Long noncoding RNAs as potential targets for overcoming chemoresistance in upper gastrointestinal cancers - 20/09/24

Abstract |
In the last decade, researchers have paid much attention to the role of noncoding RNA molecules in human diseases. Among the most important of these molecules are LncRNAs, which are RNA molecules with a length of more than 200 nucleotides. LncRNAs can regulate gene expression through various mechanisms, such as binding to DNA sequences and interacting with miRNAs. Studies have shown that LncRNAs may be valuable therapeutic targets in treating various cancers, including upper-gastrointestinal cancers. Upper gastrointestinal cancers, mainly referring to esophageal and gastric cancers, are among the deadliest gastrointestinal cancers. Despite notable advances, traditional chemotherapy remains a common strategy for treating these cancers. However, chemoresistance poses a significant obstacle to the effective treatment of upper gastrointestinal cancers, resulting in a low survival rate. Chemoresistance arises from various events, such as the enhancement of efflux and detoxification of chemotherapy agents, reduction of drug uptake, alteration of drug targeting, reduction of prodrug activation, strengthening of EMT and stemness, and the attenuation of apoptosis in cancerous cells. Tumor microenvironment also plays an important role in chemoresistance. Interestingly, a series of studies have revealed that LncRNAs can influence important mechanisms associated with some of the aforementioned events and may serve as promising targets for mitigating chemoresistance in upper gastrointestinal cancers. In this review paper, following a concise overview of chemoresistance mechanisms in upper gastrointestinal cancers, we will review the most intriguing findings of these investigations in detail.
Le texte complet de cet article est disponible en PDF.Graphical Abstract |
Highlights |
• | Chemoresistance is an important barrier to effective chemotherapy of upper gastrointestinal cancers. |
• | Chemoresistance occurs for various reasons such as enhancing the efflux of drugs and weakening apoptosis. |
• | LncRNAs can affect key mechanisms of chemoresistance in upper gastrointestinal cancers. |
• | Some LncRNAs act to enhance chemoresistance, while others work to weaken it. |
• | LncRNAs may be suitable therapeutic targets to attenuate chemoresistance in upper gastrointestinal cancers. |
Keywords : Upper gastrointestinalcancers, LncRNAs, Chemoresistance, ABCtransporters, Apoptosis
Plan
Vol 179
Article 117368- octobre 2024 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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