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Non-coding RNAs as Mediators of Tamoxifen Resistance in Breast Cancers
Mohd Farhan1, Mohammad Aatif2, Prasad Dandawate3
1Department of Biology, College of Basic Sciences, King Faisal University, Al-Ahsa, Saudi Arabia. mfarhan@kfu.edu.sa.
Abstract:
A large proportion of breast cancer patients are estrogen receptor positive. They generally benefit from tamoxifen, the drug that targets estrogen receptor signaling. However, de novo and acquired resistance against tamoxifen is well known. A number of signaling pathways and de-regulated factors have been evaluated to better understand the mechanism(s) of tamoxifen resistance. For past several years, non-coding RNAs have also gained attention as the putative regulators and determinants of tamoxifen resistance. A number of reports have documented evidence from in vitro and/or in vivo studies, as well as from evaluation of clinical samples, to showcase the power of non-coding RNAs as mediators of tamoxifen resistance and the predictors of disease relapse. This article puts into perspective the available information on microRNAs and the long non-coding RNAs regarding their ability to tweak resistance vs. sensitivity to tamoxifen.
Insights
Estrogen receptor-positive breast cancer patients often develop tamoxifen resistance. Non-coding RNAs, including microRNAs and long non-coding RNAs, are emerging as key regulators influencing tamoxifen sensitivity and predicting relapse.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Estrogen receptor-positive breast cancer is common and typically treated with tamoxifen.
- Tamoxifen resistance, both de novo and acquired, presents a significant clinical challenge.
- Non-coding RNAs are increasingly recognized for their role in cancer development and treatment response.
Purpose of the Study:
- To review the role of non-coding RNAs in tamoxifen resistance in breast cancer.
- To explore microRNAs and long non-coding RNAs as mediators and predictors of tamoxifen resistance.
- To provide a perspective on how these molecules influence tamoxifen sensitivity.
Main Methods:
- Literature review of in vitro and in vivo studies.
- Analysis of clinical sample data.
- Evaluation of research on microRNAs and long non-coding RNAs.
Main Results:
- Non-coding RNAs, including microRNAs and long non-coding RNAs, play a crucial role in modulating tamoxifen resistance.
- Evidence from various studies supports their function as mediators of resistance.
- These non-coding RNAs can serve as predictors of disease relapse in breast cancer patients.
Conclusions:
- Non-coding RNAs are significant determinants of tamoxifen sensitivity and resistance.
- Targeting non-coding RNAs may offer novel therapeutic strategies for overcoming tamoxifen resistance.
- Further research into non-coding RNAs is essential for improving breast cancer treatment outcomes.
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