Long noncoding RNAs (lncRNAs) are the largest groups of ribonucleic acids, but, despite the increasing amount of literature data, the least understood. Given the involvement of lncRNA in basic cellular processes, especially in the regulation of transcription, the role of these noncoding molecules seems to be of great importance for the proper functioning of the organism. Studies have shown a relationship between disturbed lncRNA expression and the pathogenesis of many diseases, including cancer.
lncRNA affects the transcription process directly, acting as an enhancer, by “stopping” transcription factors, and by affecting chromatin looping and gene methylation (using epigenetic complexes such as PCR2) [21][9].
The characteristics of long noncoded RNA described above—such as tissue or cellular specificity and the regulation of gene expression at the transcriptional and post-transcriptional levels—indicate that lncRNAs may be important in the formation of malignant tumors. Studies have shown that lncRNAs affect the pathways of division, growth, and cell differentiation, and are also involved in cellular death processes [21,22][9][11]. Modifications to these processes may lead to carcinogenesis [22][11]. Moreover, some lncRNAs are regulated by oncogene products or cancer transformation suppressors, which means that they are believed to indirectly perform tumorigenic functions (Table 1) [22][11].
lncRNA | Genomic Location | Expression in Patients | Function in Tumorigenesis |
---|---|---|---|
PCGEM1 | 2q32.2 | Increased in prostate cancer | oncogene |
MALAT1 | 11q13.1 | Increased in colon, lung, and liver cancers | oncogene |
MEG3 | 14q32.2 | Down-regulated in multiple cancers | tumor suppressor |
HOTAIR | 12q13.13 | Increased in primary breast tumors and metastases, GIST, and pancreatic cancers |
oncogene |
The first observed transcripts of altered expression in the tissue of a malignant tumor—prostate cancer—were PCA3 and PCGEM1. PCA3 currently functions as a cancer marker [22][11]. The previously mentioned MALAT1 was also discovered in cancerous tissue as one of the first lncRNAs. Of prognostic significance, its altered expression was discovered in the tissues of lung cancer [24][12]. It is now known that altered expression of this transcript occurs in many cancers, which may indicate its importance in the process of cellular proliferation [25][13].
DNA damage, a specific accumulation of which is observed in cancer cells, causes activation of the transcription factor p53. This factor, depending on the degree of DNA damage, induces apoptosis or halts the cell cycle for the duration of repair. One element of the proapoptotic pathway or the suspension of cell division is an increase in lncRNA transcription through the p53 factor. The resulting transcripts are involved in the regulation of these pathways and thus modulate responses to cellular stress [22,26,27][11][14][15]. On the other hand, some lncRNAs affect p53 function by interacting with the gene enhancers of this protein [28][16]. Finally, the MEG3 transcript—a reduced expression of which has been found in many malignancies [22][11]—activates factor p53 itself [26,29][14][17]. There are also many lncRNA genes in the region that, like the MYC oncogene, are translated more intensively [22][11]. Some of these lncRNAs regulate expression of the MYC gene in a cis manner [22][11]. On the other hand, expression of lncRNAs from the described region, involved in repression of the genes regulating the cell cycle according to MYC, is modified by the aforementioned proto-oncogene [22,30,31][11][18][19]. Studies have shown that the expression of oncogene and tumor transformation suppressors in malignant tumor tissues is increased and decreased, respectively [32][20]. This suggests that the interaction between lncRNAs and oncogenes or tumor suppressors is an important mechanism that contributes to the initiation of carcinogenesis. Another important mechanism seems to be the effect of lncRNAs on chromatin-modulating complexes through epigenetic changes, as an accumulation of epigenetic DNA modifications is very common in malignant tumors [33][21]. Long noncoding RNA can also affect cell homeostasis by post-transcriptional regulation; mRNA splicing, processing, and translation; or post-translational protein modification [22][11]. In addition, it has an impact on mRNA by binding microRNAs, reducing the amount of free short RNA and thereby reducing their impact on encoding transcripts [22][11]. The proper functioning of the cell is conditioned by the balance of metabolic processes. Studies show that lncRNAs are involved in the basic pathways of cellular metabolism, including in cancer cells, e.g., in the production of ATP under hypoxic conditions via HIF-1alpha factor or the Warburg effect [26][14]. A characteristic feature of malignant tumors is the ability to bypass immune control. Reports indicate that lncRNAs are involved in regulating the immune response by modifying the activity of immunocompetent cells [38][22]. For this reason, lncRNAs appear likely to be involved in the formation of immunomicelles of malignant tumors, even improving their defenses against the immune system [26,39][14][23]. It was mentioned above that overexpression of the HOTAIR transcript, which connects to the PCR2 complex, contributes to the formation of metastasis. Long noncoding RNAs also support the metastatic process by participating in epithelial–mesenchymal transition (EMT), as well as in signaling pathways associated with the activation of cancer stem cells [26][14].