Non-Coding RNA-Based Therapeutic Strategies in Triple-Negative Breast Cancer: A Systematic Review

Giovana Prado Scaratti1,2, Inaiê Maiala de Almeida Miranda1,2, Emanuelle Nunes-Souza1,2

  • 1Instituto de Pesquisa Pelé Pequeno Príncipe, Av. Silva Jardim, 1632, Curitiba 80250-060, Brazil.

Insights

Non-coding RNAs (ncRNAs) show promise for treating triple-negative breast cancer (TNBC). Targeting specific ncRNAs in preclinical models suppressed tumor growth and metastasis, offering new therapeutic avenues.

Area of Science:

  • Oncology
  • Molecular Biology
  • RNA Therapeutics

Background:

  • Triple-negative breast cancer (TNBC) exhibits significant heterogeneity, limiting current targeted therapy success.
  • Most TNBC patients rely on chemotherapy, highlighting the need for novel treatment strategies.
  • Non-coding RNAs (ncRNAs) are emerging as potential therapeutic targets in TNBC.

Purpose of the Study:

  • To systematically review preclinical studies evaluating the therapeutic potential of targeting ncRNAs in TNBC.
  • To identify specific ncRNAs as actionable targets for TNBC treatment.
  • To assess the efficacy of ncRNA modulation in preclinical TNBC models.

Main Methods:

  • Systematic review of 35 preclinical studies (2020-2025) on ncRNA targeting in TNBC.
  • Analysis of studies using in vivo tumor models to assess therapeutic responses.
  • Evaluation of various ncRNA modulation techniques (miRNA mimics, antagomiRs, ASOs, shRNAs, siRNAs) and delivery systems (nanoparticles, exosomes).

Main Results:

  • Identified 28 specific ncRNAs as actionable targets in TNBC.
  • ncRNA modulation consistently suppressed tumor growth and metastasis in preclinical models.
  • Targeting ncRNAs restored sensitivity to standard chemotherapeutic agents.

Conclusions:

  • Preclinical evidence supports ncRNA-based therapies as promising strategies for TNBC treatment.
  • Targeting ncRNAs offers a novel approach to overcome therapeutic limitations in TNBC.
  • Further development of ncRNA-based therapies could significantly advance TNBC treatment options.