“…Aberrant activation of oncogenes (eg, COPS3, PIK3CA, CARD11, MYC) and inactivation of tumour suppressor genes (eg, TP53, RB1, ATRX, DLG2, BRCA1/2) by somatic mutations and epigenetic mechanisms play a pivotal pathogenic role in osteosarcoma. [26][27][28][29][30][31][32][33][34][35][36][37] Aside from alterations in these protein-coding genes, it has now been realized that dysregulation of non-coding RNAs (ncRNAs), including microR-NAs (miRNAs), long non-coding RNAs (lncRNAs) and the recently discovered circular RNAs (circRNAs), is crucial to the initiation and progression of osteosarcoma. 2,[38][39][40][41][42][43][44][45][46] CircRNAs are single-stranded RNAs that form covalently closed loops and function as an important regulatory element of the genome through multiple machineries, including transcription regulation, modulation of alternative splicing, sponging of miRNAs and direct interactions with RNA-binding proteins.…”