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Anti-angiogenic Drug Resistance: Roles and Targeting of Non-coding RNAs (microRNAs and long non-coding RNAs)
Masoumeh Eliyasi Dashtaki1, Sorayya Ghasemi2
1Clinical Biochemistry Research Center, Basic Health Sciences Institute, Shahrekord University of Medical Sciences, Shahrekord, Iran.
Abstract:
Cancers with a high capability for angiogenesis are frequently regarded as being difficult to treat. Anti-angiogenesis drugs are considered the primary therapy for these types of cancers. Due to intrinsic or acquired anti-angiogenesis resistance, therapies result in moderate clinical consequences, despite some hopeful findings. The importance of non-coding RNAs (ncRNAs) such as microRNAs (miRNAs), long non-coding (lncRNAs), and circular RNAs (circRNAs) in drug resistance mechanisms in cancer treatment has been discovered in the previous decade. Anti-angiogenic drug resistance can be influenced by ncRNA dysregulation. Hence, ncRNAs are potential drug resistance targets for new anti-angiogenic drugs in the inhibition of angiogenesis in tumors. Furthermore, some ncRNAs can be employed as biomarkers for anti-angiogenic drug responses and can be used to monitor cancer non-invasively. Combination treatment approaches, combined with routine anti-angiogenesis and some drugs that target the ncRNAs causing resistance, can be potential ways to overcome anti-angiogenesis resistance. For the first time, we explain the mechanisms of anti-angiogenic drug resistance and the related miRNAs and lncRNAs and their signaling pathways in commonly used antiangiogenic drugs implicated in this review article. These ncRNAs could be suggestions for targeting and reducing anti-angiogenic drugs in the future.
Insights
Non-coding RNAs (ncRNAs) drive resistance to anti-angiogenesis cancer drugs. Targeting these ncRNAs offers new strategies for effective cancer treatment and monitoring drug response.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Cancers with high angiogenesis are challenging to treat, with anti-angiogenesis drugs being a primary therapy.
- Intrinsic or acquired resistance to anti-angiogenesis drugs limits clinical efficacy.
- Non-coding RNAs (ncRNAs), including microRNAs (miRNAs) and long non-coding RNAs (lncRNAs), play a critical role in cancer drug resistance.
Approach:
- This review elucidates the mechanisms of anti-angiogenic drug resistance.
- It details the involvement of dysregulated ncRNAs (miRNAs, lncRNAs) in resistance.
- Signaling pathways influenced by these ncRNAs in response to anti-angiogenic drugs are explored.
Key Points:
- ncRNA dysregulation significantly impacts anti-angiogenic drug resistance.
- ncRNAs are potential therapeutic targets for overcoming resistance and inhibiting tumor angiogenesis.
- Specific ncRNAs can serve as biomarkers for predicting anti-angiogenic drug response and non-invasive cancer monitoring.
Conclusions:
- Targeting ncRNAs presents a promising strategy to overcome anti-angiogenic drug resistance.
- Combination therapies involving anti-angiogenesis drugs and ncRNA-targeting agents may enhance treatment outcomes.
- Future research directions include developing novel anti-angiogenic drugs that target specific ncRNAs implicated in resistance.
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