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Published on: May 30, 2025
Introduction of long non-coding RNAs to regulate autophagy-associated therapy resistance in cancer
Yanyan Wang1, Zhaoping Liu2, Zhenru Xu3
1The First Affiliated Hospital, Department of Rheumatology, Hengyang Medical School, University of South China, 421001, Hengyang, Hunan, China.
Abstract:
Autophagy is a lysosomal degradation pathway that depends on various evolutionarily conserved autophagy-related genes (ATGs). Dysregulation of autophagy plays an important role in the occurrence and development of cancer. Chemotherapy, targeted therapy, radiotherapy, and immunotherapy are important treatment options for cancer, which can significantly improve the survival rate of cancer patients. However, the occurrence of therapy resistance results in therapeutic failure and poor prognosis of cancer. Accumulating studies have found that long non-coding RNAs (lncRNAs) are well known as crucial regulators to control autophagy through regulating ATGs and autophagy-associated signaling pathways, including the phosphatidylinositol 3-kinase (PI3K)/protein kinase B (AKT)/mammalian target of rapamycin (mTOR) signaling pathway, ultimately mediating chemoresistance and radioresistance. Taken together, this review systematically summarizes and elucidates the pivotal role of lncRNAs in cancer chemoresistance and radioresistance via regulating autophagy. Understanding the specific mechanism of which may provide autophagy-related therapeutic targets for cancer in the future.
Insights
Long non-coding RNAs (lncRNAs) regulate cancer therapy resistance by controlling autophagy, a key cellular process. Understanding lncRNA-autophagy interactions may reveal new therapeutic targets for overcoming chemoresistance and radioresistance.
Area of Science:
- Molecular Biology
- Cancer Research
- Cellular Biology
Background:
- Autophagy, a lysosomal degradation pathway, is regulated by autophagy-related genes (ATGs) and is implicated in cancer development.
- Cancer therapies like chemotherapy and radiotherapy improve survival but are often limited by therapy resistance, leading to poor patient prognosis.
- Long non-coding RNAs (lncRNAs) are emerging as critical regulators of cellular processes, including autophagy.
Purpose of the Study:
- To systematically review and elucidate the role of lncRNAs in mediating chemoresistance and radioresistance in cancer through the regulation of autophagy.
- To explore the mechanisms by which lncRNAs influence autophagy-related signaling pathways, such as the PI3K/AKT/mTOR pathway, in the context of cancer therapy resistance.
Main Methods:
- Literature review of studies investigating the relationship between lncRNAs, autophagy, and cancer therapy resistance.
- Analysis of research on lncRNA regulation of autophagy-related genes (ATGs) and signaling pathways.
- Synthesis of findings on the impact of lncRNAs on chemoresistance and radioresistance.
Main Results:
- lncRNAs are identified as crucial regulators that modulate autophagy by affecting ATGs and key signaling pathways like PI3K/AKT/mTOR.
- Dysregulation of lncRNA-mediated autophagy significantly contributes to the development of chemoresistance and radioresistance in various cancer types.
- Specific lncRNAs have been shown to either promote or inhibit autophagy, thereby influencing the efficacy of cancer treatments.
Conclusions:
- lncRNAs play a pivotal role in cancer chemoresistance and radioresistance by fine-tuning the autophagy pathway.
- Targeting lncRNA-autophagy interactions presents a promising strategy for developing novel therapeutic approaches to overcome cancer therapy resistance.
- Further investigation into the precise mechanisms of lncRNA regulation of autophagy could identify new autophagy-related therapeutic targets for cancer treatment.
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