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Epigenetic regulation of temozolomide resistance in human cancers with an emphasis on brain tumors: Function of
Aryan Rezaee1, Pooya M Tehrany2, Farimah Jafari Tirabadi3
1Student Research Committee, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Abstract:
Brain tumors, which are highly malignant, pose a significant threat to health and often result in substantial rates of mortality and morbidity worldwide. The brain cancer therapy has been challenging due to obstacles such as the BBB, which hinders effective delivery of therapeutic agents. Additionally, the emergence of drug resistance further complicates the management of brain tumors. TMZ is utilized in brain cancer removal, but resistance is a drawback. ncRNAs are implicated in various diseases, and their involvement in the cancer is particularly noteworthy. The focus of the current manuscript is to explore the involvement of ncRNAs in controlling drug resistance, specifically in the context of resistance to the chemotherapy drug TMZ. The review emphasizes the function of ncRNAs, particularly miRNAs, in modulating the growth and invasion of brain tumors, which significantly influences their response to TMZ treatment. Through their interactions with various molecular pathways, miRNAs are modulators of TMZ response. Similarly, lncRNAs also associate with molecular pathways and miRNAs, affecting the efficacy of TMZ chemotherapy. Given their functional properties, lncRNAs can either induce or suppress TMZ resistance in brain tumors. Furthermore, circRNAs, which are cancer controllers, regulate miRNAs by acting as sponges, thereby impacting the response to TMZ chemotherapy. The review explores the correlation between ncRNAs and TMZ chemotherapy, shedding light on the underlying molecular pathways involved in this process.
Insights
Non-coding RNAs (ncRNAs) significantly influence brain tumor response to chemotherapy. Understanding how microRNAs, lncRNAs, and circRNAs modulate drug resistance is crucial for improving glioblastoma treatment outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Brain tumors present significant therapeutic challenges due to the blood-brain barrier and emergent drug resistance.
- Temozolomide (TMZ) is a key chemotherapy agent, but resistance limits its efficacy.
- Non-coding RNAs (ncRNAs) play critical roles in various diseases, including cancer.
Purpose of the Study:
- To review the role of ncRNAs in modulating drug resistance in brain tumors, specifically resistance to temozolomide (TMZ).
- To elucidate the molecular mechanisms by which ncRNAs influence TMZ efficacy.
- To highlight the potential of targeting ncRNAs for improved brain cancer therapy.
Main Methods:
- Literature review focusing on ncRNAs (miRNAs, lncRNAs, circRNAs) and their impact on TMZ resistance in brain tumors.
- Analysis of molecular pathways modulated by ncRNAs affecting tumor growth, invasion, and drug response.
- Exploration of interactions between different ncRNA types and their regulatory functions.
Main Results:
- MicroRNAs (miRNAs) modulate brain tumor growth, invasion, and response to TMZ through various molecular pathways.
- Long non-coding RNAs (lncRNAs) influence TMZ chemotherapy efficacy by interacting with molecular pathways and miRNAs, either inducing or suppressing resistance.
- Circular RNAs (circRNAs) act as miRNA sponges, regulating miRNA activity and impacting TMZ chemotherapy response.
Conclusions:
- ncRNAs, including miRNAs, lncRNAs, and circRNAs, are key regulators of TMZ resistance in brain tumors.
- Targeting ncRNAs offers a promising strategy to overcome drug resistance and enhance the effectiveness of brain cancer chemotherapy.
- Further research into ncRNA-mediated pathways is essential for developing novel therapeutic interventions for brain malignancies.
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