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Non-coding RNAs in cancer brain metastasis
Kerui Wu1, Sambad Sharma2, Suresh Venkat3
1Wake Forest School of Medicine; Departments of Cancer Biology ; Winston Salem, NC, USA.
Abstract:
More than 90% of cancer death is attributed to metastatic disease, and the brain is one of the major metastatic sites of melanoma, colon, renal, lung and breast cancers. Despite the recent advancement of targeted therapy for cancer, the incidence of brain metastasis is increasing. One reason is that most therapeutic drugs can't penetrate blood-brain-barrier and tumor cells find the brain as sanctuary site. In this review, we describe the pathophysiology of brain metastases to introduce the latest understandings of metastatic brain malignancies. This review also particularly focuses on non-coding RNAs and their roles in cancer brain metastasis. Furthermore, we discuss the roles of the extracellular vesicles as they are known to transport information between cells to initiate cancer cell-microenvironment communication. The potential clinical translation of non-coding RNAs as a tool for diagnosis and for treatment is also discussed in this review. At the end, the computational aspects of non-coding RNA detection, the sequence and structure calculation and epigenetic regulation of non-coding RNA in brain metastasis are discussed.
Insights
Brain metastasis is a major cause of cancer death, with increasing incidence despite new therapies. This review explores non-coding RNAs and extracellular vesicles in brain metastasis and their clinical potential.
Area of Science:
- Oncology
- Molecular Biology
- Neuroscience
Background:
- Brain metastasis is a significant cause of cancer mortality, with increasing incidence.
- The blood-brain barrier limits therapeutic drug efficacy, making the brain a sanctuary site for cancer cells.
- Understanding the mechanisms of brain metastasis is crucial for developing effective treatments.
Purpose of the Study:
- To review the pathophysiology of brain metastases.
- To highlight the role of non-coding RNAs in cancer brain metastasis.
- To discuss extracellular vesicles in cancer cell-microenvironment communication and clinical translation.
Main Methods:
- Literature review of pathophysiology and molecular mechanisms.
- Focus on non-coding RNAs and extracellular vesicles.
- Discussion of computational and epigenetic aspects.
Main Results:
- Non-coding RNAs play critical roles in the development and progression of brain metastases.
- Extracellular vesicles facilitate intercellular communication, influencing the tumor microenvironment.
- Computational and epigenetic factors are key to understanding non-coding RNA regulation in brain metastasis.
Conclusions:
- Non-coding RNAs and extracellular vesicles represent promising targets for diagnosing and treating brain metastases.
- Further research into the clinical translation of these findings is warranted.
- Interdisciplinary approaches combining molecular biology, computational analysis, and epigenetics are essential.
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