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微小RNA在鼻咽癌放射抗性和化学抗性中的潜在作用。

The promising role of miRNAs in radioresistance and chemoresistance of nasopharyngeal carcinoma.

作者信息

Xu Haoyuan, Li Wanpeng, Wang Dehui

机构信息

Department of Otolaryngology - Head and Neck Surgery, Affiliated Eye, Ear, Nose, and Throat Hospital, Fudan University, Shanghai, China.

出版信息

Front Oncol. 2024 Feb 28;14:1299249. doi: 10.3389/fonc.2024.1299249. eCollection 2024.

Abstract

Nasopharyngeal carcinoma (NPC) is a malignant epithelial tumor that develops in the nasopharynx. It has a distinct ethnic and geographical distribution, and emerging evidence suggests that it is an ecological disease. Most patients respond well to radiation combined with chemotherapy as the primary treatment for NPC. However, some patients will eventually develop radio resistance and chemoresistance, resulting in recurrence and metastasis, which is a primary cause of poor prognosis. The processes underlying radio resistance and chemoresistance in NPC are complex and unknown. MicroRNAs (miRNAs) are endogenic non-coding RNA molecules. They play a role in a variety of cell functions as well as development of disease such as cancer. There has been considerable data demonstrating the existence of numerous aberrant miRNAs in cancer tissues, cells, and biofluids, which indicates the importance of studying the influence of miRNAs on NPC. Therefore, this review comprehensively analyzes the elaborate mechanisms of miRNAs affecting the radio resistance and chemoresistance of NPC. Multiple tumor-specific miRNAs can be employed as therapeutic and prognostic biological indicators.

摘要

鼻咽癌(NPC)是一种发生于鼻咽部的恶性上皮性肿瘤。它具有独特的种族和地理分布,新出现的证据表明它是一种与环境相关的疾病。大多数患者对放疗联合化疗作为鼻咽癌的主要治疗方法反应良好。然而,一些患者最终会产生放疗抵抗和化疗抵抗,导致复发和转移,这是预后不良的主要原因。鼻咽癌放疗抵抗和化疗抵抗的潜在机制复杂且尚不明确。微小RNA(miRNA)是内源性非编码RNA分子。它们在多种细胞功能以及诸如癌症等疾病的发生发展中发挥作用。已有大量数据表明在癌症组织、细胞和生物流体中存在众多异常miRNA,这表明研究miRNA对鼻咽癌的影响具有重要意义。因此,本综述全面分析了miRNA影响鼻咽癌放疗抵抗和化疗抵抗的详尽机制。多种肿瘤特异性miRNA可作为治疗和预后的生物学指标。

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