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Cancer-associated nucleic acids

Molecular classification
Nucleic acid, DNA, RNA, Noncoding RNA, Cell-free nucleic acid, Epigenetic marker, Other
01

Overview

Cancer-associated nucleic acids comprise altered or aberrantly regulated DNA and RNA molecules—such as mutated oncogenes, silenced tumor suppressor genes, abnormal methylation patterns, noncoding RNAs, and cell-free nucleic acid fragments—identified in cancer cells and, sometimes, in bodily fluids. These molecules influence **cancer initiation**, **progression**, and **metastasis** by modifying gene expression, epigenetic regulation, apoptosis, proliferation, and the tumor microenvironment[4][2][6]. They serve as **biomarkers** for cancer detection (e.g., ctDNA, cell-free RNA) and as **therapeutic targets** (e.g., targeting oncogenic RNAs, DNA modifications with drugs). However, "cancer-associated nucleic acids" is not a specific therapeutic target (like a receptor or an enzyme) but a molecular class or functional category, encompassing various disease-related molecular entities rather than one canonical target[4][2][6]. Thus, this term is likely incorrect for structured target databases requiring discrete molecules or receptors.

Other names
Cancer-specific nucleic acidsCirculating cancer DNA (ctDNA)Cancer-associated RNACancer-associated noncoding RNACancer-associated cell-free nucleic acidsOncogenic nucleic acids
02

Mechanism of action

Inhibition of gene expression; Disruption of oncogenic RNA/DNA structures; Restoration of tumor suppressor gene/protein function; Promotion or inhibition of apoptosis via nucleic acid binding or cleavage; Epigenetic reprogramming

03

Biological functions

Gene regulationEpigenetic modificationSignal transductionCell proliferationApoptosisDrug resistanceTumor microenvironment modulationBiomarker functionOther
04

Disease associations

CancerCancer diagnosisCancer prognosisCancer therapy monitoringOther
05

Safety considerations

Off-target effects of nucleic acid-targeted therapiesImmune activation (e.g., unintended triggering of innate immunity)Delivery challenges for nucleic acid drugsStability and degradation of nucleic acid therapeuticsResistance due to genetic plasticity of cancer nucleic acids
06

Interacting drugs

Antisense oligonucleotides

5 more in the full profile.

07

Biomarkers

Circulating tumor DNA (ctDNA)[4]Cell-free RNA, including miRNA and circRNA[7]Methylated DNA fragmentsAlternative splicing variants (e.g., MAP3K7)[3]Specific noncoding RNAs (e.g., lncRNA, tRNA fragments)[4]Nucleic acid modifications (methylation signatures)[6]Aberrant glycosylated nucleases (e.g., RNaseI)[5]

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