Cited by 87Ovarian cancer diagnosis and treatmentGene expression and cancer classificationBreast Cancer Treatment Studies

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Prediction of resistance to chemotherapy in ovarian cancer: a systematic review

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Abstract

BACKGROUND: Patient response to chemotherapy for ovarian cancer is extremely heterogeneous and there are currently no tools to aid the prediction of sensitivity or resistance to chemotherapy and allow treatment stratification. Such a tool could greatly improve patient survival by identifying the most appropriate treatment on a patient-specific basis. METHODS: PubMed was searched for studies predicting response or resistance to chemotherapy using gene expression measurements of human tissue in ovarian cancer. RESULTS: 42 studies were identified and both the data collection and modelling methods were compared. The majority of studies utilised fresh-frozen or formalin-fixed paraffin-embedded tissue. Modelling techniques varied, the most popular being Cox proportional hazards regression and hierarchical clustering which were used by 17 and 11 studies respectively. The gene signatures identified by the various studies were not consistent, with very few genes being identified by more than two studies. Patient cohorts were often noted to be heterogeneous with respect to chemotherapy treatment undergone by patients. CONCLUSIONS: A clinically applicable gene signature capable of predicting patient response to chemotherapy has not yet been identified. Research into a predictive, as opposed to prognostic, model could be highly beneficial and aid the identification of the most suitable treatment for patients.

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Metadata

Authors
Lloyd, K. L., Cree, I. A., & Savage, R. S.
Affiliations
University of Warwick (GB)
Corresponding author
Lloyd, Katherine L
Venue
BMC Cancer
Published
2015-03-11
Volume
15
Issue
1
Pages
117-117
ISSN
1471-2407 (ISSN-L)
OpenAlex
W2016226316
Cited by
87
References
3
Citations by year
2026: 2 · 2025: 5 · 2024: 4 · 2023: 9 · 2022: 8 · 2021: 14 · 2020: 8 · 2019: 12 · 2018: 9 · 2017: 8 · 2016: 7 · 2015: 1
FWCI
1.26
Type
journal article
Language
en
Open access
Locations
  • BMC Cancer (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Warwick Research Archive Portal (University of Warwick) (acceptedVersion)
Funders
  • Medical Research Council
  • Engineering and Physical Sciences Research Council (EP/F500378, EP/F500378/1, 1229056)
Topics
  • Health Sciences › Medicine › Oncology › Ovarian cancer diagnosis and treatment
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gene expression and cancer classification
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Breast Cancer Treatment Studies
Keywords
ovarian cancer, chemoresistance, chemotherapy response prediction, gene expression signatures, predictive biomarkers, treatment stratification, Cox proportional hazards model, hierarchical clustering, patient heterogeneity
MeSH terms
Animals, Antineoplastic Agents, Female, Humans, Ovarian Neoplasms, Predictive Value of Tests, Drug Resistance, Neoplasm

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