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Published on: May 30, 2025
Noncoding RNAs in Therapeutic Resistance of Cancer
1Department of Biochemistry and Molecular Biology, Fourth Military Medical University, Xi'an, 710032, China. jialth@fmmu.edu.cn.
Abstract:
Despite the encouraging advances made to date in cancer therapy, the benefits to patients are frequently offset by the development of resistance to therapeutics. Given their involvement in regulating multiple aspects of gene expression and cell signaling that dictates the behaviors of malignant cells, it is not surprising that noncoding RNAs (ncRNAs) play pivotal roles in the resistance of cancers to clinically available therapeutics. Aberrant expression of these ncRNAs, attributed to inherent defects or stress-responsive variations, mediates cellular signaling that compensates for unfavorable molecular events elicited by the therapeutics, thereby preventing the pharmaceuticals from exerting their desired effects on their cellular targets; alternatively, ncRNAs may regulate cancer therapeutic sensitivity by affecting drug accessibility to neoplastic cells and in vivo drug metabolism. In addition, dysregulation of ncRNA expression in cancer stromal cells can impair the responsiveness of neoplastic cells to appropriate therapies. In this chapter, we will describe ncRNA-related mechanisms underlying cancer resistance to routine therapeutics, hopefully providing rationales for the development of drug-sensitizing strategies targeted against or based on these ncRNAs.
Insights
Noncoding RNAs (ncRNAs) drive cancer therapeutic resistance by altering gene expression and cell signaling. Understanding these ncRNA mechanisms can lead to new strategies to improve cancer drug effectiveness.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Cancer therapies face challenges due to acquired resistance.
- Noncoding RNAs (ncRNAs) are increasingly recognized for their role in cancer progression and treatment response.
Purpose of the Study:
- To elucidate the mechanisms by which ncRNAs contribute to cancer therapeutic resistance.
- To explore the potential of targeting ncRNAs for overcoming drug resistance in cancer treatment.
Main Methods:
- Review and synthesis of current literature on ncRNA function in cancer.
- Analysis of ncRNA-mediated signaling pathways involved in drug resistance.
- Examination of ncRNA roles in drug accessibility and metabolism.
Main Results:
- Aberrant ncRNA expression can mediate cellular signaling that counteracts therapeutic effects.
- ncRNAs influence drug accessibility and metabolism, impacting treatment efficacy.
- Dysregulation of ncRNAs in cancer stroma also affects therapeutic responsiveness.
Conclusions:
- ncRNAs are critical regulators of cancer therapeutic resistance through diverse molecular mechanisms.
- Targeting ncRNA-related pathways presents a promising avenue for developing novel drug-sensitizing strategies.
- Further research into ncRNA biology is essential for advancing cancer therapy.
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