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Therapeutically Significant MicroRNAs in Primary and Metastatic Brain Malignancies
Akilandeswari A Balachandran1,2, Leon M Larcher1, Suxiang Chen1,2
1Centre for Molecular Medicine and Innovative Therapeutics, Murdoch University, Murdoch, WA 6150, Australia.
Abstract:
Brain cancer is one among the rare cancers with high mortality rate that affects both children and adults. The most aggressive form of primary brain tumor is glioblastoma. Secondary brain tumors most commonly metastasize from primary cancers of lung, breast, or melanoma. The five-year survival of primary and secondary brain tumors is 34% and 2.4%, respectively. Owing to poor prognosis, tumor heterogeneity, increased tumor relapse, and resistance to therapies, brain cancers have high mortality and poor survival rates compared to other cancers. Early diagnosis, effective targeted treatments, and improved prognosis have the potential to increase the survival rate of patients with primary and secondary brain malignancies. MicroRNAs (miRNAs) are short noncoding RNAs of approximately 18-22 nucleotides that play a significant role in the regulation of multiple genes. With growing interest in the development of miRNA-based therapeutics, it is crucial to understand the differential role of these miRNAs in the given cancer scenario. This review focuses on the differential expression of ten miRNAs (miR-145, miR-31, miR-451, miR-19a, miR-143, miR-125b, miR-328, miR-210, miR-146a, and miR-126) in glioblastoma and brain metastasis. These miRNAs are highly dysregulated in both primary and metastatic brain tumors, which necessitates a better understanding of their role in these cancers. In the context of the tumor microenvironment and the expression of different genes, these miRNAs possess both oncogenic and/or tumor-suppressive roles within the same cancer.
Insights
Brain cancer, including glioblastoma and brain metastasis, has poor survival rates. Ten microRNAs (miRNAs) show differential expression, impacting cancer progression and offering potential therapeutic targets.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Brain cancers, such as glioblastoma and brain metastasis, are rare but aggressive with high mortality rates.
- Poor prognosis is linked to tumor heterogeneity, relapse, and therapy resistance, necessitating novel therapeutic strategies.
- MicroRNAs (miRNAs) are key regulators of gene expression with significant roles in various cancers.
Purpose of the Study:
- To review the differential expression of ten specific miRNAs in glioblastoma and brain metastasis.
- To understand the dual oncogenic and tumor-suppressive roles of these miRNAs in the tumor microenvironment.
- To highlight the potential of miRNAs as therapeutic targets for improving brain cancer outcomes.
Main Methods:
- Literature review focusing on studies investigating miRNA expression in brain tumors.
- Analysis of differential expression patterns of ten selected miRNAs (miR-145, miR-31, miR-451, miR-19a, miR-143, miR-125b, miR-328, miR-210, miR-146a, miR-126).
- Discussion of miRNA roles within the tumor microenvironment and their impact on gene expression.
Main Results:
- Ten specific miRNAs are significantly dysregulated in both primary glioblastoma and metastatic brain tumors.
- These miRNAs exhibit context-dependent roles, acting as either oncogenes or tumor suppressors.
- Dysregulation of these miRNAs is implicated in the aggressive nature and poor prognosis of brain cancers.
Conclusions:
- The ten reviewed miRNAs are crucial players in brain cancer development and progression.
- Understanding their complex roles is essential for developing effective miRNA-based therapies.
- Targeting these dysregulated miRNAs holds promise for improving survival rates in brain cancer patients.
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