Liu WeiChi, Wang WeiFa
Department of Gastrointestinal Surgery, Chengdu Seventh People's Hospital, Chengdu, Sichuan, China.
Front Oncol. 2025 Apr 1;15:1552773. doi: 10.3389/fonc.2025.1552773. eCollection 2025.
Gastric cancer (GC) is an exceedingly aggressive disease and ranks as the third leading cause of cancer-related deaths, which poses a huge health burden globally. Chemotherapy is commonly employed during the middle to advanced stages of cancer, although it faces frequent treatment failures attributed to drug resistance. Thus, it is imperative for researchers to identify potential targets for overcoming therapeutic resistance, thereby facilitating the development of novel anti-cancer agents for GC patients with advanced stages. Long noncoding RNAs (lncRNAs) are a diverse group of transcripts with limited protein-coding capacity, which have been recognized for functional molecules for regulating cancer progression including cell proliferation, metastasis, and drug resistance in GC. In this review, we examine the intricate molecular networks on the role of lncRNAs in drug resistance of GC. LncRNAs conferred cancer cell resistance to anti-cancer drug through various molecular mechanisms, therefore functioning as promising therapeutic targets for GC patients. Additionally, we discuss current advancements of strategies targeting lncRNAs in cancer therapy, which may pave the way for lncRNA-mediated precision medicine for this malignant disease.
胃癌(GC)是一种极具侵袭性的疾病,是癌症相关死亡的第三大主要原因,在全球范围内构成了巨大的健康负担。化疗通常用于癌症的中晚期,尽管它经常因耐药性而面临治疗失败。因此,研究人员必须确定克服治疗耐药性的潜在靶点,从而促进为晚期GC患者开发新型抗癌药物。长链非编码RNA(lncRNAs)是一类转录本多样、蛋白质编码能力有限的分子,已被确认为调节癌症进展的功能分子,包括GC中的细胞增殖、转移和耐药性。在这篇综述中,我们研究了lncRNAs在GC耐药中作用的复杂分子网络。LncRNAs通过各种分子机制赋予癌细胞对抗癌药物的抗性,因此有望成为GC患者的治疗靶点。此外,我们讨论了癌症治疗中靶向lncRNAs策略的当前进展,这可能为这种恶性疾病的lncRNA介导的精准医学铺平道路。