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2016 ; 56
(ä): 131-143
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Targeting the tumour microenvironment in ovarian cancer
#MMPMID26849037
Hansen JM
; Coleman RL
; Sood AK
Eur J Cancer
2016[Mar]; 56
(ä): 131-143
PMID26849037
show ga
The study of cancer initiation, growth, and metastasis has traditionally been
focused on cancer cells, and the view that they proliferate due to uncontrolled
growth signalling owing to genetic derangements. However, uncontrolled growth in
tumours cannot be explained solely by aberrations in cancer cells themselves. To
fully understand the biological behaviour of tumours, it is essential to
understand the microenvironment in which cancer cells exist, and how they
manipulate the surrounding stroma to promote the malignant phenotype. Ovarian
cancer is the leading cause of death from gynaecologic cancer worldwide. The
majority of patients will have objective responses to standard tumour debulking
surgery and platinum-taxane doublet chemotherapy, but most will experience
disease recurrence and chemotherapy resistance. As such, a great deal of effort
has been put forth to develop therapies that target the tumour microenvironment
in ovarian cancer. Herein, we review the key components of the tumour
microenvironment as they pertain to this disease, outline targeting opportunities
and supporting evidence thus far, and discuss resistance to therapy.