Endocrine therapy for endometrial cancer: traditional approaches and novel targets

Recently, the global incidence of endometrial cancer is increasing. Endocrine therapy offers advantages in the management of this malignancy due to its broad applicability and favorable tolerability profile. Although conventional endocrine treatments, including progesterone, gonadotropin-releasing h...

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Main Authors: XiaoJing Guan, RongRong Tang, JianHua Yang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-05-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2025.1570011/full
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author XiaoJing Guan
RongRong Tang
JianHua Yang
author_facet XiaoJing Guan
RongRong Tang
JianHua Yang
author_sort XiaoJing Guan
collection DOAJ
description Recently, the global incidence of endometrial cancer is increasing. Endocrine therapy offers advantages in the management of this malignancy due to its broad applicability and favorable tolerability profile. Although conventional endocrine treatments, including progesterone, gonadotropin-releasing hormone agonists and aromatase inhibitors demonstrate efficacy in endometrial cancer, their long-term utility is limited by adverse effects such as drug resistance and disease recurrence with prolonged treatment. Novel endocrine therapeutic agents, including selective estrogen receptor modulators, selective estrogen receptor degraders, epigenetic-targeted therapies, mTOR inhibitors, cyclin-dependent kinase inhibitors, and metformin, remain in preclinical development or clinical trials. Inspiringly, the preliminary findings suggest these emerging agents may positively impact survival outcomes in endometrial cancer patients. This review examines the mechanisms, methodologies, and efficacy of both traditional and novel endocrine therapeutic approaches for endometrial cancer.
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series Frontiers in Oncology
spelling doaj-art-a397f123e99b429088dec28ce64bd8ef2025-08-20T02:11:18ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2025-05-011510.3389/fonc.2025.15700111570011Endocrine therapy for endometrial cancer: traditional approaches and novel targetsXiaoJing GuanRongRong TangJianHua YangRecently, the global incidence of endometrial cancer is increasing. Endocrine therapy offers advantages in the management of this malignancy due to its broad applicability and favorable tolerability profile. Although conventional endocrine treatments, including progesterone, gonadotropin-releasing hormone agonists and aromatase inhibitors demonstrate efficacy in endometrial cancer, their long-term utility is limited by adverse effects such as drug resistance and disease recurrence with prolonged treatment. Novel endocrine therapeutic agents, including selective estrogen receptor modulators, selective estrogen receptor degraders, epigenetic-targeted therapies, mTOR inhibitors, cyclin-dependent kinase inhibitors, and metformin, remain in preclinical development or clinical trials. Inspiringly, the preliminary findings suggest these emerging agents may positively impact survival outcomes in endometrial cancer patients. This review examines the mechanisms, methodologies, and efficacy of both traditional and novel endocrine therapeutic approaches for endometrial cancer.https://www.frontiersin.org/articles/10.3389/fonc.2025.1570011/fullendometrial cancerendocrine therapytraditional targetsnovel targetsmechanisms
spellingShingle XiaoJing Guan
RongRong Tang
JianHua Yang
Endocrine therapy for endometrial cancer: traditional approaches and novel targets
Frontiers in Oncology
endometrial cancer
endocrine therapy
traditional targets
novel targets
mechanisms
title Endocrine therapy for endometrial cancer: traditional approaches and novel targets
title_full Endocrine therapy for endometrial cancer: traditional approaches and novel targets
title_fullStr Endocrine therapy for endometrial cancer: traditional approaches and novel targets
title_full_unstemmed Endocrine therapy for endometrial cancer: traditional approaches and novel targets
title_short Endocrine therapy for endometrial cancer: traditional approaches and novel targets
title_sort endocrine therapy for endometrial cancer traditional approaches and novel targets
topic endometrial cancer
endocrine therapy
traditional targets
novel targets
mechanisms
url https://www.frontiersin.org/articles/10.3389/fonc.2025.1570011/full
work_keys_str_mv AT xiaojingguan endocrinetherapyforendometrialcancertraditionalapproachesandnoveltargets
AT rongrongtang endocrinetherapyforendometrialcancertraditionalapproachesandnoveltargets
AT jianhuayang endocrinetherapyforendometrialcancertraditionalapproachesandnoveltargets