Understand how ovarian cancer becomes resistant, not just whether it responds

Use longitudinal patient-derived and drug-selected ovarian cancer resistance models, alongside additional models, to understand how resistance develops, what defined treatment pressure selects, and whether the resulting biology holds across different molecular and disease settings.

How you model resistance determines what you can learn

Drug-selected and longitudinal patient-derived models provide different evidence about resistance. Drug-selected models isolate adaptation under defined treatment pressure, while longitudinal models capture resistant states that emerged during patient treatment and relapse. Used together, they provide complementary evidence for investigating how resistance develops and persists.

Comparison pointDrug-selected resistance modelsLongitudinal patient-derived models
Selection contextDefined drug pressure in vitroDisease sampled across treatment and relapse
What they help revealDrug-selected adaptationChange across treatment trajectory
Experimental advantageGreater control over selection pressureCaptures disease states shaped by patient treatment history
What remains harder to resolveWhether findings reflect patient-evolved resistanceWhich changes are associated with treatment

Three ways to investigate how resistance develops and persists

Follow treatment-associated change, dissect adaptation under defined drug pressure, and test whether findings hold across additional ovarian cancer models.

FOLLOW – Featured models:
PEO longitudinal models
OV/TOV treatment-evolution models
DISSECT – Featured models:
Platinum-selected HGSOC models
PEO1 drug-resistant derivatives
A2780 resistance models
NCI/ADR-RES multidrug resistance model
VALIDATE – Featured models:
OV/TOV cross-context validation models
HGS1-4 immunocompetent models

Using both drug-selected and longitudinal patient-derived models helps distinguish adaptations selected under defined treatment pressure from resistant states that emerged through patient treatment. Matched models can help reduce inter-patient background differences, while additional models test whether the finding holds across different molecular settings, histotypes or in vivo systems.

Explore models for different resistance questions

How does resistance that emerges during patient treatment compare with resistance selected under defined drug pressure?

PEO1, PEO4 and PEO6 were derived from the same patient at different treatment stages, enabling direct comparison across treatment and relapse. The PEO system also includes PEO1-CDDP and PEO1-OR selected for resistance to cisplatin and olaparib respectively, allowing clinically evolved resistance to be compared with resistance selected in the laboratory.

Which treatment-associated changes are patient-specific, and which may recur across different disease trajectories?

Matched OV/TOV series derived from the same patient across diagnosis, treatment and relapse enable comparison of disease states over time while reducing inter-patient variability. Using multiple longitudinal HGSOC series helps assess whether observed changes are specific to one patient or seen more broadly.

Featured longitudinal series

Which adaptations are selected by platinum exposure, and which recur across different HGSOC backgrounds?

Platinum-resistant derivatives of OVCAR4, Ovsaho and Cov318 provide defined systems for examining adaptations selected by cisplatin or carboplatin. Comparing them across different HGSOC backgrounds can help distinguish recurrent responses from model-specific effects.

Featured models

How do resistant states differ across established drug-selected reference models?

A2780 and its resistant derivatives provide established systems for comparing drug-sensitive and resistant states selected by cisplatin, adriamycin or stepwise paclitaxel exposure. A2780 is best used as a widely recognised ovarian cancer reference model rather than as a representative model of HGSOC biology.

Featured models: Parental A2780 | A2780cis (cisplatin) | A2780ADR (adriamycin) | A2780 PTX series

How can broad multidrug resistance and drug efflux be modelled?

NCI/ADR-RES is a multidrug-resistant ovarian cancer cell line derived from OVCAR-8 and selected for resistance to doxorubicin. It expresses high levels of MDR1/P-glycoprotein and is widely used to study drug-efflux-mediated resistance and strategies designed to overcome broad chemoresistance. As part of the NCI-60 panel, it also provides a well-established reference model for comparative drug-response studies.

Featured model:  NCI/ADR-RES

Does your finding hold across different molecular backgrounds, tumour sources or histotypes?

Additional OV/TOV models span different BRCA backgrounds, matched tumour and ascites samples, and multiple ovarian cancer histotypes, helping distinguish model-specific findings from those that may be seen more broadly.

Featured models

Does your finding hold in an immunocompetent HGSOC setting?

HGS1–4 combine Tp53 and Pten loss with different Brca2 backgrounds and can be studied in immunocompetent mice, allowing therapy response to be assessed alongside tumour–immune and stromal interactions.

Featured models
HGS1 | HGS2 | HGS3 | HGS4

Need help choosing the right ovarian cancer model?

Our team can help you select ovarian cancer cell lines and other models, check availability, and discuss commercial access and licensing options.

Scientific or model-selection questions?

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