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.

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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