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Sequencing Small Non-coding RNA from Formalin-fixed Tissues and Serum-derived Exosomes from Castration-resistant Prostate Cancer Patients
Published on: November 19, 2019
Rewriting androgen-targeted therapy resistance with non-coding RNAs in prostate cancer treatment
Chamikara Liyanage1, Judith Clements2, Jyotsna Batra3
1School of Biomedical Sciences, Faculty of Health, Queensland University of Technology, Brisbane, QLD 4059, Australia; Cancer Program, The Centre for Genomics and Personalised Health and ARC Training Centre for Cell and Tissue Engineering Technologies (CTET), Queensland University of Technology, Brisbane, QLD 4059, Australia; Translational Research Institute, Queensland University of Technology, Woolloongabba, QLD 4102, Australia.
Abstract:
Prostate cancer is one of the most prevalent forms of cancer among men, presenting unresolved challenges in treatment resistance. Despite the initial responses to androgen-targeted therapy, the mainstay treatment, patients inevitably develop adaptive resistance mechanisms, giving rise to the metastatic castration-resistant prostate cancer phenotype. Non-coding RNA (ncRNA) was initially considered the "dark matter" of the human genome due to the lack of evidence of their transcription and failure to encode proteins. However, thanks to the seminal discovery by Ambros and Ruvkun (Nobel Prize in Physiology or Medicine, 2024) and 30 years of progressive research, ncRNAs have emerged as indispensable regulatory elements in complex, multicellular life. Studies have demonstrated that ncRNAs play an indispensable regulatory role in prostate cancer development by rewiring oncogenic and tumor suppressor signaling pathways. This review summarizes the ncRNA-mediated molecular mechanisms involved in androgen-targeted therapy resistance. Moreover, the review discusses the potential clinical utility of ncRNAs as biomarkers and therapeutic targets to circumvent prostate cancer progression.
Insights
Non-coding RNAs (ncRNAs) are key regulators in prostate cancer, driving resistance to androgen-targeted therapy. Understanding ncRNA mechanisms offers new hope for biomarkers and treatments for advanced prostate cancer.
Area of Science:
- Oncology
- Molecular Biology
- Genomics
Background:
- Prostate cancer is a leading cancer in men, often developing resistance to standard androgen-targeted therapy.
- Metastatic castration-resistant prostate cancer (mCRPC) arises from adaptive resistance mechanisms.
- Non-coding RNAs (ncRNAs), once overlooked, are now recognized as critical gene regulators.
Purpose of the Study:
- To review ncRNA-mediated molecular mechanisms driving resistance to androgen-targeted therapy in prostate cancer.
- To explore the potential of ncRNAs as biomarkers for prostate cancer progression.
- To discuss ncRNAs as therapeutic targets to overcome treatment resistance.
Main Methods:
- Literature review of studies on ncRNAs in prostate cancer.
- Analysis of molecular pathways regulated by ncRNAs in therapy resistance.
- Synthesis of current research on ncRNA clinical applications.
Main Results:
- ncRNAs play a crucial role in prostate cancer development and progression.
- ncRNAs can rewire oncogenic and tumor suppressor signaling pathways, contributing to therapy resistance.
- Specific ncRNAs are implicated in the transition to castration-resistant prostate cancer.
Conclusions:
- ncRNAs are indispensable regulators in prostate cancer, particularly in the context of treatment resistance.
- ncRNAs hold significant promise as diagnostic biomarkers and therapeutic targets for advanced prostate cancer.
- Targeting ncRNAs may offer novel strategies to circumvent resistance and improve patient outcomes.
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