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Monitoring of Nanodrug Accumulation in Murine Breast Cancer Metastases
Published on: August 23, 2024
MicroRNAs and drug resistance of breast cancer: basic evidence and clinical applications
Wei Tian1, Junqing Chen, Haifei He
1Department of Surgical Oncology, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, 310009, China.
Abstract:
Breast cancer is the most common malignancy and leading cause of cancer mortality in women. Drug resistance is a major obstacle in systemic therapy of breast cancer, which leads therapeutic failure, incontrollable disease, and mortality. MiRNAs are an emerging field in cancer research. Recent evidence demonstrates that miRNAs are core regulators in drug resistance of breast cancer. Preclinical research reveals that miRNAs modulate the multidrug-resistant signal transduction network through up-regulated drug efflux transporters and anti-apoptotic proteins, acquisition of epithelial-mesenchymal transition, and formation of cancer stem cells. MiRNAs mediate endocrine resistance through modulating ERα expression, receptor tyrosine kinase signaling, cell survival signaling, and apoptosis. Such emerging evidence indicates that miRNAs could be potential biomarkers for predicting a response to systemic therapy and prognosis in clinical settings. Targeting specific miRNAs of the drug-resistant network is promising in overcoming drug resistance in breast cancer.
Insights
MicroRNAs (miRNAs) are key regulators of breast cancer drug resistance, impacting treatment failure. Targeting these miRNAs offers a promising strategy to overcome resistance and improve patient outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Breast cancer is a leading cause of cancer mortality in women.
- Drug resistance significantly hinders effective systemic therapy for breast cancer.
- MicroRNAs (miRNAs) are increasingly recognized as critical regulators in cancer development and progression.
Purpose of the Study:
- To elucidate the role of miRNAs in mediating breast cancer drug resistance.
- To explore the potential of miRNAs as biomarkers for predicting treatment response and prognosis.
- To investigate miRNA-targeted therapeutic strategies for overcoming drug resistance.
Main Methods:
- Review of preclinical research on miRNA involvement in multidrug resistance.
- Analysis of miRNA-mediated endocrine resistance mechanisms.
- Evaluation of miRNA roles in modulating key signaling pathways and cellular processes.
Main Results:
- MiRNAs regulate drug resistance by affecting drug efflux transporters, anti-apoptotic proteins, epithelial-mesenchymal transition, and cancer stem cells.
- MiRNAs mediate endocrine resistance by modulating Estrogen Receptor alpha (ERα) expression and related signaling pathways.
- MiRNAs influence cell survival and apoptosis in the context of drug resistance.
Conclusions:
- MiRNAs are central players in the development of breast cancer drug resistance.
- MiRNAs hold potential as predictive biomarkers for systemic therapy response and patient prognosis.
- Targeting specific miRNAs represents a promising therapeutic avenue to overcome drug resistance in breast cancer.
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