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Ovarian Cancer: Prevention and Treatment

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Women's Health".

Deadline for manuscript submissions: closed (31 August 2023) | Viewed by 9271

Special Issue Editors


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Guest Editor
1. Faculty of Life Sciences & Medicine, School of Cancer & Pharmaceutical Sciences, King's College London, London SE1 9RT, UK
2. Medway NHS Foundation Trust, Windmill Road, Kent, Gillingham ME7 5NY, UK
3. Kent Medway Medical School, University of Kent, Kent , Canterbury CT2 7LX, UK
4. AELIA Organization, 9(th)Km Thessaloniki-Thermi, 57001 Thessaloniki, Greece
Interests: prostate cancer; renal cancer; ovarian cancer; homologous recombination of DNA; PARP inhibitors; cervical cancer; carcinoma of unknown primary; colorectal cancer; cancer and autoimmune diseases; biomarkers
Special Issues, Collections and Topics in MDPI journals

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Guest Editor
Department of Medical Oncology, Medway NHS Foundation Trust, Gillingham ME7 5NY, Kent, UK
Interests: prostate cancer; bladder cancer; renal cancer; DNA mismatch repair; radical prostatectomy, radical cystectomy and sacrocolpopexy with pelvic floor for prolapse
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Ovarian cancer is composed of three histological subtypes: epithelial (90%), germ cell (5%), and sex cord stromal cell (5%). Epithelial ovarian cancer (EOC) is deadly, claiming more women than all other gynecological malignancies combined, due to lack of effective early detection strategies. The majority of newly diagnosed EOC patients are treated with radical surgery, followed by adjuvant platinum-based chemotherapy. Most patients experience disease relapse within the first 5 years, despite aggressive treatment at diagnosis.

Screening efforts and genetic testing is strongly recommended. The analysis should be able to detect damaging variants in all genes associated with EOC susceptibility and next-generation sequencing (NGS) technologies have rapidly evolved. Breast cancer genes 1 and 2 (BRCA1/2) germline mutations are the most significant molecular aberrations in EOC with established prognostic and predictive value. Cells with mutations in BRCA1/2 genes have an impaired double-strand DNA breaks (DSBs). Apart from BRCA1/2, several other suppressor genes and oncogenes have been associated with hereditary EOC (i.e., TP53, BARD1, CHEK2, RAD51, and PALB2).

There is mature evidence that poly (ADP-ribose) polymerase (PARP) inhibitors exploit homologous recombination (HR) deficiency, especially in patients with BRCA1/2 mutations. Moreover, novel combinations of PARP inhibitors with other anticancer therapies are challenging; the first evaluated combination was with antiangiogenic agents. In addition, encouraging preliminary results support the combination of PARP and immune checkpoint inhibitors. Other biologic agents that have been combined with PARP inhibitors are the anti-CTLA4 monoclonal antibodies, and the mTOR-, AKT-, PI3K-, MEK1/2-, and WEE1 inhibitors. Finally, combination with chemotherapy has been recommended with the rationale of disrupting base excision repair via PARP inhibition.

The forthcoming special issue focuses on several key elements that are essential for an understanding of this heterogeneous group of malignancies. The manuscripts should be focused but are not only limited to:

  • Risk factors for ovarian cancer
  • EOC risk assessment in the era of next-generation sequencing
  • PARP inhibitors in EOC
  • PARP inhibitors in combination with other therapies
  • Immunotherapy in EOC
  • Endometriosis-associated EOC
  • Diagnosis and treatment of non-epithelial ovarian cancers

Dr. Stergios Boussios
Prof. Dr. Matin Sheriff
Guest Editors

Manuscript Submission Information

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Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

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Keywords

  • ovarian cancer
  • germaline mutations
  • somatic mutations
  • DNA repair pathways
  • cell cycle related genes
  • PARP inhibitors
  • combined therapies
  • precision treatment

Published Papers (3 papers)

