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Updated: Mar 8, 2026

MicroRNA Amplification and Recognition through Locked-nucleic-acid In situ Hybridization as a Novel Detection and Quantification Method
Published on: October 7, 2025
Regulation of multidrug resistance by microRNAs in anti-cancer therapy
Xin An1, Cesar Sarmiento2, Tao Tan2
1State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangzhou 510060, China; Department of Surgery, Davis Heart and Lung Research Institute, The Ohio State University Wexner Medical Center, Columbus, OH 43210, USA.
Abstract:
Multidrug resistance (MDR) remains a major clinical obstacle to successful cancer treatment. Although diverse mechanisms of MDR have been well elucidated, such as dysregulation of drugs transporters, defects of apoptosis and autophagy machinery, alterations of drug metabolism and drug targets, disrupti on of redox homeostasis, the exact mechanisms of MDR in a specific cancer patient and the cross-talk among these different mechanisms and how they are regulated are poorly understood. MicroRNAs (miRNAs) are a new class of small noncoding RNAs that could control the global activity of the cell by post-transcriptionally regulating a large variety of target genes and proteins expression. Accumulating evidence shows that miRNAs play a key regulatory role in MDR through modulating various drug resistant mechanisms mentioned above, thereby holding much promise for developing novel and more effective individualized therapies for cancer treatment. This review summarizes the various MDR mechanisms and mainly focuses on the role of miRNAs in regulating MDR in cancer treatment.
Insights
Multidrug resistance (MDR) in cancer is complex, involving many mechanisms. MicroRNAs (miRNAs) are key regulators of MDR, offering potential for new individualized cancer therapies.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Multidrug resistance (MDR) significantly hinders effective cancer treatment.
- While several MDR mechanisms are known, their precise interplay and regulation in individual patients remain unclear.
Purpose of the Study:
- To review established MDR mechanisms in cancer.
- To highlight the critical role of microRNAs (miRNAs) in regulating these MDR mechanisms.
- To explore the therapeutic potential of miRNAs in overcoming MDR for personalized cancer treatment.
Main Methods:
- Literature review of MDR mechanisms in cancer.
- Analysis of studies investigating the role of miRNAs in MDR.
- Synthesis of current understanding of miRNA-mediated regulation of drug resistance.
Main Results:
- MDR involves diverse mechanisms including drug transporter dysregulation, altered apoptosis/autophagy, and metabolic changes.
- MicroRNAs (miRNAs) post-transcriptionally regulate multiple genes involved in MDR pathways.
- miRNAs demonstrate a significant regulatory role in modulating various drug resistance mechanisms.
Conclusions:
- Understanding miRNA-mediated regulation of MDR is crucial for advancing cancer therapy.
- miRNAs hold promise for developing novel, individualized strategies to combat drug resistance in cancer patients.
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