Tumor Biology Laboratory, Department of Biotechnology, Savitribai Phule Pune University, Pune 411 007, MS, India.
The Fred Wyszkowski Cancer Research Laboratory, Department of Biology, Technion-Israel Institute of Technology, Haifa 3200003, Israel.
Drug Resist Updat. 2022 Jul;63:100851. doi: 10.1016/j.drup.2022.100851. Epub 2022 Jul 3.
Breast cancer is one of the most prevalent cancers in women and a leading cause of mortality. As per the GLOBCAN report of 2021, breast cancer has surpassed lung cancer which until recently was the most commonly diagnosed cancer. Despite significant efforts to improve early detection and therapeutic efficacy of breast cancer, the frequent emergence of drug resistance remains the predominant basis for the poor prognosis of cancer patients harboring various malignancies. Long non-coding RNA (lncRNAs) are known to affect a variety of components of genome function, including epigenetics, gene transcription, splicing, translation, as well as many central biological processes like cell cycle progression, cell differentiation, development, and pluripotency. LncRNAs are dysregulated in various malignancies and interact with a multitude of RNAs and proteins to impact drug resistance. LncRNAs regulate chemoresistance in cancer by employing an assortment of molecular mechanisms including multidrug efflux, suppression of apoptosis, DNA damage response, epigenetic alterations, as well as functioning as competitive endogenous RNA. When combined with other regulatory mechanisms, these pathways form a complex orchestration of signaling that ultimately lead to chemoresistance. The current review delves into the role of lncRNAs in inducing drug resistance to conventional therapeutic anti-cancer drugs used for the treatment of breast cancer. We propose that lncRNAs that provoke drug resistance could be used to develop new targeted and tailored therapeutics providing a novel approach to introduce promising personalized treatment modalities to overcome chemoresistance in breast cancer patients. Hence, lncRNAs that drive anticancer drug resistance can be potentially explored as biomarkers of disease prognosis and may provide unique opportunities to circumvent chemoresistance in breast cancer patients.
乳腺癌是女性最常见的癌症之一,也是导致死亡的主要原因之一。根据 2021 年 GLOBCAN 的报告,乳腺癌已经超过了肺癌,肺癌直到最近一直是最常见的癌症。尽管为提高乳腺癌的早期检测和治疗效果做出了巨大努力,但耐药性的频繁出现仍然是癌症患者预后不良的主要原因,这些癌症患者患有各种恶性肿瘤。长链非编码 RNA(lncRNA)已知会影响基因组功能的多种成分,包括表观遗传学、基因转录、剪接、翻译以及细胞周期进程、细胞分化、发育和多能性等许多核心生物学过程。lncRNA 在各种恶性肿瘤中失调,并与多种 RNA 和蛋白质相互作用,从而影响耐药性。lncRNA 通过多种分子机制调节癌症的化疗耐药性,包括多药外排、抑制细胞凋亡、DNA 损伤反应、表观遗传改变以及作为竞争性内源性 RNA。当与其他调节机制结合时,这些途径形成了一个复杂的信号转导协调,最终导致化疗耐药性。本综述深入探讨了 lncRNA 在诱导乳腺癌常规治疗性抗癌药物耐药性中的作用。我们提出,引起耐药性的 lncRNA 可以用于开发新的靶向和个体化治疗方法,为克服乳腺癌患者的化疗耐药性提供一种新的方法。因此,驱动抗癌药物耐药性的 lncRNA 可以作为疾病预后的生物标志物进行潜在探索,并为克服乳腺癌患者的化疗耐药性提供独特的机会。