Non-Coding RNAs Modulating Estrogen Signaling and Response to Endocrine Therapy in Breast Cancer

Oliver Treeck1, Silke Haerteis2, Olaf Ortmann1

  • 1Department of Gynecology and Obstetrics, University Medical Center Regensburg, 93053 Regensburg, Germany.

Cancers
|March 29, 2023
PubMed

Insights

Non-coding RNAs (ncRNAs) regulate gene expression and impact endocrine therapy response in estrogen receptor-positive breast cancer (BC). Understanding ncRNAs like miRNAs, lncRNAs, and circRNAs is crucial for overcoming therapy resistance.

Area of Science:

  • Molecular Biology
  • Genetics
  • Oncology

Background:

  • Non-coding RNAs (ncRNAs) are critical regulators of gene expression, influencing various biological processes.
  • Endocrine therapy is a cornerstone for estrogen receptor-positive breast cancer (BC), but resistance remains a significant clinical challenge.
  • Emerging evidence highlights the role of ncRNAs in modulating endocrine therapy response and resistance in BC.

Purpose of the Study:

  • To review the current understanding of microRNAs (miRNAs), long non-coding RNAs (lncRNAs), and circular RNAs (circRNAs) in estrogen signaling and endocrine therapy resistance in BC.
  • To summarize the impact of these ncRNAs on estrogen receptor signaling pathways targeted by endocrine therapy.
  • To assess the clinical utility of ncRNAs as predictive biomarkers and potential therapeutic targets for overcoming BC endocrine resistance.

Main Methods:

  • Comprehensive literature review of articles indexed in the PubMed database.
  • Focus on studies investigating the roles of miRNAs, lncRNAs, and circRNAs in ERα-positive breast cancer.
  • Analysis of ncRNA involvement in estrogen signaling and endocrine therapy resistance mechanisms.

Main Results:

  • ncRNAs significantly influence estrogen signaling pathways in BC cells.
  • Specific miRNAs, lncRNAs, and circRNAs are implicated in the development of resistance to endocrine therapy.
  • Circulating forms of ncRNAs show promise as non-invasive biomarkers for predicting therapy response.

Conclusions:

  • ncRNAs are key players in endocrine therapy resistance in ERα-positive breast cancer.
  • ncRNAs, particularly circulating types, hold potential as predictive biomarkers for BC.
  • Targeting ncRNAs may offer novel therapeutic strategies to overcome endocrine resistance in breast cancer.

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