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Biomedicines. 2021 Sep 26;9(10). doi: 10.3390/biomedicines9101316.

Role of Circulating miRNAs in Therapeutic Response in Epithelial Ovarian Cancer: A Systematic Revision.

Biomedicines

Gloria Ravegnini, Pierandrea De Iaco, Francesca Gorini, Giulia Dondi, Isabella Klooster, Eugenia De Crescenzo, Alessandro Bovicelli, Patrizia Hrelia, Anna Myriam Perrone, Sabrina Angelini

Affiliations

  1. Department of Pharmacy and Biotechnology, University of Bologna, 40126 Bologna, Italy.
  2. Division of Oncologic Gynecology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy.
  3. Department of Medical and Surgical Sciences, DIMEC, University of Bologna, 40138 Bologna, Italy.
  4. Centro di Studio e Ricerca delle Neoplasie Ginecologiche, University of Bologna, 40138 Bologna, Italy.
  5. Department of Pathology, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA.

PMID: 34680433 PMCID: PMC8533254 DOI: 10.3390/biomedicines9101316

Abstract

Epithelial ovarian cancer (EOC) is one of the most lethal cancers worldwide, mostly due to nonspecific symptoms and a lack of screening tests, which, taken together, contribute to delayed diagnosis and treatment. The current clinical biomarker is serum CA-125, which allows the identification of most advanced primary and relapsed disease and correlates with disease burden; however, as well highlighted in the literature, CA-125 often lacks sensitivity and specificity, and is not helpful in monitoring chemotherapeutic response or in predicting the risk of relapse. Given that, the identification of novel biomarkers able to foster more precise medical approaches and the personalization of patient management represents an unmet clinical requirement. In this context, circulating miRNAs may represent an interesting opportunity as they can be easily detected in all biological fluids. This is particularly relevant when looking for non-invasive approaches that can be repeated over time, with no pain and stress for the oncological patient. Given that, the present review aims to describe the circulating miRNAs currently identified as associated with therapeutic treatments in OC and presents a complete overview of the available evidence.

Keywords: chemotherapy; circulating miRNAs; drug response; epithelial ovarian cancer; liquid biopsy; ovarian cancer; personalized medicine

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