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Updated: May 13, 2026

Analysis of Combinatorial miRNA Treatments to Regulate Cell Cycle and Angiogenesis
Published on: March 30, 2019
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.
Abstract:
MicroRNAs (miRNAs) have emerged as pivotal regulators in cancer biology, influencing tumorigenesis, progression, and resistance to therapy. Their ability to modulate multiple oncogenic and tumor-suppressive pathways positions them as promising therapeutic tools or targets. This review examines the dual role of miRNAs in solid and hematological malignancies, starting from their dysregulation in various cancer types. Therapeutic approaches, including miRNA replacement and inhibition strategies, are discussed alongside innovative delivery systems such as lipid nanoparticles and exosomes. Despite their transformative potential, challenges persist, including off-target effects, immune activation, and delivery inefficiencies. Recent clinical trials demonstrate both progress and hurdles, underscoring the need for advanced strategies to optimize specificity and minimize toxicity. This review provides an updated comprehensive overview of the current landscape of miRNA-based therapies under early clinical investigation and explores future directions for integrating these approaches into precision oncology.
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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