2021
DOI: 10.2147/cmar.s292992
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Cellular Mechanism of Gene Mutations and Potential Therapeutic Targets in Ovarian Cancer

Abstract: Ovarian cancer is a common and complex malignancy with poor prognostic outcome. Most women with ovarian cancer are diagnosed with advanced stage disease due to a lack of effective detection strategies in the early stage. Traditional treatment with cytoreductive surgery and platinum-based combination chemotherapy has not significantly improved prognosis and 5-year survival rates are still extremely poor. Therefore, novel treatment strategies are needed to improve the treatment of ovarian cancer patients. Recent… Show more

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Cited by 35 publications
(41 citation statements)
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“…These include the promotion of a cancer stem cell phenotype, improved DNA repair mechanisms linked to therapeutic resistance, and regulation of multiple signaling processes that drive prometastatic EMT [ 78 , 79 , 80 ]. KRAS also has an ongogenic function in ovarian cancer, as constitutive activation of this small GTPase by gene mutations activates uncontrolled ovarian cancer cell proliferation via activation of the mitogen axctivated protein kinase (MAPK)/ extracellular signal regulated kinase (ERK) pathway, a signaling pathway that is also regulated by HMGA2 [ 78 , 81 ]. Therefore, downregulation of HMGA2 and KRAS by let-7d could exert an anti-oncogenic effect in ovarian cancer.…”
Section: Let-7d and Ovarian Cancermentioning
confidence: 99%
“…These include the promotion of a cancer stem cell phenotype, improved DNA repair mechanisms linked to therapeutic resistance, and regulation of multiple signaling processes that drive prometastatic EMT [ 78 , 79 , 80 ]. KRAS also has an ongogenic function in ovarian cancer, as constitutive activation of this small GTPase by gene mutations activates uncontrolled ovarian cancer cell proliferation via activation of the mitogen axctivated protein kinase (MAPK)/ extracellular signal regulated kinase (ERK) pathway, a signaling pathway that is also regulated by HMGA2 [ 78 , 81 ]. Therefore, downregulation of HMGA2 and KRAS by let-7d could exert an anti-oncogenic effect in ovarian cancer.…”
Section: Let-7d and Ovarian Cancermentioning
confidence: 99%
“…In recurrent low-grade serous ovarian cancer, the frequency of KRAS mutations is as high as 70%. 47 Moreover, Martinez-Outschoorn et al observed that RAS mutations can reprogram the metabolism of cancer cells, 48 which explains the potential role of KRAS signaling in ovarian cancer drug resistance. Our data indicate that the upregulation of the KRAS pathway may affect oxidative phosphorylation and fatty acid metabolism in platinum-resistant cells, leading to metabolic reprogramming of tumor cells.…”
mentioning
confidence: 99%
“…Specific gene mutations contribute to the development and pathogenesis of ovarian cancer; gene mutations are related to the clinical phenotype of cancers, suggesting the critical role of the loci of gene mutations as prognostic and therapeutic targets [ 37 39 ]. PIK3CA, TP53, BRCA1/2 , and KRAS are highly associated with epithelial ovarian cancer [ 39 ]. PIK3CA mutations are prevalent in ovarian clear cell carcinoma and endometrioid ovarian carcinoma [ 38 ].…”
Section: Discussionmentioning
confidence: 99%