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Page 8 of 14                       Santoni et al. J Cancer Metastasis Treat 2020;6:22  I  http://dx.doi.org/10.20517/2394-4722.2020.49

               Table 2. Long non-coding RNA and long intergenic non-coding RNA interacting with p21 Cip1  pathway in glioma
                Lnc/LincRNA                 Mechanism/s                   Cell functions          Ref.
                SNHG3                 Epigenetic p21/KLE2 repression  Proliferation ↑ apoptosis ↓  [60]
                RP11-732M18.3         Binding to 14.3.3 b/a         Cell growth ↑                 [57]
                SNHG16                Caspase 3/9 reduction         Proliferation and apoptosis ↑  [59]
                SNHG20                p21 Cip1  silencing           Proliferation ↑               [71]
                PTENP1                SHG44 reduction               Proliferation and metastasis ↓  [62]
                FAH83H-AS1            Epigenetic p21 Cip1  silencing  Poor prognosis ↑            [70]
                SNH6                  ND                            Proliferation ↓               [61]
                LOC441208             Binding to b-catenin          Cellgrowth ↑                  [58]
                p21 Cip1              Reduced HIF-1 autophagy       Radiosensitivity ↑            [69]
                p21 Cip1              HuR upregulation              Stemness and radioresistance ↓  [51]
                p21 Cip1              Binding to hnRNP-K            Apoptosis ↑                   [64]
                ASEN                  Binding to UPF1               Senescence ↓                  [72]
                p21 Cip1              CRF/CRFR1                     Proliferation and invasion ↑  [73]
               ↑: increase; ↓: decrease; KLE2: condensin-2 complex subunit kle-2; HIF-1: hypoxic inducible factor 1; HuR: Hu-antigen R; hnRNP-K:
               heterogeneous nuclear ribonucleoprotein K; UPF1: up-frameshift suppressor 1 homolog; CFR: corticotropin-releasing factor; CRFR1: CRF
               receptor 1

               development and progression. Long intergenic noncoding RNAs (LincRNAs) are long RNA transcripts
               which control cell differentiation and maintenance of cell identity. All of the above have recently been
               found to be altered in various cancer types [Table 2] . LncRNAs have been recognized as regulators
                                                              [52]
               involved in different steps of the tumorigenic process. In gliomas, the functions of most LncRNAs are not
               well known, and the mechanisms controlling the proliferation, invasion, angiogenesis, radiosensitivity or
                                                                 [53]
               radioresistence, and GBM stemness remain poorly defined . While many LncRNAs have been identified,
               only a few have been functionally described in gliomas Moreover, CSC regulation by LncRNA following
               radiotherapy and the relationship between LncRNA and tumor spreading and radioresistance have been
                      [54]
               reported .

               Recent studies have evidenced that LncRNAs control the transcription of genes involved in DNA Damage
               Response (DDR), the latter of which is strictly associated with radiosensitivity and repair capacity [55,56] .
               The majority of LncRNAs are overexpressed in tumor cells, hence their inhibition might represent a new
               therapeutic target for glioma treatment.

               Among LncRNA, RP11-732M18.3 is highly overexpressed in glioma cells and functions as an oncogene by
               interacting with 14-3-3β/α to promote glioma growth .
                                                             [57]
               Its overexpression has been associated with the proliferation of glioma cells and tumor growth both in vitro
               and in vivo. LncRNA RP11-732M18.3 stimulates the G1/S cell cycle transition and cell proliferation. It has
               been found that interaction of LncRNA RP11-732M18.3 with 14-3-3β/α increases the degradation of the
                  Cip1
               p21  protein. In fact, by promoting the recruitment of ubiquitin-conjugating enzyme E2 E1 (UBE2E1)
               to 14-3-3β/α and with the binding of 14-3-3β/α with UBE2E1, LncRNA RP11-732M18.3 stimulates the
               degradation of p21 Cip1[57] . Similarly, LOC441204-LncRNA, has been shown to be upregulated in glioma cell
               lines. It promotes tumor cell growth by stabilizing the β-catenin pathway. LOC441204 can bind to β-catenin
                                                                      Cip1
               and prevent its degradation, thus resulting in downstream p21  repression and cdk4 activation that in
               turn enhances glioma cell proliferation. The LOC441204 knockdown suppressed tumor cell proliferation of
                             [58]
               glioma cell lines .

               The expression of the small nucleolar RNA host gene 16, SNHG16-LncRNA was upregulated in gliomas.
               Knockdown of SNHG16 is associated with high p21 Cip1  expression, poor proliferation and increased
               apoptosis. Lnc-SNHG16 was shown to inhibit p21 Cip1  expression and caspase 3/9 activation, while
               increasing cyclinD1/B1 expression . The SHNG3 upregulation in glioma promoted cell proliferation,
                                              [59]
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