Epigenetic modification of cuproptosis by non-coding RNAs in cancer drug resistance

Fei Du1, Lu Tang2, Fang Wang3,4

  • 1Department of Pharmacy, The Fourth Affiliated Hospital Of Southwest Medical University, 620000, Meishan, Sichuan, PR China.

Molecular Cancer
|September 26, 2025
PubMed

Insights

Cuproptosis, a programmed cell death pathway, shows promise against tumor drug resistance by targeting mitochondria. Non-coding RNAs (ncRNAs) epigenetically regulate cuproptosis, offering new therapeutic strategies for overcoming treatment failure.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cell Death Research

Background:

  • Tumor drug resistance is a major obstacle in cancer therapy, leading to treatment failure and relapse.
  • Cuproptosis, a novel form of programmed cell death, targets mitochondrial metabolism and presents a potential strategy against drug resistance.
  • Mitochondrial-targeted therapies face challenges due to essential roles in normal tissues, necessitating precise regulatory mechanisms.

Purpose of the Study:

  • To review the mechanisms of cuproptosis and its role in overcoming cancer drug resistance.
  • To explore the epigenetic regulation of cuproptosis by non-coding RNAs (ncRNAs).
  • To highlight the ncRNA-cuproptosis interaction network's significance in therapeutic response and cancer progression.

Main Methods:

  • Literature review summarizing current research on cuproptosis, drug resistance, and ncRNAs.
  • Analysis of molecular mechanisms linking cuproptosis, epigenetic modifications, and therapeutic outcomes.
  • Synthesis of findings on ncRNA-mediated regulation of cuproptosis in various cancer therapies.

Main Results:

  • Cuproptosis offers a novel approach to combatting drug resistance by targeting cancer cell metabolism.
  • Epigenetic alterations mediated by ncRNAs dynamically influence susceptibility to cuproptosis.
  • ncRNAs play a critical role in modulating resistance to chemotherapy, immunotherapy, and targeted therapy through cuproptosis.

Conclusions:

  • The ncRNA-cuproptosis axis is a key regulator of tumor drug resistance.
  • Targeting ncRNAs and cuproptosis presents a promising therapeutic avenue for overcoming treatment resistance.
  • Understanding ncRNA-epigenetic modulation of cuproptosis is crucial for developing effective cancer treatments.

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