Circular RNAs modulate cancer drug resistance: advances and challenges

Jinghan Hua , Zhe Wang , Xiaoxun Cheng , Jiaojiao Dai , Ping Zhao

Cancer Drug Resistance ›› 2025, Vol. 8 : 17

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Cancer Drug Resistance ›› 2025, Vol. 8 :17 DOI: 10.20517/cdr.2024.195
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Circular RNAs modulate cancer drug resistance: advances and challenges

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Abstract

Acquired drug resistance is a main factor contributing to cancer therapy failure and high cancer mortality, highlighting the necessity to develop novel intervention targets. Circular RNAs (circRNAs), an abundant class of RNA molecules with a closed loop structure, possess characteristics including high stability, which provide unique advantages in clinical application. Growing evidence indicates that aberrantly expressed circRNAs are associated with resistance against various cancer treatments, including targeted therapy, chemotherapy, radiotherapy, and immunotherapy. Therefore, targeting these aberrant circRNAs may offer a strategy to improve the efficiency of cancer therapy. Herein, we present a summary of the most recently studied circRNAs and their regulatory roles on cancer drug resistance. With the advances in artificial intelligence (AI)-based bioinformatics algorithms, circRNAs could emerge as promising biomarkers and intervention targets in cancer therapy.

Keywords

Drug resistance / CircRNAs / cancer therapy / biomarkers / AI-based bioinformatics algorithms

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Jinghan Hua, Zhe Wang, Xiaoxun Cheng, Jiaojiao Dai, Ping Zhao. Circular RNAs modulate cancer drug resistance: advances and challenges. Cancer Drug Resistance, 2025, 8: 17 DOI:10.20517/cdr.2024.195

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