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Research

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11 pages, 1384 KiB  
Article
Ovarian Cancer Biomarkers in the COVID-19 Era
by Antonella Farina, Flavia Colaiacovo, Mariacarmela Gianfrate, Beatrice Pucci, Antonio Angeloni and Emanuela Anastasi
Int. J. Environ. Res. Public Health 2023, 20(11), 5994; https://doi.org/10.3390/ijerph20115994 - 29 May 2023
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Abstract
Ovarian Cancer (OC) diagnosis is entrusted to CA125 and HE4. Since the latter has been found increased in COVID-19 patients, in this study, we aimed to evaluate the influence of SARS-CoV-2 infection on OC biomarkers. HE4 values above the cut-off were observed in [...] Read more.
Ovarian Cancer (OC) diagnosis is entrusted to CA125 and HE4. Since the latter has been found increased in COVID-19 patients, in this study, we aimed to evaluate the influence of SARS-CoV-2 infection on OC biomarkers. HE4 values above the cut-off were observed in 65% of OC patients and in 48% of SARS-CoV-2-positive patients (not oncologic patients), whereas CA125 values above the cut-off were observed in 71% of OC patients and in 11% of SARS-CoV-2 patients. Hence, by dividing the HE4 levels into quartiles, we can state that altered levels of HE4 in COVID-19 patients were mostly detectable in quartile I (151–300 pmol/L), while altered levels in OC patients were mostly clustered in quartile III (>600, pmol/L). In light of these observations, in order to better discriminate women with ovarian cancer versus those with COVID-19, we established a possible HE4 cut-off of 328 pmol/L by means of a ROC curve. These results demonstrate that the reliability of HE4 as a biomarker in ovarian cancer remains unchanged, despite COVID-19 interference; moreover, it is important for a proper diagnosis that whether the patient has a recent history of SARS-CoV-2 infection is determined. Full article
(This article belongs to the Special Issue Ovarian Cancer: Prevention and Treatment)
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10 pages, 336 KiB  
Article
Clinical Performance of a Multivariate Index Assay in Detecting Early-Stage Ovarian Cancer in Filipino Women
by Clarissa L. Velayo, Kareen N. Reforma, Renee Vina G. Sicam, Michele H. Diwa, Alvin Duke R. Sy and Ourlad Alzeus G. Tantengco
Int. J. Environ. Res. Public Health 2022, 19(16), 9896; https://doi.org/10.3390/ijerph19169896 - 11 Aug 2022
Cited by 2 | Viewed by 3081
Abstract
This study evaluated the clinical performance and overall utility of a multivariate index assay in detecting early-stage ovarian cancer in a Filipino population. This is a prospective cohort study among Filipino women undergoing assessment for an ovarian mass in a tertiary center. Patients [...] Read more.
This study evaluated the clinical performance and overall utility of a multivariate index assay in detecting early-stage ovarian cancer in a Filipino population. This is a prospective cohort study among Filipino women undergoing assessment for an ovarian mass in a tertiary center. Patients diagnosed with early-stage ovarian cancer and who underwent a physical examination before level III specialist ultrasonographic and Doppler evaluation, multivariate index assay (MIA2G), and surgery for an adnexal mass were included in this study. Ovarian tumors were classified as high-risk for malignancy based on the IOTA-LR2 score. The ovarian imaging and biomarker results were correlated with the reference standard: surgico-pathologic findings. The MIA2G exhibited the best overall performance among individual classifiers with a sensitivity of 91.7% and NPV of 84.7%, with a concomitant higher sensitivity in early-stage disease, whether as an individual classifier (93.5%) or in serial combination with ultrasound (85.5%). The performance of biomarkers (specificity, positive predictive values, and AUROC) such as MIA2G and CA-125 significantly improved when combined with an ultrasound risk scoring approach (p < 0.01). MIA2G showed a higher sensitivity for detecting lesions among EOC and late-stage ovarian cancers than otherwise. The application of biomarkers for evaluating ovarian masses in our local setting is secondary to ultrasound but adopting multivariate index assays rather than CA-125 would increase the detection of early-stage ovarian cancers regardless of menopausal status. This is most relevant in areas where level III sonographers or gynecologic oncologists are limited and preoperative referrals to these specialists can improve the survival of our patients. Full article
(This article belongs to the Special Issue Ovarian Cancer: Prevention and Treatment)

Review

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18 pages, 5609 KiB  
Review
Non-Epithelial Ovarian Cancers: How Much Do We Really Know?
by Alison Cheung, Sidrah Shah, Jack Parker, Pavandeep Soor, Anu Limbu, Matin Sheriff and Stergios Boussios
Int. J. Environ. Res. Public Health 2022, 19(3), 1106; https://doi.org/10.3390/ijerph19031106 - 19 Jan 2022
Cited by 48 | Viewed by 3454
Abstract
Non-epithelial ovarian cancers (NEOC) are a group of uncommon malignancies that mainly includes germ cell tumours (GCT), sex cord-stromal tumours (SCST), and some extremely rare tumours, such as small cell carcinomas and sarcomas. Each of these classifications encompasses multiple histologic subtypes. The aetiology [...] Read more.
Non-epithelial ovarian cancers (NEOC) are a group of uncommon malignancies that mainly includes germ cell tumours (GCT), sex cord-stromal tumours (SCST), and some extremely rare tumours, such as small cell carcinomas and sarcomas. Each of these classifications encompasses multiple histologic subtypes. The aetiology and molecular origins of each sub-group of NEOC require further investigation, and our understanding on the genetic changes should be optimised. In this article, we provide an update on the clinical presentation, pathology, genetics, treatment and survival of the main histological subtypes of the GCT and the SCST, as well as of ovarian small cell carcinomas. We also discuss miRNA expression profiles of NEOC and report the currently active clinical trials that include NEOC. Full article
(This article belongs to the Special Issue Ovarian Cancer: Prevention and Treatment)
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