The Molecular Genetics Research Team, Pharmaceutical Biology Department, Faculty of Pharmacy and Biotechnology, German University, Main Entrance Al Tagamoa Al Khames, New Cairo CityCairo, 11835, Egypt.
University of Khartoum, Al-Gama a Avenue, 11115, Khartoum, Sudan.
J Mammary Gland Biol Neoplasia. 2022 Mar;27(1):79-99. doi: 10.1007/s10911-022-09511-z. Epub 2022 Feb 10.
Breast cancer (BC) is a highly complex and heterogenous disease. Several oncogenic signaling pathways drive BC oncogenic activity, thus hindering scientists to unravel the exact molecular pathogenesis of such multifaceted disease. This highlights the urgent need to find a key regulator that tunes up such intertwined oncogenic drivers to trim the malignant transformation process within the breast tissue. The Insulin-like growth factor (IGF) signaling pathway is a tenacious axis that is heavily intertwined with BC where it modulates the amplitude and activity of vital downstream oncogenic signaling pathways. Yet, the complexity of the pathway and the interactions driven by its different members seem to aggravate its oncogenicity and hinder its target-ability. In this review, the authors shed the light on the stubbornness of the IGF signaling pathway and its potential regulation by non-coding RNAs in different BC subtypes. Nonetheless, this review also spots light on the possible transport systems available for efficient delivery of non-coding RNAs to their respective targets to reach a personalized treatment code for BC patients.
乳腺癌(BC)是一种高度复杂和异质的疾病。几种致癌信号通路驱动着 BC 的致癌活性,从而阻碍了科学家们揭示这种多方面疾病的确切分子发病机制。这凸显了迫切需要寻找一个关键的调节剂,以协调这些相互交织的致癌驱动因素,从而抑制乳腺组织内的恶性转化过程。胰岛素样生长因子(IGF)信号通路是一个顽强的轴,它与 BC 紧密交织,调节着重要下游致癌信号通路的幅度和活性。然而,该通路的复杂性及其不同成员驱动的相互作用似乎加剧了其致癌性,并阻碍了其靶向治疗的可能性。在这篇综述中,作者阐明了 IGF 信号通路的顽固性及其在不同 BC 亚型中可能被非编码 RNA 调控的情况。尽管如此,这篇综述还指出了可能存在的运输系统,以便将非编码 RNA 有效地递送到各自的靶标,为 BC 患者制定个性化的治疗方案。