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Research Progress on Long Non-coding RNAs and Drug Resistance of Breast Cancer
1Department of Breast Surgery, Cancer Hospital of University of Chinese Academy of Sciences, Zhejiang Cancer Hospital, Hangzhou, Zhejiang Province, China.
Abstract:
Breast cancer, as the foremost cause of women's death in the world, is highly metastatic and mutable. Resistance to drugs for chemotherapies, endocrine therapies, and targeted therapies is an important factor that impacts the prognosis of breast cancer. Long non-coding ribonucleic acids (LncRNAs) are crucial regulators of intracellular gene expressions. Some researchers have suggested that expression level of several types of LncRNAs were closely related to the prognosis of patients with breast cancer. LncRNAs significantly impact biological processes such as drug transport, detoxication, apoptosis, epithelial to mesenchymal transition (EMT), and autophagy by regulating intracellular signaling pathways such as multi-drug resistance gene 1 (MDR1), nuclear factor erythroid 2-related factor 2 (NRF2), phosphoinositide 3-kinase (PI3K)/Akt/mammalian target of rapamycin (mTOR), transforming growth factor-β (TGF-β), BRCA1/2, and nuclear factor kappa-light-chain-enhancer of activated B cells (NF-κB). This paper will summarize research progress on correlations between LncRNA and drug resistance of breast cancer. It will particularly expound molecular mechanisms through which LncRNAs regulate drug resistance of breast cancer. It will further discuss the feasibility as molecular markers for forecasting drug resistance of breast cancer and may be becoming new targets for treating breast cancer in the future.
Insights
Long non-coding RNAs (LncRNAs) are linked to breast cancer drug resistance. Understanding LncRNA mechanisms could lead to new diagnostic markers and therapeutic targets for this deadly disease.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Breast cancer is a leading cause of cancer death in women, characterized by metastasis and mutability.
- Drug resistance to chemotherapy, endocrine, and targeted therapies significantly worsens breast cancer patient prognosis.
- Long non-coding RNAs (LncRNAs) are key regulators of gene expression with emerging roles in cancer biology.
Purpose of the Study:
- To summarize current research on the relationship between LncRNAs and drug resistance in breast cancer.
- To elucidate the molecular mechanisms by which LncRNAs influence breast cancer drug resistance.
- To discuss the potential of LncRNAs as predictive biomarkers and therapeutic targets for breast cancer.
Main Methods:
- Literature review of studies investigating LncRNA expression and function in breast cancer.
- Analysis of molecular pathways regulated by LncRNAs in the context of drug resistance.
- Synthesis of findings on LncRNA's role in processes like drug transport, apoptosis, and EMT.
Main Results:
- LncRNA expression levels correlate with breast cancer prognosis and drug resistance.
- LncRNAs modulate critical signaling pathways involved in multi-drug resistance (MDR1), NRF2, PI3K/Akt/mTOR, TGF-β, BRCA1/2, and NF-κB.
- LncRNAs impact biological processes including drug transport, detoxification, apoptosis, epithelial-to-mesenchymal transition (EMT), and autophagy.
Conclusions:
- LncRNAs play a significant role in the development and progression of breast cancer drug resistance.
- LncRNAs hold promise as molecular markers for predicting drug resistance in breast cancer patients.
- Targeting LncRNAs presents a potential novel therapeutic strategy for overcoming drug resistance in breast cancer.
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