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Mutant KRAS promotes proliferation and tumorigenesis in several cancers such as colorectal cancer (CRC), pancreatic ductal adenocarcinoma (PDAC), and non–small cell lung cancer (NSCLC). The long noncoding RNAs (lncRNAs) regulate the microRNAs (miRNAs) that further result in the dysregulation of messenger RNAs (mRNAs) in various mutant KRAS‐associated cancers. Although the role and function of the lncRNA axis are not clearly understood, various studies have recently focussed on the evaluation of the lncRNA axis role in various cancers. The lncRNAs CRNDE and SNHG7 are highly expressed in KRAS‐associated colon adenocarcinoma (COAD), a major subtype of CRC, and further regulate the miRNA expression and thus indirectly regulate mRNA expression levels. In the present study, we have utilized various bioinformatics approaches such as differential gene expression (DEG) analysis, survival analysis, immunohistochemistry (IHC) analysis, prediction of RNA–RNA interaction, miRNA and mRNA stability prediction, and binding energy evaluation. Alongside, machine learning (ML)–based screening was also performed to identify potential miRNA inhibitors from natural source using RDKit. From our study, we have observed that CRNDE sponges hsa‐miR‐181a‐5p and downregulates their expression, and the hsa‐miR‐181a‐5p further regulates the expression of CTNNB1 and TCF4 in COAD. Also, in the lncRNA SNHG7 axis, it regulates the hsa‐miR‐216b‐5p expression, and further, the GALNT1 was downregulated by the binding of hsa‐miR‐216b‐5p. Additionally, ML‐based screening revealed some potential inhibitors particularly based on anthraquinone, quinazoline, and sulfonamide scaffolds against hsa‐miR‐216b‐5p and hsa‐miR‐216b‐5p. Thus, we conclude that the lncRNA/miRNA/mRNA axis of CRNDE/hsa‐miR‐181a‐5p/(CTNNB1/TCF4) and SNHG7/hsa‐miR‐216b‐5p/GALNT1 axes as the significant therapeutic target in the mutant KRAS‐associated CRC, and natural compounds have to be studied more in detail and to be developed as miRNA inhibitors. However, our predictions were supported by the evidence of the interaction and regulation of the lncRNA/miRNA/mRNA axis through bioinformatics approaches and ML‐based miRNA inhibitor screening; it has to be studied further in in vitro and in vivo settings in the near future.
Cholangiocarcinoma (CCA) is a malignant tumor that arises within the biliary system, which exhibits a progressively increasing incidence and a poor patient prognosis. A thorough understanding of the molecular pathogenesis that drives the progression of CCA is essential for the development of effective molecular target therapeutic approaches. Ferroptosis is driven by excessive iron accumulation and catalysis, lipid peroxidation and the failure of antioxidant defense systems. Key molecular targets of iron metabolism, lipid metabolism and antioxidant defense systems involve molecules such as transferrin receptor, ACSL4 and GPX4, respectively. Inhibitors of ferroptosis include ferrostatin-1, liproxstatin-1, vitamin E and coenzyme Q10. By contrast, compounds such as erastin, RSL3 and FIN56 have been identified as inducers of ferroptosis. Ferroptosis serves a notable role in the onset and progression of CCA. CCA cells exhibit high sensitivity to ferroptosis and aberrant iron metabolism in these cells increases oxidative stress and iron accumulation. The induction of ferroptosis markedly reduces the ability of CCA cells to proliferate and migrate. Certain ferroptosis agonists, such as RSL3 and erastin, cause lipid peroxide build up and GPX4 inhibition to induce ferroptosis in CCA cells. Current serological markers, such as CA-199, have low specificity and cause difficulties in the diagnosis of CCA. However, novel techniques, such as non-invasive liquid biopsy and assays for oxidative stress markers and double-cortin-like kinase 1, could improve diagnostic accuracy. CCA is primarily treated with surgery and chemotherapy. A close association between the progression of CCA with ferroptosis mechanisms and related regulatory pathways has been demonstrated. Therefore, it could be suggested that multi-targeted therapeutic approaches, such as ferroptosis inducers, iron chelating agents and novel modulators such as YL-939, may improve treatment efficacy. Iron death-related genes, such as GPX4, that are highly expressed in CCA and are associated with a poor prognosis for patients may represent potential prognostic markers for CCA. The present review focused on molecular targets such as p53 and ACSL4, the process of targeted medications in combination with PDT in CCA and the pathways of lipid peroxidation, the Xc − system and GSH-GPX4 in ferroptosis. The present review thus offered novel perspectives to improve the current understanding of CCA.
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