“…So far, a lot of work has demonstrated that microRNAs (miRNAs) acted as regulators of P-gp gene expression in various cancer types and played an important role in reversing MDR. − MiRNAs served as a kind of endogenous single-stranded RNA molecules, which are corrected with the progresses of cytodifferentiation, proliferation, apoptosis, and antiviral defense of cancer. , Recently, it has been reported that regulation of miRNA expression exerted essential roles in inhibiting tumor progression and invasion. , MiRNAs could also have a significant effect on the sensitivity of tumor cells to chemotherapeutic drugs . Among them, microRNA-21 (miR-21), an important crucial oncogenic miRNA, has the advantage of promoting cell invasion by regulating various genes, including the programmed cell death 4 (PDCD4) gene, tissue inhibitor of metallopeptidase inhibitor 3 (TIMP3), phosphatase, and tensin homologue (PTEN) gene in a variety of tumors, such as lung cancer, glioblastoma, and breast cancer. , Recent studies have reported that the expression level of PTEN was related to miR-21, which facilitated the activation of the phosphatidylinositol 3-kinase (PI3K)/Akt pathway by restraining PTEN, − while the high activity of Akt and its downstream factors induced insensitivity of drug-resistant cells to chemotherapy drugs. , As aforementioned, the sensitivity of cells to chemotherapeutic drugs may be increased by the miRNA-21 inhibitor (anti-miR-21).…”