Department of Biosciences and Bioengineering, Cancer Biology Laboratory, Indian Institute of Technology (IIT) Guwahati, Guwahati, Assam, India.
Department of Pharmacology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
J Cell Physiol. 2021 Dec;236(12):7938-7965. doi: 10.1002/jcp.30463. Epub 2021 Jun 8.
In recent years, triple-negative breast cancer (TNBC) has emerged as the most aggressive subtype of breast cancer and is usually associated with increased mortality worldwide. The severity of TNBC is primarily observed in younger women, with cases ranging from approximately 12%-24% of all breast cancer cases. The existing hormonal therapies offer limited clinical solutions in completely circumventing the TNBC, with chemoresistance and tumor recurrences being the common hurdles in the path of TNBC treatment. Accumulating evidence has correlated the dysregulation of long noncoding RNAs (lncRNAs) with increased cell proliferation, invasion, migration, tumor growth, chemoresistance, and decreased apoptosis in TNBC. Various clinical studies have revealed that aberrant expression of lncRNAs in TNBC tissues is associated with poor prognosis, lower overall survival, and disease-free survival. Due to these specific characteristics, lncRNAs have emerged as novel diagnostic and prognostic biomarkers for TNBC treatment. However, the underlying mechanism through which lncRNAs perform their actions remains unclear, and extensive research is being carried out to reveal it. Therefore, understanding of mechanisms regulating the modulation of lncRNAs will be a substantial breakthrough in effective treatment therapies for TNBC. This review highlights the association of several lncRNAs in TNBC progression and treatment, along with their possible functions and mechanisms.
近年来,三阴性乳腺癌(TNBC)已成为乳腺癌最具侵袭性的亚型,且通常与全球范围内死亡率的增加相关。TNBC 的严重程度主要在年轻女性中观察到,约占所有乳腺癌病例的 12%-24%。现有的激素疗法在完全规避 TNBC 方面提供的临床解决方案有限,化疗耐药和肿瘤复发是 TNBC 治疗道路上的常见障碍。越来越多的证据表明,长链非编码 RNA(lncRNA)的失调与 TNBC 中细胞增殖、侵袭、迁移、肿瘤生长、化疗耐药和细胞凋亡减少有关。各种临床研究表明,TNBC 组织中 lncRNA 的异常表达与不良预后、总生存率和无病生存率降低相关。由于这些特定特征,lncRNA 已成为 TNBC 治疗的新型诊断和预后生物标志物。然而,lncRNA 发挥作用的潜在机制尚不清楚,正在进行广泛的研究以揭示它。因此,理解调节 lncRNA 调控的机制将是 TNBC 有效治疗疗法的重大突破。本综述强调了几种 lncRNA 在 TNBC 进展和治疗中的关联,以及它们可能的功能和机制。