The NOTCH receptors are a membrane receptor proteins responsible for proliferation of cells and angiogenesis of the tumorNOTCH overexpression is observed in ovarian cancer, together with the downstream components of this pathway, like VEGF, VEGFR1, DLL4, and JAG1Tumor hypoxia enhances NOTCH signaling, stemness, and migration of OCSCsNOTCH pathway upregulates NANOG, OCT4, and ABCB1 transporter, thus increasing chemoresistance. This evidence concerns the gene DLL4 and ovarian carcinoma.