Examining the evidence for immune checkpoint therapy in high-grade serous ovarian cancer

The 5-year survival rate for ovarian cancer has remained relatively static over the past number of years, which can be attributed in part to the lack of new therapeutic strategies to target this disease. Although numerous other cancer types have benefited from the success of immune checkpoint inhibi...

Full description

Saved in:
Bibliographic Details
Main Authors: A.E. Connor, P.M. Lyons, A.M. Kilgallon, J.C. Simpson, A.S. Perry, J. Lysaght
Format: Article
Language:English
Published: Elsevier 2024-10-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844024149195
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1846170266488537088
author A.E. Connor
P.M. Lyons
A.M. Kilgallon
J.C. Simpson
A.S. Perry
J. Lysaght
author_facet A.E. Connor
P.M. Lyons
A.M. Kilgallon
J.C. Simpson
A.S. Perry
J. Lysaght
author_sort A.E. Connor
collection DOAJ
description The 5-year survival rate for ovarian cancer has remained relatively static over the past number of years, which can be attributed in part to the lack of new therapeutic strategies to target this disease. Although numerous other cancer types have benefited from the success of immune checkpoint inhibitors, their use in clinical trials targeting ovarian cancer has shown limited efficacy. Most clinical trials have focused on PD-1/PD-L1 immune checkpoint blockade, either as a monotherapy or in combination with chemotherapies, however inhibiting other pathways may potentially be more efficacious in treating ovarian cancer. For example, drugs targeting some emerging immune checkpoints (such as LAG-3, TIM-3, TIGIT and PVRIG), are entering into clinical trials, which could show improved success for ovarian cancer patients. Similarly, predictive biomarkers that have been approved for use with immune checkpoint inhibitors, such as PD-L1 expression, are limited, as only the presence or absence of PD-L1 is assessed. However, the development of next generation predictive biomarkers, which assesses density and location of tumour infiltrating lymphocytes, could be more beneficial for this heterogenous cancer. In this review we discuss the use of immune checkpoint inhibitors in ovarian cancer, with a focus on high-grade serous disease, and delve into what the future may hold for immunotherapy in this cancer type.
format Article
id doaj-art-d7329195a1bc46559218c1ab097a87f6
institution Kabale University
issn 2405-8440
language English
publishDate 2024-10-01
publisher Elsevier
record_format Article
series Heliyon
spelling doaj-art-d7329195a1bc46559218c1ab097a87f62024-11-12T05:19:24ZengElsevierHeliyon2405-84402024-10-011020e38888Examining the evidence for immune checkpoint therapy in high-grade serous ovarian cancerA.E. Connor0P.M. Lyons1A.M. Kilgallon2J.C. Simpson3A.S. Perry4J. Lysaght5UCD School of Biology and Environmental Science, University College Dublin, Dublin, Ireland; UCD Conway Institute of Biomolecular and Biomedical Research, University College Dublin, Dublin, Ireland; Cell Screening Laboratory, University College Dublin, Dublin, Ireland; Corresponding author. School of Biology and Environmental Science, O'Brien Science Centre, UCD, Belfield, Dublin, 4, Ireland.Cancer Immunology and Immunotherapy Group, Department of Surgery, School of Medicine, Trinity Translational Medicine Institute and Trinity St. James's Cancer Institute, Trinity College Dublin, Dublin, IrelandCancer Immunology and Immunotherapy Group, Department of Surgery, School of Medicine, Trinity Translational Medicine Institute and Trinity St. James's Cancer Institute, Trinity College Dublin, Dublin, IrelandUCD School of Biology and Environmental Science, University College Dublin, Dublin, Ireland; UCD Conway Institute of Biomolecular and Biomedical Research, University College Dublin, Dublin, Ireland; Cell Screening Laboratory, University College Dublin, Dublin, IrelandUCD School of Biology and Environmental Science, University College Dublin, Dublin, Ireland; UCD Conway Institute of Biomolecular and Biomedical Research, University College Dublin, Dublin, IrelandCancer Immunology and Immunotherapy Group, Department of Surgery, School of Medicine, Trinity Translational Medicine Institute and Trinity St. James's Cancer Institute, Trinity College Dublin, Dublin, IrelandThe 5-year survival rate for ovarian cancer has remained relatively static over the past number of years, which can be attributed in part to the lack of new therapeutic strategies to target this disease. Although numerous other cancer types have benefited from the success of immune checkpoint inhibitors, their use in clinical trials targeting ovarian cancer has shown limited efficacy. Most clinical trials have focused on PD-1/PD-L1 immune checkpoint blockade, either as a monotherapy or in combination with chemotherapies, however inhibiting other pathways may potentially be more efficacious in treating ovarian cancer. For example, drugs targeting some emerging immune checkpoints (such as LAG-3, TIM-3, TIGIT and PVRIG), are entering into clinical trials, which could show improved success for ovarian cancer patients. Similarly, predictive biomarkers that have been approved for use with immune checkpoint inhibitors, such as PD-L1 expression, are limited, as only the presence or absence of PD-L1 is assessed. However, the development of next generation predictive biomarkers, which assesses density and location of tumour infiltrating lymphocytes, could be more beneficial for this heterogenous cancer. In this review we discuss the use of immune checkpoint inhibitors in ovarian cancer, with a focus on high-grade serous disease, and delve into what the future may hold for immunotherapy in this cancer type.http://www.sciencedirect.com/science/article/pii/S2405844024149195High-grade serous ovarian cancerImmune checkpoint inhibitorsTumour microenvironment
spellingShingle A.E. Connor
P.M. Lyons
A.M. Kilgallon
J.C. Simpson
A.S. Perry
J. Lysaght
Examining the evidence for immune checkpoint therapy in high-grade serous ovarian cancer
Heliyon
High-grade serous ovarian cancer
Immune checkpoint inhibitors
Tumour microenvironment
title Examining the evidence for immune checkpoint therapy in high-grade serous ovarian cancer
title_full Examining the evidence for immune checkpoint therapy in high-grade serous ovarian cancer
title_fullStr Examining the evidence for immune checkpoint therapy in high-grade serous ovarian cancer
title_full_unstemmed Examining the evidence for immune checkpoint therapy in high-grade serous ovarian cancer
title_short Examining the evidence for immune checkpoint therapy in high-grade serous ovarian cancer
title_sort examining the evidence for immune checkpoint therapy in high grade serous ovarian cancer
topic High-grade serous ovarian cancer
Immune checkpoint inhibitors
Tumour microenvironment
url http://www.sciencedirect.com/science/article/pii/S2405844024149195
work_keys_str_mv AT aeconnor examiningtheevidenceforimmunecheckpointtherapyinhighgradeserousovariancancer
AT pmlyons examiningtheevidenceforimmunecheckpointtherapyinhighgradeserousovariancancer
AT amkilgallon examiningtheevidenceforimmunecheckpointtherapyinhighgradeserousovariancancer
AT jcsimpson examiningtheevidenceforimmunecheckpointtherapyinhighgradeserousovariancancer
AT asperry examiningtheevidenceforimmunecheckpointtherapyinhighgradeserousovariancancer
AT jlysaght examiningtheevidenceforimmunecheckpointtherapyinhighgradeserousovariancancer