Review Article

Recent Advancements in Prognostic Factors of Epithelial Ovarian Carcinoma

Table 1

A summary of predictive and prognostic protein biomarkers in epithelial ovarian cancer.

Oncogenes and tumor suppressorsTumor suppressor p53
WT1

Proliferation markersKi67
Proliferation cell nuclear antigen or PCNA
Topoisomerases: topo II

Cell cycle regulatorsCyclins (E, D1, D3, and A)
Cyclin inhibitors: p21, p27, p57, and p16

ApoptosisExtrinsic apoptotic pathway
 TRAIL and receptors
  TRAIL-R1/DR-4 and TRAIL-R2/DR-5
  TRAIL-R3/DcR1, TRAIL-R4/Dcr2, and TRAIL-R5
 Fas and Fas-L
Intrinsic apoptotic pathway
 The Bcl-2 family members (Bax and Bcl-2)
 Caspases
  Initiator: caspase-8
  Effector: caspase-3/CPP32
 Inhibitor of apoptosis (IAPs) including Survivin and X-linked IAP (XIAP)

DNA repair enzymes: BRCA1 and BRCA2, PARP-1, and ERCC1                                                      

Markers of angiogenesisMarkers of microvascular density (CD31 and CD34)
Markers of proteins involved in angiogenesis (VEGF, HIF, COX-2, and MMPs especially MMP-9 and MMP-7)

Immunological factorsT-cells, inhibitory T-Regs cells, cytokines, and costimulatory or inhibitory molecules expressed by immune cells or tumor cells

Tyrosine kinase receptors (TKR)Epidermal growth factor receptor (EGFR), Her-2, ErbB3, and ErbB4
Ephrin B receptors and other TKR
 EphB4
 Hepatocyte growth factor receptor (Hgf/Met) and its ligand, c-Met
The signaling pathway of tyrosine kinase receptors: Erk, PI3K, Akt, and NF-BI

Epithelial-cadherin/beta-catenin