Advances in the study of the breast carcinoma exosomal microRNAs: From basic mechanisms to clinical applications

Zhi-Min Chen1, Peng Huang1, Dun-Yang Yang1

  • 1Department of Radiology, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian 362000, P.R. China.

PubMed

Insights

Exosomal microRNAs (miRNAs) are crucial in breast cancer progression and treatment resistance. This review highlights their potential as biomarkers and therapeutic targets for precision medicine.

Area of Science:

  • Oncology
  • Molecular Biology
  • Biochemistry

Background:

  • Breast carcinoma is a significant global health challenge.
  • Exosomal microRNAs (miRNAs) are increasingly recognized for their roles in breast cancer progression, metastasis, and treatment resistance.
  • Understanding exosomal miRNAs is vital for developing innovative diagnostic and therapeutic strategies.

Purpose of the Study:

  • To systematically review the multilevel roles of exosomal miRNAs in breast cancer, encompassing oncogenicity, tumor inhibition, and the regulation of breast carcinoma calcification.
  • To explore the potential of the exosomal miRNA-calcification axis as a link between tumor metabolism and pathological calcification.
  • To highlight exosomal miRNAs as non-invasive biomarkers and therapeutic targets in precision medicine.

Main Methods:

  • Systematic literature review and integration of existing research on exosomal miRNAs in breast cancer.
  • Analysis of mechanisms of action, including regulation of oncogenic/tumor-suppressive pathways and the tumor microenvironment.
  • Evaluation of therapeutic potential, including miRNA mimics and inhibitors, and their role in combination treatments.

Main Results:

  • Exosomal miRNAs significantly influence tumor progression, metastasis, and chemo-resistance in breast cancer.
  • These miRNAs regulate key oncogenic and tumor-suppressive pathways and modulate the tumor microenvironment.
  • Exosomal miRNAs are implicated in breast carcinoma calcification, suggesting a novel axis linking tumor metabolism and pathological calcification.

Conclusions:

  • Exosomal miRNAs represent promising non-invasive biomarkers for early detection and monitoring of breast cancer.
  • miRNA-based therapies, such as mimics and inhibitors, hold potential for enhancing treatment efficacy, particularly in combination therapies.
  • Further research is needed to optimize exosome isolation and miRNA detection methods for clinical translation and to refine exosome-targeted delivery systems.

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