Review

Friend or foe: the role of microRNA in chemotherapy resistance

Haoran Li, Burton B Yang
DOI: 10.1038/aps.2013.35

Abstract

Haoran LI1, 2, Burton B YANG1, 2, *
1Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto; 2Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Canada

Chemotherapy has been widely used in treating cancer patients. Despite the tremendous progress in cancer treatment achieved during the last decades, drug resistance still accounts for most of the tumor relapses in chemotherapy-treated patients. Emerging evidence shows that microRNAs play an important role in regulating the drug sensitivity of tumor cells. However, the mechanism of microRNA-mediated drug resistance is not fully understood. Current data suggest that microRNAs can be categorized as oncogenic or tumor-suppressive based on their functions and targets. In tumor cells undergoing drug treatment, microRNAs can function either by decreasing expression of genes associated with multiple drug resistance or by promoting escape from apoptosis and inducing tumor stem cell development. This review aims to provide an updated understanding of the role of microRNAs in regulating chemotherapy resistance and a discussion of potential therapeutic applications.


Keywords: cancer; chemotherapy; miRNA; stem cell; miR-17; stress response; drug resistance

The authors thank Mr Shaan GUPTA for preparation of the article. Our studies were supported by grants from the Canadian Institutes of Health Research (MOP-102635, MOP-111171) and the Natural Sciences and Engineering Research Council of Canada (NSERC, 227937-2012) to BBY, who is the recipient of a Career Investigator Award (CI 7418) from the Heart and Stroke Foundation of Ontario. HL is a recipient of the Connaught International Student Award.
* To whom correspondence should be addressed.
E-mail byang@sri.utoronto.ca
Received 2013-02-25 Accepted 2013-03-12
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