MicroRNA in cancer therapy: breakthroughs and challenges in early clinical applications

Maria Teresa Di Martino1, Pierosandro Tagliaferri2, Pierfrancesco Tassone3

  • 1Department of Experimental and Clinical Medicine, Magna Graecia University, Catanzaro, Italy. teresadm@unicz.it.

Insights

MicroRNAs (miRNAs) are key regulators in cancer, impacting its development and treatment. This review explores miRNA-based therapies, delivery methods, and challenges for precision oncology.

Area of Science:

  • Oncology
  • Molecular Biology
  • Biotechnology

Background:

  • MicroRNAs (miRNAs) are crucial regulators in cancer biology, affecting tumorigenesis, progression, and therapy resistance.
  • Their capacity to influence multiple oncogenic and tumor-suppressive pathways makes them significant therapeutic targets or tools.

Purpose of the Study:

  • To review the dual role of microRNAs in both solid and hematological malignancies.
  • To provide a comprehensive overview of current miRNA-based therapies in early clinical trials and future directions.

Main Methods:

  • Review of scientific literature on microRNA dysregulation in various cancer types.
  • Analysis of therapeutic strategies, including miRNA replacement and inhibition.
  • Examination of innovative delivery systems like lipid nanoparticles and exosomes.

Main Results:

  • MicroRNAs exhibit a dual role in cancer, acting as both oncogenes and tumor suppressors.
  • Various miRNA-based therapeutic strategies are under investigation, utilizing novel delivery systems.
  • Clinical trials show promise but highlight challenges such as off-target effects and delivery inefficiencies.

Conclusions:

  • MicroRNA-based therapies hold transformative potential for precision oncology.
  • Overcoming challenges in specificity and toxicity is crucial for clinical success.
  • Further research and advanced strategies are needed to optimize miRNA therapeutics.

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