Evidence mapPaperPMID 41680927Full record

ReviewClinical epigenetics2026

Inflammatory milieu and role of epigenetic modifications in high-grade serous ovarian cancer.

Satarupa Pradhan, Shama Prasada Kabekkodu, Sangavi Eswaran, Naveena A N Kumar, Dinesh Upadhya, Sanjiban Chakrabarty, Vasudha Devi

Abstract readReview
In one paragraph

Review in Clinical epigenetics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

7 authors.

Satarupa PradhanDepartment of Pharmacology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, 576104, India.
Shama Prasada KabekkoduDepartment of Cell and Molecular Biology, Manipal School of Life Sciences, Manipal Academy of Higher Education, Manipal, 576104, India.
Sangavi EswaranDepartment of Cell and Molecular Biology, Manipal School of Life Sciences, Manipal Academy of Higher Education, Manipal, 576104, India.
Naveena A N KumarDepartment of Surgical Oncology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, 576104, India.
Dinesh UpadhyaCentre for Molecular Neurosciences, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, 576104, India.
Sanjiban ChakrabartyDepartment of Public Health Genomics, Manipal School of Life Sciences, Manipal, 576104, India.
Vasudha DeviDivision of Pharmacology, Department of Basic Medical Sciences, Manipal Academy of Higher Education, Manipal, 576104, India. vasudha.devi@manipal.edu.ORCID http://orcid.org/0000-0003-0292-6352

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

High-grade serous ovarian cancer (HGSOC) is often diagnosed at advanced stages (III/IV), with approximately 80% of patients experiencing relapse due to therapeutic resistance. The disease progression is largely influenced by a dynamic tumor microenvironment (TME), which is marked by sustained inflammation, immune evasion, and epigenetic reprogramming. This review investigates the dual role of inflammatory pathways and epigenetic alterations in driving HGSOC progression and chemo-resistance. A comprehensive literature search of articles from 2000 to 2025 was conducted across PubMed, Google Scholar, and Research Rabbit using search terms including "HGSOC," "epigenetics," "inflammation," and "chemoresistance." Of 1,166 identified publications, 593 peer-reviewed studies comprising original research, clinical trials, meta-analyses, and reviews were critically analyzed. Findings reveal that chronic inflammation in the TME enhances tumor proliferation, immune suppression, epithelial-mesenchymal transition, and metastasis through cytokines, interferons, and chemokines. Epigenetic mechanisms such as DNA methylation, histone modifications, miRNA and lncRNA contribute to tumor plasticity and treatment failure. Emerging therapies, including histone deacetylase inhibitors, DNA methyltransferase inhibitors, and immune checkpoint inhibitors, anti-inflammatory drugs demonstrate potential in overcoming resistance when used in combination. Integrative treatment strategies that target both inflammatory signaling and epigenetic dysregulation offer a promising avenue for improving patient outcomes. Further clinical exploration of such combination therapies is warranted to address the urgent need for effective interventions in HGSOC.

Indexed as

Cystadenocarcinoma, SerousEpigenesis, GeneticInflammationOvarian NeoplasmsDNA MethylationDrug Resistance, NeoplasmFemaleHumansTumor MicroenvironmentChemoresistanceChronic inflammationEpigeneticsHGSOCInflammatory mediators

Identifiers

PMID41680927
PMCPMC12997951

What Socratic holds

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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 Socratic graph.