Evolution of platinum resistance in high-grade serous ovarian cancer

Cooke, S. L. and Brenton, J. D. (2011) Evolution of platinum resistance in high-grade serous ovarian cancer. Lancet Oncology, 12(12), pp. 1169-1174. (doi: 10.1016/S1470-2045(11)70123-1) (PMID:21742554)

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Abstract

High-grade serous ovarian cancers account for most ovarian-cancer mortality. Although this disease initially responds well to platinum-based chemotherapy, relapse and progression to chemotherapy resistance are frequently seen. Time to relapse after first-line therapy is a predictor of response to secondary platinum treatment: more than 12 months is associated with high chance of a secondary response, whereas relapses within 6 months generally indicate platinum resistance. In this Personal View we discuss whether patterns of response, relapse, and the development of drug resistance in high-grade serous ovarian cancers are related to distinct underlying molecular and cellular biological characteristics. In particular, we propose that rapid relapse with platinum-resistant disease is due to minor subpopulations of intrinsically resistant cancer cells at presentation.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Cooke, Dr Susie
Authors: Cooke, S. L., and Brenton, J. D.
College/School:College of Medical Veterinary and Life Sciences > School of Cancer Sciences
Journal Name:Lancet Oncology
Publisher:Elsevier
ISSN:1470-2045
ISSN (Online):1474-5488
Published Online:11 July 2011

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