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Cancer Biol Med. 2016 Jun;13(2):236-47. doi: 10.20892/j.issn.2095-3941.2016.0024.

Genetic and molecular changes in ovarian cancer.

Cancer biology & medicine

Robert L Hollis, Charlie Gourley

Affiliations

  1. Edinburgh Cancer Research UK Centre, MRC Institute of Genetics and Molecular Medicine, University of Edinburgh, Edinburgh, EH4 2XR, UK.

PMID: 27458531 PMCID: PMC4944549 DOI: 10.20892/j.issn.2095-3941.2016.0024

Abstract

Epithelial ovarian cancer represents the most lethal gynecological malignancy in the developed world, and can be divided into five main histological subtypes: high grade serous, endometrioid, clear cell, mucinous and low grade serous. These subtypes represent distinct disease entities, both clinically and at the molecular level. Molecular analysis has revealed significant genetic heterogeneity in ovarian cancer, particularly within the high grade serous subtype. As such, this subtype has been the focus of much research effort to date, revealing molecular subgroups at both the genomic and transcriptomic level that have clinical implications. However, stratification of ovarian cancer patients based on the underlying biology of their disease remains in its infancy. Here, we summarize the molecular changes that characterize the five main ovarian cancer subtypes, highlight potential opportunities for targeted therapeutic intervention and outline priorities for future research.

Keywords: Ovarian cancer; histological subtypes; molecular genetics; molecular subgrouping; ovary

