Gliomas are aggressive glial cell tumors that are nearly impossible to treat successfully, yielding strikingly low survival rates for patients. Glioblastomas, the most severe type of gliomas, have even poorer prognoses. In the past decade, new literature has shown that H19, a long non-coding RNA (lncRNA), is not only highly expressed in human gliomas, but that it plays several important roles in glioma progression and can even impede certain treatment measures. H19 directly and indirectly promotes several features of glioma cells including their survival, growth, migration, invasion, metastasis – essentially every stage of glioma development – and even stemness. Simply knocking down H19, in vitro, hampered every single one of these features to some degree. High H19 levels have also been linked to a lack of response to temozolomide and radiation treatments, two of the main therapeutic methods currently used to target gliomas. In vivo observations also followed this pattern of high H19 levels correlating with glioma tumorigenicity. So far, due to the accumulation of such findings, H19 has already become valued as both a prognostic and theragnostic marker. However, having seen how damaging H19 knockdown is to gliomas, there is no reason the role of H19 should be limited to that of an indicator; rather, the proto-oncogenic lncRNA should be viewed as a potential therapeutic target. Moreover, given that high H19 expression is an attribute unique to the human embryo stage, any instances of upregulation are typically oncogenic in nature, making H19 an ideal target for cancer therapy. Thus, targeting H19 in glioma patients should be integrated into existing treatment plans as this will obstruct glioma
tumorigenesis, improve responsiveness to other therapies, and is not likely to impede normal biological functions.
| Identifer | oai:union.ndltd.org:bu.edu/oai:open.bu.edu:2144/48371 |
| Date | 08 March 2024 |
| Creators | Roy, Suhita |
| Contributors | Franzblau, Carl, Allison, Lizabeth |
| Source Sets | Boston University |
| Language | en_US |
| Detected Language | English |
| Type | Thesis/Dissertation |
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