The rise of genomic profiling in ovarian cancer

Expert Rev Mol Diagn. 2016 Dec;16(12):1337-1351. doi: 10.1080/14737159.2016.1259069.

Abstract

Next-generation sequencing and advances in 'omics technology have rapidly increased our understanding of the molecular landscape of epithelial ovarian cancers. Areas covered: Once characterized only by histologic appearance and clinical behavior, we now understand many of the molecular phenotypes that underlie the different ovarian cancer subtypes. While the current approach to treatment involves standard cytotoxic therapies after cytoreductive surgery for all ovarian cancers regardless of histologic or molecular characteristics, focus has shifted beyond a 'one size fits all' approach to ovarian cancer. Expert commentary: Genomic profiling offers potentially 'actionable' opportunities for development of targeted therapies and a more individualized approach to treatment with concomitant improved outcomes and decreased toxicity.

Keywords: Genomic profiling; ovarian cancer; precision medicine; targeted therapy.

Publication types

  • Review

MeSH terms

  • Biomarkers, Tumor*
  • Carcinoma, Ovarian Epithelial
  • Clinical Trials as Topic
  • Female
  • Genetic Heterogeneity
  • Genetic Variation
  • Genomics* / methods
  • High-Throughput Nucleotide Sequencing
  • Humans
  • Molecular Targeted Therapy
  • Mutation
  • Neoplasms, Glandular and Epithelial / diagnosis
  • Neoplasms, Glandular and Epithelial / genetics
  • Ovarian Neoplasms / diagnosis
  • Ovarian Neoplasms / drug therapy
  • Ovarian Neoplasms / genetics*
  • Ovarian Neoplasms / metabolism
  • Poly(ADP-ribose) Polymerase Inhibitors / therapeutic use
  • Practice Guidelines as Topic
  • Precision Medicine / methods
  • Prognosis
  • Signal Transduction / drug effects
  • Treatment Outcome

Substances

  • Biomarkers, Tumor
  • Poly(ADP-ribose) Polymerase Inhibitors