References

  1. N Engl J Med. 2003 Jan 16;348(3):203-13 - PubMed
  2. J Natl Cancer Inst. 2014 Sep 30;106(10):null - PubMed
  3. Cancer Res. 2004 Nov 1;64(21):7678-81 - PubMed
  4. Nat Genet. 2010 May;42(5):410-4 - PubMed
  5. Clin Cancer Res. 2010 Apr 1;16(7):1997-2008 - PubMed
  6. Science. 2010 Oct 8;330(6001):228-31 - PubMed
  7. Am J Pathol. 2011 Apr;178(4):1442-7 - PubMed
  8. Am J Surg Pathol. 2014 Sep;38(9):1173-81 - PubMed
  9. Br J Cancer. 2006 Nov 20;95(10):1314-20 - PubMed
  10. Clin Cancer Res. 2012 Oct 15;18(20):5806-15 - PubMed
  11. Nat Commun. 2014;5:3156 - PubMed
  12. Gynecol Oncol. 2013 Apr;129(1):159-64 - PubMed
  13. J Pathol. 2014 Jan;232(2):264-73 - PubMed
  14. N Engl J Med. 2005 Oct 20;353(16):1659-72 - PubMed
  15. N Engl J Med. 2004 Dec 9;351(24):2519-29 - PubMed
  16. Cancer Res. 1998 May 15;58(10 ):2095-7 - PubMed
  17. J Clin Oncol. 2011 Aug 1;29(22):3008-15 - PubMed
  18. Curr Oncol Rep. 2014 Jun;16(6):389 - PubMed
  19. Br J Cancer. 2006 May 22;94(10):1369-74 - PubMed
  20. Clin Cancer Res. 2009 Feb 15;15(4):1417-27 - PubMed
  21. Cancer. 2009 Mar 15;115(6):1234-44 - PubMed
  22. Gynecol Oncol. 1996 Feb;60(2):238-44 - PubMed
  23. Clin Cancer Res. 2015 Feb 1;21(3):652-7 - PubMed
  24. Mod Pathol. 2011 Sep;24(9):1248-53 - PubMed
  25. Fam Cancer. 2005;4(3):245-8 - PubMed
  26. Neoplasia. 2011 Nov;13(11):1069-80 - PubMed
  27. PLoS Med. 2015 Feb 24;12(2):e1001789 - PubMed
  28. Am J Clin Pathol. 2015 Sep;144(3):452-63 - PubMed
  29. Mod Pathol. 2014 Jan;27(1):128-34 - PubMed
  30. Hum Pathol. 2011 Jul;42(7):918-31 - PubMed
  31. Am J Surg Pathol. 2007 Feb;31(2):161-9 - PubMed
  32. Am J Pathol. 2004 May;164(5):1511-8 - PubMed
  33. Hum Pathol. 2008 Aug;39(8):1239-51 - PubMed
  34. J Natl Cancer Inst. 2007 Feb 21;99(4):291-9 - PubMed
  35. Am J Surg Pathol. 2012 Feb;36(2):163-72 - PubMed
  36. J Clin Oncol. 2015 Apr 20;33(12):1397-406 - PubMed
  37. Clin Cancer Res. 2008 Nov 1;14(21):6847-54 - PubMed
  38. Cancer Res. 2002 Aug 15;62(16):4722-9 - PubMed
  39. Gynecol Oncol. 2008 Mar;108(3):510-4 - PubMed
  40. Gynecol Oncol. 2006 May;101(2):331-41 - PubMed
  41. Cancer. 1993 Jan 15;71(2 Suppl):524-9 - PubMed
  42. Cancer Res. 2008 Jul 1;68(13):5478-86 - PubMed
  43. J Clin Oncol. 2004 Mar 15;22(6):1040-4 - PubMed
  44. Lancet Oncol. 2013 Feb;14 (2):134-40 - PubMed
  45. Gynecol Oncol. 2003 Aug;90(2):378-81 - PubMed
  46. Cancer Res. 2007 Sep 15;67(18):8699-707 - PubMed
  47. J Natl Cancer Inst. 2014 Apr 03;106(5):null - PubMed
  48. Lancet Oncol. 2014 Jul;15(8):852-61 - PubMed
  49. Am J Surg Pathol. 2010 Mar;34(3):433-43 - PubMed
  50. Proc Natl Acad Sci U S A. 2008 May 13;105(19):7004-9 - PubMed
  51. Cancer. 2010 Mar 15;116(6):1462-8 - PubMed
  52. Fam Cancer. 2003;2(2):73-8 - PubMed
  53. Nature. 2013 Sep 19;501(7467):338-45 - PubMed
  54. Proc Natl Acad Sci U S A. 2011 Nov 1;108(44):18032-7 - PubMed
  55. J Pathol. 2013 Sep;231(1):21-34 - PubMed
  56. Nature. 2011 Jun 29;474(7353):609-15 - PubMed
  57. J Pathol. 2004 Mar;202(3):336-40 - PubMed
  58. Cancer Cell. 2013 Dec 9;24(6):751-65 - PubMed
  59. Annu Rev Pathol. 2009;4:287-313 - PubMed
  60. J Clin Oncol. 2010 Aug 1;28(22):3545-8 - PubMed
  61. Cancer. 2000 Jun 1;88(11):2584-9 - PubMed
  62. Pharmacol Ther. 2006 Nov;112(2):457-73 - PubMed
  63. Am J Surg Pathol. 2005 Feb;29(2):218-24 - PubMed
  64. Mol Oncol. 2009 Apr;3(2):97-137 - PubMed
  65. Cancer Res. 2000 Dec 15;60(24):7052-6 - PubMed
  66. J Pathol. 2013 Jan;229(1):111-20 - PubMed
  67. Int J Gynecol Cancer. 2008 May-Jun;18(3):487-91 - PubMed
  68. Cancer. 2005 Dec 15;104(12):2807-16 - PubMed
  69. Oncogene. 2010 Sep 2;29(35):4905-13 - PubMed
  70. Mod Pathol. 2004 Jan;17 (1):75-80 - PubMed
  71. Clin Cancer Res. 2014 Feb 1;20(3):764-75 - PubMed
  72. Science. 2003 Oct 24;302(5645):643-6 - PubMed
  73. Virchows Arch. 2012 Mar;460(3):237-49 - PubMed
  74. Cancer. 2008 May 15;112(10):2211-20 - PubMed
  75. J Clin Oncol. 2010 May 20;28(15):2505-11 - PubMed
  76. Clin Cancer Res. 2005 Sep 15;11(18):6422-30 - PubMed
  77. Cancer Res. 2011 Mar 15;71(6):2222-9 - PubMed
  78. CA Cancer J Clin. 2015 Jan-Feb;65(1):5-29 - PubMed
  79. Cancer Res. 2011 Nov 1;71(21):6718-27 - PubMed
  80. N Engl J Med. 2010 Oct 14;363(16):1532-43 - PubMed
  81. Proc Natl Acad Sci U S A. 2011 Feb 22;108(8):3406-11 - PubMed
  82. JAMA. 2012 Jan 25;307(4):382-90 - PubMed
  83. PLoS One. 2010 Mar 12;5(3):e9615 - PubMed
  84. Am J Pathol. 2010 Oct;177(4):1611-7 - PubMed
  85. Clin Cancer Res. 2008 Aug 15;14(16):5198-208 - PubMed
  86. Nat Rev Cancer. 2011 Sep 23;11(10):719-25 - PubMed
  87. Am J Pathol. 2009 May;174(5):1597-601 - PubMed
  88. J Pathol. 2001 Nov;195(4):451-6 - PubMed
  89. Clin Cancer Res. 2012 Mar 1;18(5):1374-85 - PubMed
  90. Clin Cancer Res. 2005 Sep 1;11(17):6116-26 - PubMed
  91. Nat Genet. 2011 Aug 07;43(9):879-82 - PubMed
  92. Cancer Res. 2000 Oct 1;60(19):5329-33 - PubMed
  93. Proc Natl Acad Sci U S A. 2013 Nov 26;110(48):19489-94 - PubMed
  94. Proc Natl Acad Sci U S A. 2013 Jun 11;110(24):9845-50 - PubMed
  95. Science. 2013 Mar 29;339(6127):1546-58 - PubMed
  96. Int J Gynecol Cancer. 2012 Mar;22(3):367-71 - PubMed
  97. Gynecol Oncol. 2006 Jun;101(3):403-10 - PubMed
  98. J Pathol. 2010 May;221(1):49-56 - PubMed
  99. J Clin Oncol. 2008 Jun 1;26(16):2674-82 - PubMed
  100. J Gynecol Oncol. 2013 Jan;24(1):37-43 - PubMed
  101. Nature. 2015 May 28;521(7553):489-94 - PubMed
  102. Cancer Cell. 2009 Dec 8;16(6):521-32 - PubMed
  103. Cell. 2003 Nov 26;115(5):523-35 - PubMed
  104. Cancer Lett. 2015 Dec 28;369(2):363-7 - PubMed
  105. Obstet Gynecol. 2006 Aug;108(2):361-8 - PubMed
  106. PLoS One. 2012;7(2):e30269 - PubMed
  107. J Pathol. 2013 Dec;231(4):449-56 - PubMed
  108. Cancer. 2011 Feb 1;117(3):554-62 - PubMed
  109. Cancer. 2008 May 15;112(10):2202-10 - PubMed
  110. Hum Pathol. 2009 Sep;40(9):1213-23 - PubMed
  111. J Natl Cancer Inst. 2003 Mar 19;95(6):484-6 - PubMed
  112. J Natl Cancer Inst. 2014 Apr 03;106(5):null - PubMed
  113. J Pathol. 2007 Jan;211(1):26-35 - PubMed
  114. J Pathol. 2012 Feb;226(3):421-6 - PubMed
  115. Adv Anat Pathol. 2009 Sep;16(5):267-82 - PubMed

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