Abstract

Glioblastoma is the most aggressive and lethal primary brain malignancy, with an average patient survival from diagnosis of 14 months. Glioblastoma also usually progresses as a more invasive phenotype after initial treatment. A major step forward in our understanding of the nature of glioblastoma was achieved with large-scale expression analysis. However, due to genomic complexity and heterogeneity, transcriptomics alone is not enough to define the glioblastoma “fingerprint”, so epigenetic mechanisms are being examined, including the noncoding genome. On the basis of their tissue specificity, long noncoding RNAs (lncRNAs) are being explored as new diagnostic and therapeutic targets. In addition, growing evidence indicates that lncRNAs have various roles in resistance to glioblastoma therapies (e.g., MALAT1, H19) and in glioblastoma progression (e.g., CRNDE, HOTAIRM1, ASLNC22381, ASLNC20819). Investigations have also focused on the prognostic value of lncRNAs, as well as the definition of the molecular signatures of glioma, to provide more precise tumor classification. This review discusses the potential that lncRNAs hold for the development of novel diagnostic and, hopefully, therapeutic targets that can contribute to prolonged survival and improved quality of life for patients with glioblastoma.

Highlights

  • Glioblastoma is the most aggressive and lethal primary brain malignancy, with an average patient survival from diagnosis of 14 months

  • Growing evidence indicates that long noncoding RNAs (lncRNAs) have various roles in resistance to glioblastoma therapies (e.g., MALAT1, H19) and in glioblastoma progression (e.g., Colorectal Neoplasia Differentially Expressed (CRNDE), HOTAIRM1, ASLNC22381, ASLNC20819)

  • This review discusses the potential that lncRNAs hold for the development of novel diagnostic and, hopefully, therapeutic targets that can contribute to prolonged survival and improved quality of life for patients with glioblastoma

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Summary

The Noncoding Genome

About 2% of the transcribed human genome is composed of protein-coding transcripts, which defines the vast majority of transcripts as non(-protein)-coding RNAs (ncRNAs) [1,2]. It was previously thought that ncRNAs are “transcriptional noise”, it has become apparent that they are involved in different biological and pathological processes [3]. ncRNAs are broadly classified as housekeeping ncRNAs or as those that are ubiquitously expressed in cells and are necessary for vital functions (e.g., transfer RNAs, ribosomal RNA, spliceosome RNA) or are regulatory or selectively expressed at specific developmental stages in certain tissues or in disease (e.g., small ncRNAs, long ncRNAs (lncRNAs), microRNAs) [2]

Small Noncoding RNAs
Long Noncoding RNAs
Glioblastoma
Long Noncoding RNAs and Their Relationship to Glioblastoma
Long Noncoding RNAs in Glioblastoma Subclassification and Patient Prognosis
HOTAIR
Temozolomide and Resistance
Immune-Related Long Noncoding RNAs
Glioma Initiation
Glioma Progression
Findings
Conclusions
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