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Published on: November 30, 2016
The Emerging Role of MicroRNAs and Other Non-Coding RNAs in Cancer Cachexia
Joana M O Santos1,2, Sara Peixoto da Silva1,2, Rui M Gil da Costa1,3,4,5
1Molecular Oncology and Viral Pathology Group, IPO Porto Research Center (CI-IPOP), Portuguese Oncology Institute of Porto (IPO Porto), 4200-072 Porto, Portugal.
Abstract:
Cancer cachexia or wasting is a paraneoplastic syndrome characterized by systemic inflammation and an involuntary loss of body mass that cannot be reversed by normal nutritional support. This syndrome affects 50%-80% of cancer patients, depending on the tumor type and patient characteristics, and it is responsible for up to 20% of cancer deaths. MicroRNAs are a class of non-coding RNAs (ncRNAs) with 19 to 24 nucleotides in length of which the function is to regulate gene expression. In the last years, microRNAs and other ncRNAs have been demonstrated to have a crucial role in the pathogenesis of several diseases and clinical potential. Recently, ncRNAs have begun to be associated with cancer cachexia by modulating essential functions like the turnover of skeletal muscle and adipose tissue. Additionally, circulating microRNAs have been suggested as potential biomarkers for patients at risk of developing cancer cachexia. In this review article, we present recent data concerning the role of microRNAs and other ncRNAs in cancer cachexia pathogenesis and their possible clinical relevance.
Insights
Cancer cachexia, a wasting syndrome, involves inflammation and body mass loss. MicroRNAs (ncRNAs) are key in its development and may serve as biomarkers for early detection and treatment.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Cancer cachexia is a severe wasting syndrome linked to systemic inflammation and involuntary body mass loss, affecting a significant portion of cancer patients.
- This condition contributes substantially to cancer-related mortality and is resistant to conventional nutritional interventions.
- MicroRNAs (ncRNAs) are small non-coding RNA molecules regulating gene expression and are implicated in various disease processes.
Purpose of the Study:
- To review the current understanding of the role of microRNAs and other ncRNAs in the pathogenesis of cancer cachexia.
- To explore the potential clinical relevance and applications of these ncRNAs in managing cancer cachexia.
Main Methods:
- Literature review of recent studies on ncRNAs and cancer cachexia.
- Analysis of data linking ncRNAs to skeletal muscle and adipose tissue regulation in cancer.
- Examination of research on circulating ncRNAs as potential biomarkers.
Main Results:
- ncRNAs play a critical role in modulating key pathways involved in skeletal muscle and adipose tissue turnover during cancer cachexia.
- Circulating microRNAs show promise as non-invasive biomarkers for identifying patients at risk of developing cancer cachexia.
- Understanding ncRNA mechanisms offers new avenues for therapeutic strategies.
Conclusions:
- MicroRNAs and other ncRNAs are integral to the development of cancer cachexia.
- ncRNAs hold significant potential as diagnostic biomarkers and therapeutic targets for cancer cachexia.
- Further research into ncRNA functions could lead to improved patient outcomes.
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