Department of Hepatobiliary Surgery, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing 210000, China; Department of Radiation Oncology, Suzhou Municipal Hospital, The Affiliated Suzhou Hospital of Nanjing University Medical School, Suzhou 215000, China.
Department of Gastroenterology, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing 210000, China.
Biomed Pharmacother. 2023 May;161:114485. doi: 10.1016/j.biopha.2023.114485. Epub 2023 Mar 12.
Radiotherapy has become an indispensable and conventional means for patients with advanced solid tumors including gastrointestinal cancer. However, innate or acquired radiotherapy resistance remains a significant challenge and greatly limits the therapeutic effect, which results in cancer relapse and poor prognosis. Therefore, it is an urgent need to identify novel biomarkers and therapeutic targets for clarify the biological characteristics and mechanism of radiotherapy resistance. Recently, lots of studies have revealed that non-coding RNAs (ncRNAs) are the potential indicators and regulators of radiotherapy resistance via the mediation of various targets/pathways in different cancers. These findings may serve as a potential therapeutic strategy to overcome radiotherapy resistance. In this review, we will shed light on the recent findings regarding the functions and regulatory mechanisms of ncRNAs following radiotherapy, and comprehensively discuss their potential as biomarkers and therapeutic targets in radiotherapy resistance of gastrointestinal cancer.
放射治疗已成为包括胃肠癌在内的晚期实体瘤患者不可或缺的常规治疗手段。然而,先天或获得性放射治疗抵抗仍然是一个重大挑战,极大地限制了治疗效果,导致癌症复发和预后不良。因此,迫切需要确定新的生物标志物和治疗靶点,以阐明放射治疗抵抗的生物学特征和机制。最近,大量研究表明,非编码 RNA(ncRNA)通过不同癌症中各种靶标/途径的介导,是放射治疗抵抗的潜在指标和调节剂。这些发现可能为克服放射治疗抵抗提供一种潜在的治疗策略。在这篇综述中,我们将重点介绍放射治疗后 ncRNA 的功能和调控机制的最新发现,并全面讨论它们作为胃肠癌放射治疗抵抗的生物标志物和治疗靶点的潜力。