Abstract
Ovarian cancer (OC) is one of the most fatal gynecological malignancies in the world. Poor diagnosis and a lack of prognostic biomarkers have contributed greatly to the high mortality rate of OC. The standard treatment for OC is surgery followed by chemotherapy by a single drug or in combination with one or more drugs. Although this treatment procedure works in most early-stage patients, most women with advanced disease may experience multiple episodes of recurrent disease with gradual shorter disease-free intervals. Another major disadvantage of standard chemotherapy is that the patients often suffer from a plethora of side effects. OC is well known as a highly heterogeneous disease at the molecular level. Therefore, molecular targeted therapy has emerged as a more effective option. At present, FDA-approved PARP inhibitors and anti-VEGF monoclonal antibodies are the most widely used targeted drugs against OC. Other promising therapeutic targets, such as immune checkpoints, folate receptor, p53, PI3K/AKT pathway, and miRNA, are going through phase II and phase III clinical trials at present. Targeted therapies were expected to deliver better outcomes with minimum toxicity. However, just like conventional chemotherapies, targeted therapies also come with their own set of limitations and newly developed resistance mechanisms in OC patients. This chapter highlights studies conducted on the most important pathways for targeted therapies associated with OC in recent times and the major loopholes and the risks associated with each one of them.
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Acknowledgments
Abhishek Chatterjee and Susmita Saha would like to acknowledge the University Grants Commission (UGC) for financial support. Vineet Kumar Mishra acknowledges DBT-RA Program in Biotechnology and Life Sciences for financial support.
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Chatterjee, A., Mishra, V.K., Saha, S., Swarnakar, S. (2022). An Insight into Targeted Therapy for Ovarian Cancer. In: Chakraborti, S. (eds) Handbook of Oxidative Stress in Cancer: Therapeutic Aspects. Springer, Singapore. https://doi.org/10.1007/978-981-16-5422-0_230
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