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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.
Abstract:
Tumor drug resistance remains a significant barrier to effective cancer treatment, undermining the clinical efficacy of current therapies through adaptive and evolving mechanisms. Cuproptosis, a recently discovered form of programmed cell death, emerges as a promising tumor suppressor by targeting mitochondrial metabolic pathways, offering a novel strategy to combat drug resistance. However, targeting mitochondrial metabolism presents challenges due to the essential physiological roles of mitochondria in normal tissues, raising concerns about potential on-target toxicity. Recent studies have revealed the dynamic role of non-coding RNAs (ncRNAs) in modulating susceptibility to cuproptosis via epigenetic alterations, potentially serving as key factors in therapeutic response. In this review, we first summarize the complex interplay between chemotherapeutic resistance and cancer progression/relapse. Then, we outline the key molecular mechanisms underlying cuproptosis, its upstream epigenetic regulators, and the downstream effects on drug resistance. Finally, this review discusses the latest findings on how ncRNAs influence resistance to chemotherapy, immunotherapy, and targeted therapy by modulating cuproptosis. This review aims to untangle the regulatory mechanisms of ncRNA-mediated epigenetic modifications on cuproptosis, highlighting the critical role of the ncRNA-cuproptosis interaction network in tumor drug resistance progression. These insights provide a conceptual foundation for developing ncRNA-targeted therapies in conjunction with cuproptosis-inducing approaches.
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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