MicroRNAs: Multifaceted Regulators of Colorectal Cancer Metastasis and Clinical Applications

Onco Targets Ther. 2020 Oct 27:13:10851-10866. doi: 10.2147/OTT.S265580. eCollection 2020.

Abstract

Colorectal cancer (CRC) is the third-commonest malignant cancer, and its metastasis is the major reason for cancer-related death. The process of metastasis is highly coordinated and involves a complex cascade of multiple steps. In recent years, miRNAs, as highly conserved, endogenous, noncoding, single-stranded RNA, has been confirmed to be involved in the development of various cancers. Considering that miRNA is also involved in a series of biological behaviors, regulating CRC occurrence and development, we review and summarize the role of miRNAs and related signaling pathways in several CRC-metastasis stages, including invasion and migration, mobility, metabolism, epithelial-mesenchymal transition, tumor-microenvironment communication, angiogenesis, anoikis, premetastatic-niche formation, and cancer stemness. In addition, we review the application of miRNAs as diagnostic CRC markers and in clinical treatment resistance. This review can contribute to understanding of the mechanism of miRNAs in CRC progression and provide a theoretical basis for clinical CRC treatment.

Keywords: colorectal cancer; invasion; metastasis; miRNA; migration; stemness.

Publication types

  • Review

Grants and funding

This work was supported by the Natural Science Foundation of Jiangxi Province, China.