Li Hailong, He Zhengxi
Department of Pathology, Changde Hospital, Xiangya School of Medicine, Central South University (The First People's Hospital of Changde City), Changde, Hunan 415000, P.R. China.
Department of Oncology, The First Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang, Hunan 421001, P.R. China.
Oncol Rep. 2025 Nov;54(5). doi: 10.3892/or.2025.8975. Epub 2025 Aug 24.
Radiotherapy improves survival rates in patients with cancer; however, the development of radioresistance hinders its effectiveness, resulting in unfavorable outcomes. A key factor in cancer progression is the dysregulation of autophagy, a lysosomal degradation process governed by various evolutionarily conserved autophagy‑related genes (ATGs). Long non‑coding RNAs (lncRNAs) serve a crucial role in the regulation of autophagy. lncRNAs modulate ATGs and their signaling pathways, contributing to the emergence of radioresistance. The present review offers a comprehensive examination of the critical roles of autophagy and lncRNAs in mediating radioresistance. By enhancing the understanding of these mechanisms, novel therapeutic strategies aimed at increasing tumor radiosensitivity through the modulation of autophagy may be revealed.
放射治疗可提高癌症患者的生存率;然而,放射抗性的产生阻碍了其疗效,导致不良后果。癌症进展的一个关键因素是自噬失调,自噬是一种由各种进化上保守的自噬相关基因(ATG)调控的溶酶体降解过程。长链非编码RNA(lncRNA)在自噬调控中起关键作用。lncRNA调节ATG及其信号通路,导致放射抗性的出现。本综述全面探讨了自噬和lncRNA在介导放射抗性中的关键作用。通过增进对这些机制的理解,可能会揭示旨在通过调节自噬来提高肿瘤放射敏感性的新治疗策略。