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.

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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