Elsevier

Clinica Chimica Acta

Volume 503, April 2020, Pages 151-156
Clinica Chimica Acta

Review
Long non-coding RNA TP73-AS1 in cancers

https://doi.org/10.1016/j.cca.2019.12.025Get rights and content

Highlights

Abstract

More and more evidence indicates that long non-coding RNAs (lncRNAs), as a kind of non-coding endogenous single-stranded RNA, play an essential role as oncogenes or tumour suppressors in the occurrence and development of human cancers. The tumour protein P73 antisense RNA 1 (TP73-AS1) was initially found to be down-regulated in oligodendroglioma and may act as a non-protein-encoding RNA. Since its discovery, TP73-AS1 has been identified as a carcinogenic regulator of many malignancies. At the same time, the high expression of TP73-AS1 is related to the clinicopathological features of patients with cancer. It also regulates cell proliferation, anti-apoptosis, invasion and metastasis through a variety of potential mechanisms, suggesting that it may be a promising biomarker and therapeutic target for cancer. In this review, we summarize the biological functions, mechanisms, and potential clinical implications of TP73-AS1 dysregulation in tumourigenesis and progression.

Introduction

Worldwide, cancer is a major cause of high mortality and disability, causing great personal suffering and social or economic burden [1]. Although conventional surgical treatment, chemotherapy and radiotherapy can improve the quality of patients life, they often have limited therapeutic effects [2]. Therefore, the exploration of molecular markers and therapeutic targets is vital for the early diagnosis of cancer.

Long non-coding RNAs (lncRNAs) are transcripts that are more than 200 nucleotides in length and are mediated by RNA polymerase II without protein-encoding ability [3], [4]. They play a vital role in a variety of biological processes by regulating chromatin organization, transcriptional regulation and post-transcriptional regulation [5], [6]. Meanwhile, in human cancers, more and more evidence shows that the abnormal expression of lncRNAs is related to the occurrence, progression, metastasis and prognosis of various tumours, which may be used as biomarkers for cancer diagnosis and prognosis [7], [8], [9].

The tumour protein P73 antisense RNA 1 (TP73-AS1) is an lncRNA located at 1p36.32, and is also known as p53-dependent apoptosis modulator (PDAM) or KIAA0495. The tumour protein P73, a member of the p53 tumour suppressor family, regulates many biological processes, such as cell cycle arrest, apoptosis, neurogenesis, cancer and metabolism, and is the major oncogene responsible for human cancer development and chemotherapy resistance [10]. In 2010, it was first demonstrated that PDAM is down-regulated in oligodendrogliomas, and that chromosome 1p loss and epigenetic modification are the main mechanisms of down-regulation and may act as non-protein-encoding RNAs [11]. Since that revelation, research on TP73-AS1 in human cancer has gradually increased. In recent years, there has been increasing evidence that TP73-AS1 is abnormally expressed in human multisystem cancers (see Fig. 1), including hepatocellular carcinoma [12], glioma [13], bladder cancer [14], breast cancer [15], Osteosarcoma [16], cervical cancer [17]. In addition, TP73-AS1 is also involved in the regulation of cancer cell proliferation, apoptosis, migration and invasion processes. In this review, we summarize the role of TP73-AS1 expression dysregulation in the development and progression of multisystem cancer, related mechanisms (Fig. 2), and potential clinical implications (see Table 1, Table 2).

Section snippets

TP73-AS1 in digestive cancers

Digestive cancer is the most common cause of cancer deaths worldwide. Despite significant advances in treatment, advanced diagnosis, disease recurrence and resistance to treatment remain major challenges. Studies found that TP73-AS1 is a novel lncRNA involved in the development and progression of various digestive system tumours.

TP73-AS1 in genitourinary cancers

The treatment of genitourinary malignancies has undergone tremendous changes, and the exploration of new targets is even more important. Recent studies have found that TP73-AS1 plays an important role in the development and progression of cervical cancer, ovarian cancer, renal cell carcinoma and bladder cancer.

TP73-AS1 in Central nervous system (CNS) tumours

Central nervous system (CNS) tumours are a common solid tumour and are the leading cause of cancer-related death. Although progress has been made in CNS tumour biology in recent years, progress in prognosis and treatment has not been sufficient. Recently, several studies have shown that TP73-AS1 aberrant expression is associated with the development and progression of central nervous system (CNS) tumours.

Lung cancer

TP73-AS1 is upregulated in non-small cell lung cancer tissues and cells (SK-MES-1, Calu-3, A549, H460) and is associated with poor tumor prognosis compared to adjacent non-tumour tissues and normal human bronchial epithelial cells. Studies have shown that high expression of TP73-AS1 is a risk factor for tumour lymph node metastasis, tumour size, TNM stage, and short overall survival. In vitro experiments that knockdown the expression of TP73-AS1 found that NSCLC cells were significantly

Mechanisms of TP73-AS1 in human cancers

A growing body of research suggests that lncRNAs by directly or indirectly interact with other RNAs, genomic DNA, or protein to exert its function. However, at present, the mechanism of TP73-AS1 in tumourigenesis and progression is not very clear. We will focus on some relevant mechanisms.

TP73-AS1 serves as a promising target for cancer therapy

In recent years, gene therapy has been greatly developed. Because of its flexibility, efficiency and reduced off-target effects, it will improve the treatment of a variety of genetic diseases and cancers [45]. As described above, the biological function and clinical significance of TP73-AS1 in cancers have provided an opportunity to serve as a target for cancer therapy. In addition, due to radioresistance and drug resistance, the prognosis is limited to a certain extent. Multiple studies have

Conclusion and perspectives

A large body of evidence indicates that dysregulated lncRNAs are the potential oncogene or tumour suppressor gene and might be involved with tumourigenesis. As a new lncRNA, TP73-AS1 is widely overexpressed in many tumours. At the same time, TP73-AS1 is associated with clinical pathological features such as tumour stage, lymph node metastasis, and survival of patients with tumour. As a tumour promoter, TP73-AS1 participates in the regulation of cell biological functions through complex

Declaration of Competing Interest

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Acknowledgements

The article was completed under the guidance of Professor,Hai-Hong.Zhang and Dr. Chao-Yang.Gong.

Funding

This work was supported by the National Natural Science Foundation of China [grant number 31960175]; research foundation from the Second Hospital of Lanzhou University (sdkyjj-04).

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