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Updated: Jun 15, 2025

Author Spotlight: Tracing the Ferroptotic Signatures and Cell Death Dynamics in Medulloblastoma for Advanced Therapeutics
Published on: March 15, 2024
Epigenetic modification of ferroptosis by non-coding RNAs in cancer drug resistance
Hongquan Wang1, Joshua S Fleishman2, Sihang Cheng3
1Department of Geriatrics, Aerospace Center Hospital, Peking University Aerospace School of Clinical Medicine, Beijing, 100049, China. whongquan@alu.fudan.edu.cn.
Abstract:
The development of drug resistance remains a major challenge in cancer treatment. Ferroptosis, a unique type of regulated cell death, plays a pivotal role in inhibiting tumour growth, presenting new opportunities in treating chemotherapeutic resistance. Accumulating studies indicate that epigenetic modifications by non-coding RNAs (ncRNA) can determine cancer cell vulnerability to ferroptosis. In this review, we first summarize the role of chemotherapeutic resistance in cancer growth/development. Then, we summarize the core molecular mechanisms of ferroptosis, its upstream epigenetic regulation, and its downstream effects on chemotherapeutic resistance. Finally, we review recent advances in understanding how ncRNAs regulate ferroptosis and from such modulate chemotherapeutic resistance. This review aims to enhance general understanding of the ncRNA-mediated epigenetic regulatory mechanisms which modulate ferroptosis, highlighting the ncRNA-ferroptosis axis as a key druggable target in overcoming chemotherapeutic resistance.
Insights
Drug resistance in cancer is a major hurdle. Non-coding RNAs (ncRNAs) regulate ferroptosis, a cell death pathway, offering new strategies to overcome chemotherapy resistance by targeting the ncRNA-ferroptosis axis.
Area of Science:
- Oncology
- Molecular Biology
- Epigenetics
Background:
- Chemotherapy resistance is a significant obstacle in cancer treatment, leading to poor patient outcomes.
- Ferroptosis, a distinct form of regulated cell death, shows promise in suppressing tumor progression and overcoming drug resistance.
- Non-coding RNAs (ncRNAs) are increasingly recognized for their role in regulating cancer cell sensitivity to ferroptosis through epigenetic modifications.
Purpose of the Study:
- To review the role of chemotherapeutic resistance in cancer.
- To summarize the molecular mechanisms of ferroptosis and its epigenetic regulation by ncRNAs.
- To highlight the ncRNA-ferroptosis axis as a potential therapeutic target for overcoming drug resistance.
Main Methods:
- Literature review of studies on ferroptosis, ncRNAs, and cancer drug resistance.
- Analysis of epigenetic regulatory mechanisms involving ncRNAs in ferroptosis.
- Synthesis of current understanding of how ncRNAs modulate ferroptosis to impact chemotherapeutic resistance.
Main Results:
- Chemotherapeutic resistance contributes to cancer development and progression.
- Ferroptosis is a critical cell death pathway influenced by epigenetic modifications, particularly by ncRNAs.
- ncRNAs play a crucial role in regulating cancer cell ferroptosis, thereby affecting sensitivity to chemotherapy.
Conclusions:
- The ncRNA-ferroptosis axis represents a promising therapeutic strategy for overcoming chemotherapeutic resistance.
- Understanding ncRNA-mediated epigenetic regulation of ferroptosis is key to developing novel cancer treatments.
- Targeting the interplay between ncRNAs and ferroptosis offers a new avenue for enhancing cancer therapy efficacy.
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