department of Biotechnology and Life Sciences, University of Insubria, 21100 Varese, Italy
Interests: ncRNAs; circRNAs; lncRNAs; miRNAs; human diseases; cancers; cardiovascular diseases; biomarkers; therapeutic targets

Special Issue Information

Dear Colleagues,

Endometrial Cancer (EC) is the most frequent cancer in the female genital tract that occurs in reproductive and postmenopausal women with an increasing incidence in women under 40 years of age. EC patients have a good prognosis at early stages, but the prognosis remains poor for recurrent or metastatic EC.

Current research demonstrates that the interactive crosstalk between infiltrating immune and stromal cells impacts the biological behavior of EC, suggesting that a unique immune-related tumor microenvironment (TME) may predict patients’ prognosis and guide immune checkpoint blockade therapies in EC. 

Thus, blocking cancer-promoting signals from the TME or re-educating stromal cells may be an effective strategy to impair metastatic progression and develop novel therapies.

Substantial research establishing an association of immune risk score with patients’ molecular features to predict EC progression, response, and recurrence, is needed.

This Special Issue aims to provide an update about the current cutting-edge molecular and pathological aspects of the EC that may lead to the discovery of novel treatment options for patients.

No guidelines to appropriately manage these patients exist, thus new potential biomarkers for EC screening are required.

We welcome original research or state-of-the-art reviews proposing novel insights in basic, translational, and clinical research on EC. Research areas may include (but are not limited to) the discovery of new therapeutic strategies, therapeutic resistance, and novel immunotherapeutic approaches. A particular area of interest is the discovery of molecular/cellular mechanisms and dynamic interactions within the TME and host–tumor interface that would pave the way for novel immunotherapeutic approaches.

We also aim to collect research articles/reviews discussing new diagnostic or prognostic tools for EC detection and tracing (omics-derived biomarkers, circulating biomarkers, microbiome, imaging).

Prof. Dr. Denisa Baci
Guest Editor

Manuscript Submission Information

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Keywords

  • endometrial cancer
  • tumor microenvironment
  • immunotherapy
  • innate immunity
  • extracellular vesicles
  • noncoding RNAs
  • tumor angiogenesis
  • cancer biomarkers
  • drug resistance

Published Papers (1 paper)

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Review

18 pages, 541 KiB  
Review
Tailoring Endometrial Cancer Treatment Based on Molecular Pathology: Current Status and Possible Impacts on Systemic and Local Treatment
by Pedro Ribeiro-Santos, Carolina Martins Vieira, Gilson Gabriel Viana Veloso, Giovanna Vieira Giannecchini, Martina Parenza Arenhardt, Larissa Müller Gomes, Pedro Zanuncio, Flávio Silva Brandão and Angélica Nogueira-Rodrigues
Int. J. Mol. Sci. 2024, 25(14), 7742; https://doi.org/10.3390/ijms25147742 - 15 Jul 2024
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Abstract
Endometrial cancer (EC) is a heterogeneous disease with a rising incidence worldwide. The understanding of its molecular pathways has evolved substantially since The Cancer Genome Atlas (TCGA) stratified endometrial cancer into four subgroups regarding molecular features: POLE ultra-mutated, microsatellite instability (MSI) hypermutated, copy-number [...] Read more.
Endometrial cancer (EC) is a heterogeneous disease with a rising incidence worldwide. The understanding of its molecular pathways has evolved substantially since The Cancer Genome Atlas (TCGA) stratified endometrial cancer into four subgroups regarding molecular features: POLE ultra-mutated, microsatellite instability (MSI) hypermutated, copy-number high with TP53 mutations, and copy-number low with microsatellite stability, also known as nonspecific molecular subtype (NSMP). More recently, the International Federation of Gynecology and Obstetrics (FIGO) updated their staging classification to include information about POLE mutation and p53 status, as the prognosis differs according to these characteristics. Other biomarkers are being identified and their prognostic and predictive role in response to therapies are being evaluated. However, the incorporation of molecular aspects into treatment decision-making is challenging. This review explores the available data and future directions on tailoring treatment based on molecular subtypes, alongside the challenges associated with their testing. Full article
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