Shenzhen People's Hospital (The Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, 518001, Guangdong, China.
College of Pharmacy and Health Sciences, St. John's University, Queens, 11439 New York, USA.
Signal Transduct Target Ther. 2020 Sep 8;5(1):193. doi: 10.1038/s41392-020-00300-w.
Drug resistance is a major hurdle in cancer treatment and a key cause of poor prognosis. Epitranscriptomics and epiproteomics are crucial in cell proliferation, migration, invasion, and epithelial-mesenchymal transition. In recent years, epitranscriptomic and epiproteomic modification has been investigated on their roles in overcoming drug resistance. In this review article, we summarized the recent progress in overcoming cancer drug resistance in three novel aspects: (i) mRNA modification, which includes alternative splicing, A-to-I modification and mRNA methylation; (ii) noncoding RNAs modification, which involves miRNAs, lncRNAs, and circRNAs; and (iii) posttranslational modification on molecules encompasses drug inactivation/efflux, drug target modifications, DNA damage repair, cell death resistance, EMT, and metastasis. In addition, we discussed the therapeutic implications of targeting some classical chemotherapeutic drugs such as cisplatin, 5-fluorouridine, and gefitinib via these modifications. Taken together, this review highlights the importance of epitranscriptomic and epiproteomic modification in cancer drug resistance and provides new insights on potential therapeutic targets to reverse cancer drug resistance.
耐药性是癌症治疗的主要障碍,也是预后不良的关键原因。表观转录组学和表观蛋白质组学在细胞增殖、迁移、侵袭和上皮-间充质转化中起着至关重要的作用。近年来,人们研究了表观转录组学和表观蛋白质组学修饰在克服耐药性方面的作用。在这篇综述文章中,我们总结了在三个新方面克服癌症耐药性的最新进展:(i)mRNA 修饰,包括可变剪接、A-to-I 修饰和 mRNA 甲基化;(ii)非编码 RNA 修饰,涉及 miRNA、lncRNA 和 circRNA;以及(iii)分子的翻译后修饰,包括药物失活/外排、药物靶点修饰、DNA 损伤修复、细胞死亡抵抗、上皮-间充质转化和转移。此外,我们还讨论了通过这些修饰来靶向一些经典化疗药物(如顺铂、5-氟尿嘧啶和吉非替尼)的治疗意义。综上所述,本综述强调了表观转录组学和表观蛋白质组学修饰在癌症耐药性中的重要性,并为逆转癌症耐药性提供了新的潜在治疗靶点的见解。
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