Evidence map›Paper›PMID 41020848›Full record

ReviewCurrent issues in molecular biology2025

Tumor Immune Microenvironment and Checkpoint Inhibition in Clear Cell Ovarian Carcinoma: Bridging Tumor Biology and Clinical Application in Immunotherapy.

Fulvio Borella, Giulia Capella, Stefano Cosma, Niccolò Gallio, Federica Gavello, Alberto Revelli, Domenico Ferraioli, Jessica Cusato, Isabella Castellano, Paola Cassoni and 1 more

Abstract readReview
In one paragraph

Review in Current issues in molecular biology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Fulvio BorellaGynecology and Obstetrics 1U, Department of Surgical Sciences, University of Turin, 10126 Turin, Italy.ORCID 0000-0001-8398-7557
Giulia CapellaPathology Unit, Department of Medical Sciences, University of Turin, 10126 Turin, Italy.
Stefano CosmaGynecology and Obstetrics 1U, Department of Surgical Sciences, University of Turin, 10126 Turin, Italy.ORCID 0000-0003-0563-0071
Niccolò GallioGynecology and Obstetrics 2U, Departments of Surgical Sciences, University of Turin, 10126 Turin, Italy.ORCID 0000-0002-3041-1201
Federica GavelloGynecology and Obstetrics 2U, Departments of Surgical Sciences, University of Turin, 10126 Turin, Italy.
Alberto RevelliGynecology and Obstetrics 2U, Departments of Surgical Sciences, University of Turin, 10126 Turin, Italy.ORCID 0000-0002-5797-3722
Domenico FerraioliDepartment of Gynecology, Léon Bérard, Comprehensive Cancer Centre, 69008 Lyon, France.
Jessica CusatoLaboratory of Clinical Pharmacology and Pharmacogenetics, Department of Medical Sciences, University of Turin, 10149 Turin, Italy.ORCID 0000-0003-1977-9694
Isabella CastellanoPathology Unit, Department of Medical Sciences, University of Turin, 10126 Turin, Italy.
Paola CassoniPathology Unit, Department of Medical Sciences, University of Turin, 10126 Turin, Italy.ORCID 0000-0003-1977-7410
Luca BerteroPathology Unit, Department of Medical Sciences, University of Turin, 10126 Turin, Italy.ORCID 0000-0001-9887-7668

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clear cell ovarian carcinoma is a rare and aggressive histologic subtype of epithelial ovarian cancer, characterized by a chemoresistant phenotype and distinct immunogenomic features. Despite early-phase trials showing a limited response to immune checkpoint inhibitors (ICIs), emerging evidence reveals a biologically diverse tumor immune microenvironment, with implications for the efficacy of immunotherapies. Preclinical studies highlight paradoxical associations between immune infiltration and prognosis, as well as genomic drivers-including KRAS, MYC, PI3KCA, TP53, PTEN, and ARID1A-that shape immune evasion and checkpoint ligand expression. Clinically, ICI monotherapy yields modest benefit, while combination regimens-particularly dual checkpoint blockade and targeted co-inhibition-offer improved outcomes. Biomarkers such as PD-L1 CPS ≥ 1%, ARID1A mutations, elevated tumor mutational burden, and PIK3CA alterations emerge as promising predictors of therapeutic response. This review integrates current preclinical and clinical data to propose a precision immunotherapy framework tailored to the immunogenomic landscape of clear cell ovarian carcinoma.

Indexed as

clear cellimmunotherapyovarian cancerovarian clear cell cancer

Identifiers

PMID41020848
PMCPMC12468191

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.