Li Juan, Gan Jimei, Shi Shenggan, Huang Juying, Yang Yong
College of Pharmacy, Southwest Medical University, Luzhou, China.
Department of Pharmacy, Chengdu Wenjiang District People's Hospital, Chengdu, Sichuan.
Front Pharmacol. 2025 May 14;16:1551258. doi: 10.3389/fphar.2025.1551258. eCollection 2025.
Lung cancer is the most prevalent malignant tumor worldwide and remains the leading cause of cancer-related mortality. Despite advances in treatment development, lung cancer patients often face poor quality of life and low survival rates. Increasing evidence highlights the significant roles of autophagy and non-coding RNAs (ncRNAs) in the initiation, progression, and therapeutic response of lung cancer. Autophagy and ncRNAs can function as both tumor-promoting and tumor-suppressing factors in lung cancer. Therefore, investigating the roles of autophagy and ncRNAs in lung cancer provides valuable insights into its pathophysiology. At the same time, non-coding RNA also plays an important role in regulating autophagy. This study reveals that autophagy affects the occurrence and development of lung cancer through multiple pathways. Then, we also studied that in lung cancer, ncRNAs (e.g., lncRNAs, miRNAs, circRNAs and piRNAs) can regulate autophagy to promote or inhibit tumorigenesis, metastasis and drug resistance in lung cancer. Finally, the problems and solutions of autophagy and ncRNAs in the treatment of lung cancer were explored. These findings suggest that autophagy and ncRNAs can be potential targets for the treatment of lung cancer.
肺癌是全球最常见的恶性肿瘤,仍是癌症相关死亡的主要原因。尽管在治疗研发方面取得了进展,但肺癌患者往往面临生活质量差和生存率低的问题。越来越多的证据表明自噬和非编码RNA(ncRNAs)在肺癌的发生、发展和治疗反应中发挥着重要作用。自噬和ncRNAs在肺癌中既可以作为肿瘤促进因子,也可以作为肿瘤抑制因子发挥作用。因此,研究自噬和ncRNAs在肺癌中的作用为其病理生理学提供了有价值的见解。同时,非编码RNA在调节自噬方面也起着重要作用。本研究表明自噬通过多种途径影响肺癌的发生和发展。然后,我们还研究了在肺癌中,ncRNAs(如lncRNAs、miRNAs、circRNAs和piRNAs)可以调节自噬,从而促进或抑制肺癌的肿瘤发生、转移和耐药性。最后,探讨了自噬和ncRNAs在肺癌治疗中的问题及解决方案。这些发现表明自噬和ncRNAs可能成为肺癌治疗的潜在靶点。