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Updated: Nov 8, 2025

Analysis of Combinatorial miRNA Treatments to Regulate Cell Cycle and Angiogenesis
Published on: March 30, 2019
miR-21: A Key Small Molecule with Great Effects in Combination Cancer Therapy
Nahid Arghiani1, Maryam M Matin1,2
1Department of Biology, Faculty of Science, Ferdowsi University of Mashhad, Mashhad, Iran.
Abstract:
The increasing incidence of various cancers indicates the urgent need for finding accurate early diagnostic markers and more effective treatments for these malignancies. MicroRNAs (miRNAs) are small noncoding RNAs with great potentials to enter into cancer clinics as both diagnostic markers and therapeutic targets. miR-21 is elevated in many cancers, and promotes cell proliferation, metastasis, and drug resistance. In recent years, many studies have shown that targeting miR-21 combined with conventional chemotherapeutic agents could enhance their therapeutic efficacy, and overcome drug resistance and cancer recurrence both in vitro and in animal models. In this review, we first summarize the effects and importance of miR-21 in various cancers, and explore its function in drug resistance of cancer cells. Next, the challenges and prospects for clinical translation of anti-miR-21, as a therapeutic agent, will be discussed in combination cancer therapy.
Insights
MicroRNAs (miRNAs) are crucial in cancer. Targeting miR-21, a microRNA elevated in many cancers, shows promise for enhancing chemotherapy efficacy and overcoming drug resistance in cancer treatment.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Cancer incidence is rising, necessitating novel diagnostic markers and treatments.
- MicroRNAs (miRNAs) are small noncoding RNAs with significant potential in cancer diagnostics and therapeutics.
- miR-21 is frequently overexpressed in various cancers, contributing to proliferation, metastasis, and drug resistance.
Purpose of the Study:
- To review the role and significance of miR-21 in diverse cancers.
- To explore miR-21's function in mediating cancer cell drug resistance.
- To discuss the clinical translation challenges and prospects of anti-miR-21 therapies in combination cancer treatment.
Main Methods:
- Literature review of studies on miR-21 in cancer.
- Analysis of miR-21's role in cancer progression and drug resistance.
- Evaluation of preclinical and clinical data regarding anti-miR-21 strategies.
Main Results:
- miR-21 overexpression is linked to increased cancer cell proliferation, metastasis, and resistance to chemotherapy.
- Targeting miR-21, particularly in combination with conventional agents, has demonstrated enhanced therapeutic efficacy in preclinical models.
- Studies show that inhibiting miR-21 can overcome drug resistance and reduce cancer recurrence.
Conclusions:
- miR-21 is a critical factor in multiple cancer types and drug resistance.
- Anti-miR-21 strategies hold promise as a therapeutic approach, especially when combined with existing chemotherapy.
- Further research and clinical trials are needed to overcome challenges in the translation of anti-miR-21 therapies for effective combination cancer treatment.
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