Hormone response in ovarian cancer: time to reconsider as a clinical target?

被引:115
作者
Modugno, Francesmary [1 ,2 ,3 ,4 ]
Laskey, Robin [3 ,4 ,5 ]
Smith, Ashlee L. [5 ]
Andersen, Courtney L. [3 ,4 ,6 ]
Haluska, Paul [7 ]
Oesterreich, Steffi [3 ,4 ,8 ]
机构
[1] Univ Pittsburgh, Dept Obstet Gynecol & Reprod Sci, Sch Med, Pittsburgh, PA 15213 USA
[2] Univ Pittsburgh, Dept Epidemiol, Grad Sch Publ Hlth, Pittsburgh, PA 15213 USA
[3] Univ Pittsburgh, Inst Canc, Pittsburgh, PA 15213 USA
[4] Womens Canc Res Ctr, Magee Womens Res Inst, Pittsburgh, PA 15213 USA
[5] UPMC, Div Gynecol Oncol, Magee Womens Hosp, Pittsburgh, PA USA
[6] Univ Pittsburgh, Grad Program Mol Pharmacol, Pittsburgh, PA 15213 USA
[7] Mayo Clin, Div Med Oncol, Rochester, MN USA
[8] Univ Pittsburgh, Dept Pharmacol & Chem Biol, Pittsburgh, PA 15213 USA
关键词
ESTROGEN-RECEPTOR-BETA; PHASE-II TRIAL; DOSE MEGESTROL-ACETATE; MESSENGER-RNA EXPRESSION; EPIDERMAL-GROWTH-FACTOR; MEMBRANE PROGESTERONE-RECEPTORS; COOPERATIVE-ONCOLOGY-GROUP; CLEAR-CELL ADENOCARCINOMA; ORAL-CONTRACEPTIVE USE; EPITHELIAL OVARIAN;
D O I
10.1530/ERC-12-0175
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Ovarian cancer is the sixth most common cancer worldwide among women in developed countries and the most lethal of all gynecologic malignancies. There is a critical need for the introduction of targeted therapies to improve outcome. Epidemiological evidence suggests a critical role for steroid hormones in ovarian tumorigenesis. There is also increasing evidence from in vitro studies that estrogen, progestin, and androgen regulate proliferation and invasion of epithelial ovarian cancer cells. Limited clinical trials have shown modest response rates; however, they have consistently identified a small subset of patients that respond very well to endocrine therapy with few side effects. We propose that it is timely to perform additional well-designed trials that should include biomarkers of response. Endocrine-Related Cancer (2012) 19 R255-R279
引用
收藏
页码:R255 / R279
页数:25
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