Ovarian cancer and the heart: pathophysiology, chemotherapy-induced cardiotoxicity, and new therapeutic strategies
Megha Nair,
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Arun Samidurai,
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Anindita Das
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et al.
Journal of Ovarian Research,
Journal Year:
2025,
Volume and Issue:
18(1)
Published: April 5, 2025
Ovarian
Cancer
(OC)
is
recognized
as
the
most
lethal
gynecologic
malignancy,
characterized
by
numerous
genetic
mutations
that
trigger
uncontrolled
cellular
growth
and
replication.
Emerging
evidence
suggests
non-coding
RNAs
including
miRNAs
lncRNAs
significantly
influence
OC
through
their
multiple
roles
tumor
initiation,
progression,
metastasis,
immune
evasion,
chemoresistance,
making
them
promising
diagnostic
markers
therapeutic
targets.
The
primary
approach
to
treating
typically
involves
cytoreductive
surgery
followed
chemotherapy.
However,
chemotherapeutic
agents,
particularly
anthracyclines
such
doxorubicin
(DOX),
are
known
for
cardiotoxic
effects,
which
can
range
from
acute
chronic,
potentially
leading
heart
failure
death.
To
enhance
overall
treatment
response
minimize
cardiotoxicity,
alternative
strategies
have
been
explored.
These
include
use
of
liposomal
(DOXIL)
a
substitute
DOX,
various
radiotherapies,
immunotherapies,
co-administration
angiotensin-converting
enzyme
inhibitors
and/or
beta-blockers.
Phosphodiesterase-5
(PDE5i)
also
demonstrated
efficacy
in
reducing
cardiotoxicity
linked
cancer
treatments
promoting
apoptosis
cells
across
types.
Although
there
no
current
clinical
trial
directly
examining
impact
PDE5i
on
OC,
however
emerging
therapies
Withaferin
A,
PARP
inhibitors,
nanoparticle
combination
therapy
show
promise.
Additional
research
essential
develop
both
effective
against
less
harmful
heart.
Language: Английский
Subtype-specific analysis of gene co-expression networks and immune cell profiling reveals high grade serous ovarian cancer subtype linkage to variable immune microenvironment
Kaylin Carey,
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Corey D. Young,
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A. J. Clark
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et al.
Journal of Ovarian Research,
Journal Year:
2024,
Volume and Issue:
17(1)
Published: Dec. 3, 2024
High-grade
serous
ovarian
cancer
(HGSOC)
is
marked
by
significant
molecular
diversity,
presenting
a
major
clinical
challenge
due
to
its
aggressive
nature
and
poor
prognosis.
This
study
aims
deepen
the
understanding
of
HGSOC
characterizing
mRNA
subtypes
examining
their
immune
microenvironment
(TIME)
role
in
disease
progression.
Using
transcriptomic
data
an
advanced
computational
pipeline,
we
investigated
four
subtypes:
immunoreactive,
differentiated,
proliferative,
mesenchymal,
each
associated
with
distinct
gene
expression
profiles
behaviors.
We
performed
differential
analysis
among
using
DESeq2
conducted
Weighted
Gene
Co-Expression
Network
Analysis
(WGCNA)
identify
co-expressed
modules
related
traits,
e.g.,
age,
survival,
subtype
classification.
Ontology
(GO)
highlighted
key
pathways
involved
tumor
progression
evasion.
Additionally,
utilized
TIMER
2.0
assess
cell
infiltration
across
different
subtypes,
providing
insights
into
interplay
between
(TIME).
Our
findings
show
that
immunoreactive
subtype,
particularly
M3
module-associated
network,
was
high
infiltration,
including
M1
(p
<
0.0001)
M2
macrophages
0.01),
Th1
cells
0.01)
along
LAIR-1
=
1.63e-101).
The
M18
module
exhibited
strong
B
signatures
6.24e-28),
FCRL5
(adj.
p
3.09e-30)
IRF4
coexpression.
In
contrast,
M5
significantly
mesenchymal
fibroblasts
0.0001).
proliferative
characterized
M15
module-driven
cellular
growth
proliferation
signatures,
stromal
involvement
reveals
complex
suggests
genes
contributing
underscoring
important
implications
subtyping
HGSOC.
Language: Английский