Zheng Rong-Li, Jiang Yu-Jie, Wang Xin
Department of Hematology, Shandong Provincial Hospital Affiliated to Shandong University Shandong 250021, People's Republic of China.
Int J Clin Exp Med. 2014 Nov 15;7(11):3818-32. eCollection 2014.
Non-Hodgkin's lymphoma (NHL) is a heterogeneous group of malignancies that originate in lymphatic hematopoietic tissue. Chemotherapy has been used as the main therapy for NHL all the time, and local radiotherapy is also a necessary approach to supplementary treatment. However, resistance of tumor cells to chemo- and radiotherapy often prevent a successful long-term treatment of NHL. MicroRNAs (miRNAs) are a class of approximately 22-nucleotide endogenous non-coding RNAs that play an important regulatory role in gene expression, involving in the process of cell proliferation and differentiation. Alterations of miRNAs have been reported in a variety of human cancers, such as lymphomas, and will critically influence the tumor development and progression. Recently, there is increasing evidence that miRNAs could also influence sensitivity of tumor cells to chemo- and radiotherapy, revealing a crucial role of microRNAs in resistance to anticancer treatment. Therefore, understanding the role of miRNAs in chemo- and radio-resistance of tumor and targeting specific miRNAs will open novel avenues for lymphoma treatment and improve the prognosis of NHL patients. This review outlines the role of miRNAs associated with chemo-and radiotherapy resistance in NHL.
非霍奇金淋巴瘤(NHL)是起源于淋巴造血组织的一组异质性恶性肿瘤。化疗一直是NHL的主要治疗方法,局部放疗也是辅助治疗的必要手段。然而,肿瘤细胞对化疗和放疗的耐药性常常阻碍NHL的长期成功治疗。微小RNA(miRNA)是一类约22个核苷酸的内源性非编码RNA,在基因表达中起重要调节作用,参与细胞增殖和分化过程。在多种人类癌症如淋巴瘤中已报道miRNA发生改变,这将严重影响肿瘤的发生发展。最近,越来越多的证据表明miRNA也会影响肿瘤细胞对化疗和放疗的敏感性,揭示了微小RNA在抗癌治疗耐药性中的关键作用。因此,了解miRNA在肿瘤化疗和放疗耐药中的作用并靶向特定的miRNA将为淋巴瘤治疗开辟新途径,改善NHL患者的预后。本综述概述了miRNA在NHL化疗和放疗耐药中的作用。