2021
DOI: 10.3390/genes12081154
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Circulating microRNAs from the Molecular Mechanisms to Clinical Biomarkers: A Focus on the Clear Cell Renal Cell Carcinoma

Abstract: microRNAs (miRNAs) are emerging as relevant molecules in cancer development and progression. MiRNAs add a post-transcriptional level of control to the regulation of gene expression. The deregulation of miRNA expression results in changing the molecular circuitry in which miRNAs are involved, leading to alterations of cell fate determination. In this review, we describe the miRNAs that are emerging as innovative molecular biomarkers from liquid biopsies, not only for diagnosis, but also for post-surgery managem… Show more

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Cited by 16 publications
(18 citation statements)
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“…Moreover, miRNAs can distinguish between benign and malignant renal tumors, as well as distant metastases and non-metastatic tumors. 104 However, there are still some problems to be solved in the research field of miRNA, such as why do mutation occur in the VHL gene, whether there is uniformity of miRNA expression in patients of different regions. Poor tissue-specific targeting, off-target effects and the low safety also need to overcome if developing miRNA therapy.…”
Section: Discussionmentioning
confidence: 99%
“…Moreover, miRNAs can distinguish between benign and malignant renal tumors, as well as distant metastases and non-metastatic tumors. 104 However, there are still some problems to be solved in the research field of miRNA, such as why do mutation occur in the VHL gene, whether there is uniformity of miRNA expression in patients of different regions. Poor tissue-specific targeting, off-target effects and the low safety also need to overcome if developing miRNA therapy.…”
Section: Discussionmentioning
confidence: 99%
“…Consequently, miR-223 plays a significant role in cancers, such as gastric, hepatocellular, ovarian, lung, and esophageal cancers [ 25 , 26 ]. miR-223 downregulation is correlated with the development of chronic lymphocytic leukemia and primary small cell lung cancer (SCLC) [ 26 , 27 ] while its upregulation is associated with ovarian and colorectal cancers. In particular, miR-223 is regarded as a possible biomarker in recurrent ovarian cancer.…”
Section: Mir-223 and Cancermentioning
confidence: 99%
“…For future diagnostic strategies, miR-223 expression can be used to distinguish carcinomas from noncancerous lesions. microRNA-223 can also be considered a therapeutic target for cancer treatment [ 27 ] ( Figure 1 ).…”
Section: Mir-223 and Cancermentioning
confidence: 99%
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“…Among them, kidney renal clear cell carcinoma (KIRC) is the most common subtype (accounting for 70–80% of all RCC cases), and it is also one of the most aggressive subtypes with the worst prognosis ( Linehan, 2012 ; Vuong et al, 2019 ). These tumors are asymptomatic in the early stages of the disease and are usually diagnosed by complications of distant metastasis in the later stages ( Hsieh et al, 2017 ; Tito et al, 2021 ), 60% of patients with renal clear cell carcinoma die within 1–2 years after diagnosis, and 30% of patients have distant metastases at the time of diagnosis ( Casuscelli et al, 2019 ). Treatment of KIRC can be partial or radical nephrectomy, ablation therapy, and active monitoring of KIRC, while metastatic tumors are treated with therapeutic action, but the overall prognosis is still limited, and immune-related adverse events still need to be improved ( Choueiri and Motzer, 2017 ; Loo et al, 2019 ; Hofmann et al, 2020 ; Rizzo et al, 2021 ).…”
Section: Instructionmentioning
confidence: 99%