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三阴性乳腺癌微小RNA的诊断、预后及治疗前景

A perspective on the diagnostics, prognostics, and therapeutics of microRNAs of triple-negative breast cancer.

作者信息

Malla Rama Rao, Kumari Seema, Gavara Murali Mohan, Badana Anil Kumar, Gugalavath Shailender, Kumar Deepak Kakara Gift, Rokkam Prasuja

机构信息

Cancer biology laboratory, Department of Biochemistry and Bioinformatics, GIS, GITAM (Deemed to be University), Visakhapatnam, Andhra Pradesh, 530045, India.

出版信息

Biophys Rev. 2019 Apr;11(2):227-234. doi: 10.1007/s12551-019-00503-8. Epub 2019 Feb 22.

Abstract

Triple-negative breast cancer (TNBC) is the most aggressive and prevalent subtype of breast cancer in women worldwide. Currently, chemotherapy remains the main modality for the treatment at an early stage, as there is no approved targeted therapy for early TNBC. In this review, we investigate the use of microRNAs (miRNAs), which play a key role in the post-transcriptional regulation of genes involved in the key biological processes, namely proliferation, differentiation, angiogenesis, migration, apoptosis, and carcinogenesis. Here, we emphasize the importance of the recent advances related to miRNAs, involving diagnosis, prognosis, and treatment of TNBC. We focus on the development, optimization, and stabilization of miRNA-based drugs; improvement of miRNA delivery; and control of the off-target effects of miRNA therapeutics. We speculate as to which features may present themselves as promising approaches in the treatment of TNBC.

摘要

三阴性乳腺癌(TNBC)是全球女性中最具侵袭性且最为常见的乳腺癌亚型。目前,化疗仍是早期治疗的主要方式,因为早期三阴性乳腺癌尚无获批的靶向治疗方法。在本综述中,我们研究了微小RNA(miRNA)的应用,其在参与关键生物学过程(即增殖、分化、血管生成、迁移、凋亡和致癌作用)的基因的转录后调控中发挥关键作用。在此,我们强调了与miRNA相关的最新进展在三阴性乳腺癌诊断、预后和治疗方面的重要性。我们关注基于miRNA的药物的开发、优化和稳定性;miRNA递送的改善;以及miRNA治疗的脱靶效应控制。我们推测哪些特性可能成为三阴性乳腺癌治疗中有前景的方法。

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