“…Several observations have recently suggested that Topoisomerase IIa (TOPO-IIa), one of the two isoforms an enzyme playing a relevant role in DNA replication, repair, and transcription (Chung et al, 1989), is involved in critical steps of tumour cell proliferation and chemoresistance (Wang, 2002). Strong TOPO-IIa expression or enzymatic activity have been documented in ovarian carcinoma compared to the hardly detectable levels in benign ovarian tumours, ovarian inclusion cysts, and normal surface epithelium (van der Zee et al, 1991;Cornarotti et al, 1996;Withoff et al, 1999;Chekerov et al, 2006). The frequency of TOPO-IIa overexpression in ovarian cancer has been reported to range between 30 and 70% (van der Zee et al, 1994;Gotlieb et al, 2001;Koshiyama et al, 2001), and a definite role of this enzyme as a marker of sensitivity not only to TOPO-IIa targeting agents, such as anthracyclines and etoposide, but also to platinum agents in vitro and in vivo has been documented (Kikuchi et al, 1997;Naniwa et al, 2007).…”