Tumor evolution and chemoresistance in ovarian cancer.

Tumor evolution and chemoresistance in ovarian cancer.
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DOI:
10.1038/s41698-018-0063-0
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发表时间:
2018
影响因子:
7.9
通讯作者:
Song YS
Song YS
中科院分区:
医学1区
文献类型:
--
作者:
Kim S;Han Y;Kim SI;Kim HS;Kim SJ;Song YS

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开发新的策略来克服化疗耐药性是卵巢癌研究的中心目标。癌症发展和进展的自然历史正在通过基因组数据集重建,以了解进化模式和方向。最近的研究表明,在包括卵巢癌在内的许多类型的癌症中,肿瘤内异质性(ITH)是化疗耐药导致治疗失败的主要原因。ITH增加了肿瘤适应不相容微环境的适应性。理解ITH与进化模式的关系可能会导致基于遗传、环境和生活方式的个体变异的创新方法的发展。从而达到攻克癌症的新的大阶段。在这篇综述中,我们将讨论通过使用下一代测序(NGS)了解卵巢癌生物学的最新进展,并强调最近取得进展的领域,以改善卵巢癌的精准医学。
Development of novel strategies to overcome chemoresistance is central goal in ovarian cancer research. Natural history of the cancer development and progression is being reconstructed by genomic datasets to understand the evolutionary pattern and direction. Recent studies suggest that intra-tumor heterogeneity (ITH) is the main cause of treatment failure by chemoresistance in many types of cancers including ovarian cancer. ITH increases the fitness of tumor to adapt to incompatible microenvironment. Understanding ITH in relation to the evolutionary pattern may result in the development of the innovative approach based on individual variability in the genetic, environment, and life style. Thus, we can reach the new big stage conquering the cancer. In this review, we will discuss the recent advances in understanding ovarian cancer biology through the use of next generation sequencing (NGS) and highlight areas of recent progress to improve precision medicine in ovarian cancer.
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