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Page 8 of 13                   Zeng et al. Cancer Drug Resist 2024;7:31  https://dx.doi.org/10.20517/cdr.2024.57

               Table 2. circRNAs involvement in chemotherapy resistance of HNSCC
                circRNA  Tumor Expression Functions                                          Targets  Ref.
                circCRIM1  NPC  Upregulation Promote metastasis of NPC and resistance to docetaxel chemotherapy  miR-422a  [87]
                circ-0008450   Upregulation Promotes NPC cisplatin resistance                miR-338-3p [88]
                circIPO7       Upregulation Promotes NPC cells to resist DNA damage triggered by cisplatin  YBX1  [89]
                circ-0067717   Upregulation Promote taxol resistance in NPC                  TRIM41; p53 [90]
                circPARD3      Upregulation Promote the dryness and cisplatin resistance of NPC  miR-579-3p [91]
                circ-0028007   Upregulation Decreased sensitivity of NPC to paclitaxel/cisplatin  \   [92]
                circNRIP1      Upregulation Promote NPC drug resistance                      miR-515-5p  [93]
                circSETD3      Upregulation Promotes NPC cisplatin resistance                miR-147a  [34]
                circPGM1  LSCC  \       Promote cisplatin resistance in LSCC cells           miR-376a  [94]
                circPARD3      Upregulation Promote the proliferation, migration, invasion and chemotherapy resistance of LSCC miR-145-5p  [68]
                circ-0004507   Upregulation Reduce the sensitivity of LSCC to cisplatin chemotherapy  miR-873  [95]
                circ-0005033   Upregulation Promote proliferation, invasion, migration and cisplatin resistance of LSCC  miR-107  [70]
                circ-ILF2  OSCC  Upregulation Promote OSCC of cisplatin resistance cell carcinoma  miR-1252  [96]
                circAP1M2      Upregulation Promotes autophagy associated cisplatin resistance in OSCC  miR-1249-3p [97]
                circ-0109291   Upregulation Promote the proliferation and cisplatin resistance of intracavitary squamous cell   miR-188-3p  [98]
                                        cells
                circANKS1B     Upregulation Promote the growth and drug resistance of intracavitary squamous cell carcinoma  TGF-β1  [99]
                circPKD2       Upregulation Promoting cisplatin sensitivity in OSCC          miR-646  [49]

               circRNAs: Circular RNAs; HNSCC: head and neck squamous cell carcinoma; NPC: nasopharyngeal carcinoma; LSCC: laryngeal squamous cell
               carcinoma; OSCC: oral squamous cell carcinoma.


               circRNAs and chemoresistance in oralsquamous cell carcinoma
               Some circRNAs show significant differential expression between chemotherapy-resistant OSCC patients
               and corresponding normal tissues. Wu et al. discovered that circILF2 is overexpressed in cisplatin-resistant
               OSCC cells . As a miRNA sponge for miR-1252, circ-ILF2 inhibits miR-1252 expression. miR-1252
                         [96]
               regulates the expression of Krüppel-like factor 8 (KLF8), which functions on proliferation, drug resistance,
               and inflammation of OSCC, thereby promoting cisplatin resistance . The researchers identified
                                                                              [96]
               circAP1M2 (hsa-circ-0049282) as a miR-1249-3p sponge, inhibiting autophagy-related protein 9A (9A)
               expression. circAP1M2 activates autophagy associated with ATG9A, thereby promoting cisplatin resistance
                       [97]
               in OSCC . circ-0109291 is also overexpressed in cisplatin-resistant OSCC and promotes proliferation and
               cisplatin resistance of OSCC cells through the miR-188-3p/ABCB1 axis . The circRNA circANKS1B (circ-
                                                                           [98]
               0007294), originating from exons 5 to 8 of the ANKS1B gene, is positively associated with the expression of
               transforming growth factor-β1 (TGF-β1) in OSCC tissues. circANKS1B facilitates the growth and resistance
               of OSCC by stimulating the TGF-β signaling pathway in oral cancer cells . circPKD2 is significantly
                                                                                 [99]
               upregulated in cisplatin-treated OSCC and acts as a miR-646 sponge in OSCC cells. By inhibiting miR-646,
               circPKD2 promotes the expression of autophagy-related protein 13 (ATG13), leading to the accumulation
                                                                                           [49]
               of autophagic vesicles in cisplatin-treated OSCC cells and enhancing sensitivity to cisplatin  [Table 2].
               In conclusion, circRNAs have emerged as promising biomarkers for various cancers, including NPC,
               OSCC, and LSCC. Their dysregulation affects the development and progression of these malignancies. By
               further investigating the functional roles and underlying mechanisms of circRNAs in these cancers, we can
               potentially discover new diagnostic and therapeutic targets. Therefore, circRNAs have significant potential
               for enhancing the management and prognosis of patients with NPC, OSCC, and LSCC. Further research in
               this area is necessary to fully comprehend circRNAs’ clinical implications and therapeutic uses in these
               specific cancer types.
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