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Clinicopathological Analysis of miRNA Expression in Breast Cancer Tissues by Using miRNA In Situ Hybridization
Published on: June 7, 2016
miRNA and Its Implications in the Treatment Resistance in Breast Cancer-Narrative Review of What Do We Know So Far
Isabela Anda Komporaly1,2, Adelina Silvana Gheorghe3, Lidia Anca Kajanto1,3
1Department of Oncology, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Abstract:
Breast cancer remains a leading cause of cancer-related mortality worldwide, with treatment resistance and tumor heterogeneity posing major clinical challenges. MicroRNAs (miRNAs), small non-coding RNAs regulating gene expression, have emerged as key players in breast cancer biology, influencing tumor initiation, progression, and therapy resistance. This narrative review synthesizes recent evidence on the involvement of miRNAs in breast cancer subtypes and their impact on treatment response. Notably, miR-155, miR-503, and miR-21 have shown potential as non-invasive biomarkers and modulators of pathways such as PI3K-Akt, MAPK, and TNF signaling. Additionally, exosomal miRNAs may reflect chemoresistance profiles and predict pathological response to neoadjuvant therapy. Emerging data also support the use of specific miRNAs to sensitize tumors to radiotherapy or modulate immune checkpoints like PD-L1 in triple-negative breast cancer. However, challenges persist regarding standardization, sample types, and study heterogeneity. Further translational research is needed to validate miRNA signatures and their utility in guiding personalized treatment. By highlighting mechanistic insights and potential clinical applications, this review aims to contribute to the ongoing efforts of integrating miRNAs into precision oncology for breast cancer.
Insights
MicroRNAs (miRNAs) are key in breast cancer, affecting treatment resistance and progression. Research shows specific miRNAs can serve as biomarkers and potentially guide personalized oncology treatments for better patient outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Breast cancer is a major global health concern, with treatment resistance and tumor heterogeneity presenting significant clinical hurdles.
- MicroRNAs (miRNAs), small non-coding RNAs that regulate gene expression, play crucial roles in breast cancer initiation, progression, and therapy resistance.
Purpose of the Study:
- To review current evidence on the role of miRNAs in different breast cancer subtypes.
- To explore the impact of miRNAs on treatment response and their potential as therapeutic targets or biomarkers.
Main Methods:
- This study is a narrative review synthesizing recent scientific literature.
- It focuses on the involvement of specific miRNAs (e.g., miR-155, miR-503, miR-21) and exosomal miRNAs in breast cancer.
Main Results:
- Specific miRNAs show potential as non-invasive biomarkers and modulators of key signaling pathways (PI3K-Akt, MAPK, TNF).
- Exosomal miRNAs may indicate chemoresistance and predict response to neoadjuvant therapy.
- miRNAs are being investigated for sensitizing tumors to radiotherapy and modulating immune checkpoints (e.g., PD-L1) in triple-negative breast cancer.
Conclusions:
- miRNAs hold promise for personalized breast cancer treatment, serving as biomarkers and therapeutic targets.
- Further research is needed to standardize methodologies and validate miRNA signatures for clinical application in precision oncology.
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