Cao Yanlin, He Yuxing, Liao Lingshan, Xu Lixin
Department of Pathology, Changde Hospital, Xiangya School of Medicine, Central South University, Changde, Hunan, China.
The First Clinical Medical College of Guangdong Medical University, Zhanjiang, China.
Front Oncol. 2025 Apr 11;15:1554179. doi: 10.3389/fonc.2025.1554179. eCollection 2025.
Circular RNAs (circRNAs) are multifaceted molecules that play a pivotal role in regulating gene expression at both transcriptional and post-transcriptional levels. Their expression is highly tissue-specific and developmentally regulated, making them critical players in various physiological processes and diseases, particularly cancer. In colorectal cancer, circRNAs exhibit significantly dysregulated expression patterns and profoundly influence disease progression through diverse molecular mechanisms. Unraveling the complex roles of circRNAs in modulating colorectal cancer immunotherapy outcomes highlights their potential as both promising biomarkers and therapeutic targets. Moving forward, advancements in circRNA-based therapeutic strategies and delivery systems are poised to transform precision medicine, enabling early colorectal cancer diagnosis and improving patient prognosis.
环状RNA(circRNAs)是多面性分子,在转录和转录后水平的基因表达调控中发挥关键作用。它们的表达具有高度的组织特异性且受发育调控,使其成为各种生理过程和疾病(尤其是癌症)中的关键参与者。在结直肠癌中,circRNAs表现出明显失调的表达模式,并通过多种分子机制深刻影响疾病进展。阐明circRNAs在调节结直肠癌免疫治疗结果中的复杂作用,凸显了它们作为有前景的生物标志物和治疗靶点的潜力。展望未来,基于circRNA的治疗策略和递送系统的进展有望变革精准医学,实现早期结直肠癌诊断并改善患者预后。