DNA repair pathways in ovarian cancer: Implications for therapy and resistance

Ovarian cancer (OC) is the gynecological malignancy with the highest mortality, largely due to frequent resistance to conventional therapies. OC is characterized by high rates of genomic instability, often caused by DNA repair defects, and is commonly treated with platinum-based compounds and other...

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Detalles Bibliográficos
Autores: Miras, Isabel, Vazquez-Gutierrez, Inmaculada, Estévez-García, Purificación, Muñoz-Galván, Sandra
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:España
Institución:Consejo Superior de Investigaciones Científicas (CSIC)
Repositorio:DIGITAL.CSIC. Repositorio Institucional del CSIC
OAI Identifier:oai:digital.csic.es:10261/412914
Acceso en línea:http://hdl.handle.net/10261/412914
https://api.elsevier.com/content/abstract/scopus_id/105020891751
Access Level:acceso abierto
Palabra clave:Base excision repair (BER)
DNA damage
DNA repair
Double-Strand Break (DSB)
Homologous Recombination (HR)
Mismatch Repair (MMR)
Non-Homologous End Joining (NHEJ)
Nucleotide Excision Repair (NER)
Ovarian cancer
PARP inhibitors
Single-Strand Break (SSB)
Treatment
Descripción
Sumario:Ovarian cancer (OC) is the gynecological malignancy with the highest mortality, largely due to frequent resistance to conventional therapies. OC is characterized by high rates of genomic instability, often caused by DNA repair defects, and is commonly treated with platinum-based compounds and other genotoxic agents. Indeed, alterations in the DNA damage response (DDR), which are prevalent in many cancers, are particularly relevant in OC. Notably, homologous recombination deficiency is frequently observed, providing a rationale for strategies to enhance treatment efficacy by exploiting DNA repair defects. In this review, we examine the consequences of dysregulation and defects in the major DNA repair pathways in OC, with emphasis on their impact on therapy resistance, patient survival and OC risk. We also discuss current and emerging DDR-targeted therapies and highlight future directions for research aimed at improving clinical outcomes in OC.