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Gene & Protein in Disease                                                         circRNAs and cancer



            2.5. HCC                                           found a significant association between circRNAs with low

            Increasing evidence in scientific literatures implicate   expression and the development of GBM through ErbB
                                                                                            [69]
            circRNAs in the development and progression of HCC,   and neurotrophin signaling pathways . Besides, common
            leading to a poor prognosis for HCC patients. For example,   expression of  circBRAF  has been identified in glioma
                                                                                         [68]
            in comparison with neighboring normal liver tissue samples,   patients with high-grade tumors . However, circTTBK2
            hsa_circ_0001649 was significantly suppressed in 89 HCC   has a higher expression in glioma tissues. Its effect is induced
            tissue samples. In HCC, its expression was associated with   by impairing miR-217 and elevating HNF1β expression,
            both the size of the tumor and the tumor embolus, and   which subsequently binds to Derlin-1 oncogene, thereby
            knocking down the circRNA increased the mRNA level of   increasing  its  promoter  activity  and upregulating  the
            matrix metallopeptidases (MMPs), promoting the spread   cell proliferation, migration, and apoptotic repression
                                                                                                           [70]
            of HCC . Similar circZKSCAN1 and its linear analog were   by targeting PI3K/Akt and ERK signaling pathways .
                  [61]
            suppressed in HCC tissues. Increased tumor size, cirrhosis,   Similarly, hsa_circ_0000177 also causes an increased
            metastasis, and poor prognosis were linked to reduced   expression of glioma tissues, which is linked to the poor
            expression of  circZKSCAN1. Through several signaling   prognosis of patients. The silenced hsa_circ_0000177 acts
            pathways, the upregulation of circZKSCAN1 and its linear   as a miR-638 sponge to drastically reduce cell growth and
            mRNA can significantly prevent the growth and metastasis   metastasis. This causes the frizzled class receptor 7 (FZD7)
            of HCC . However, high expression of circRHOT1 (hsa_  to  be  upregulated,  further  regulating  Wnt  signaling  and
                  [62]
                                                                                             [71]
            circRNA_102034) in HCC tissue samples is associated   enhancing glioma cell development .  CircMMP9 also
                            [63]
            with poor prognosis . hsa_circ_100084 was more highly   has high expression in glioma cancer. Through  miR-124
            expressed in HCC clinical samples than in samples of   sponging, increased expression of  circMMP9 regulates
            healthy liver tissue. Sponging miR-23a-5p functions as a   CDK4 and Aurora kinase A (AURKA), and glioblastoma
            ceRNA to increase IGF2 expression, enhancing HCC cell   multiforme  cells  are  driven  to  proliferate,  migrate,  and
                                                                    [72]
            proliferation, invasion, and relocation . Recently, Sun   invade . Moreover, circPRKCI is overexpressed in glioma
                                            [64]
            et  al. observed three circRNAs (hsa_circ_0004001, hsa_  tissues  and  significantly  stimulates  miR-545,  inhibiting
                                                                                                           [31]
            circ_0004123, and hsa_circ_0075792) upregulated and   cancer growth, survival, multiplication, and relocation .
            positively correlated with tumor size and TNM stage in the   Similarly, circ_001350 is highly expressed in tissue samples
            blood of HCC patients. The underlying  mechanism was   and cells from glioma patients, and by interacting with
            the regulation of 35 distinct miRNAs by the Akt/mTOR,   miR-1236, it reduces cell growth and metastasis while
                                                                                [73]
            VEG, and Wnt signaling pathways .                  promoting apoptosis . Circ-MAPK4 (hsa_circ_0047688)
                                       [65]
                                                               upregulated and associated with a pathogenic form of
            2.6. Gliomas                                       gliomas, has been shown to impede the apoptosis of glioma
            Gliomas  are  a vast  category of  nervous  system  tumors   cells by acting as a sponge of miR-125a-3p and regulating
                                                                                       [74]
            and one of the most prevalent malignancies with a poor   p38/MAPK signaling pathway .
            prognosis globally. Recent studies have revealed the   2.7. Pancreatic ductal adenocarcinoma (PDAC)
            transcription of circRNAs in mammalian brains and their
            role in the growth and spread of gliomas . A total of 476   More than 85% of cases of pancreatic cancer are caused by
                                            [66]
            circRNAs with differential expression have been found in   PDAC, which is also one of the main causes of death and
                                                                                  [75]
            46 GBM and normal brain tissue samples, among which   poor prognosis globally . Numerous circRNAs that are
            468 circRNAs were more upregulated in normal brain   overexpressed in PDAC have been identified. It is crucial
            tissue than GBM tissues. Furthermore, eight circRNAs,   to find these circRNAs that express differently to better
            including  circCOL1A2,  circPTN,  circVCAN,  circSMO,   comprehend PDAC. In PDAC cancer patient samples, Li
            circPLOD2,  circGLIS3,  circEPHB4, and  circCLIP2,   et al. discovered seven circRNAs using circRNA microarray
            had significantly higher expression in glioblastoma   analysis, of which two had upregulated expression levels and
            multiforme (GBM) samples compared to normal human   the remaining five had downregulated expression levels .
                                                                                                           [76]
            tissues, raising the possibility that they could be used as   A total of 278 circRNAs were differentially expressed in
            biomarkers for the disease . The oncogenic circRNA,   PDAC tissues according to RNA sequencing and circRNA
                                  [67]
            cZNF292, influences the development of tube formation.   expression analysis. Among these, hsa_circ_0007334 was
            By controlling the Wnt/beta-catenin biochemical    strongly upregulated and acts as a ceRNA by binding to
            pathway, the suppression of cZNF292 prevents glioma cell   miR-144-3p and  miR-577, which boosted the expression
            proliferation, progression, and tube formation . Another   and functionality of  MMP7 and collagen type  I alpha 1
                                                 [68]
            study determined differentially expressed (206 upregulated   chain (COL1A1) in PDAC . Likewise, pancreatic cancer
                                                                                    [77]
            and 1205 downregulated) circRNAs in GBM patients and   (PC) tissues  had higher levels of  circLDLRAD3, which

            Volume 1 Issue 2 (2022)                         4                      https://doi.org/10.36922/gpd.v1i2.138
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