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Cancer susceptibility 20 (non-protein coding) (CASC20)

Target
CASC20
Molecular classification
Long non-coding RNA (lncRNA)
01

Overview

Cancer susceptibility 20 (non-protein coding), abbreviated as CASC20, is a long non-coding RNA (lncRNA) gene located on chromosome 20p12.3. It does not encode a protein but regulates cellular processes through modulation of microRNAs and gene expression. CASC20 is upregulated in several pathophysiological contexts, most notably in gastric cancer, where it acts as an oncogene promoting proliferation, migration, invasion, and metastasis by sponging microRNAs such as miR-143-5p and influencing downstream targets like MEMO1[2][7]. CASC20 is implicated in bone biology, particularly being strongly associated with osteogenesis, chondrogenesis, and heterotopic ossification after injury or surgery[1]. Diseases linked to dysregulation of CASC20 include gastric cancer, calcific tendinitis, and heterotopic ossification[5]. CASC20 may serve as a biomarker for prognosis and disease severity in these conditions, but no approved drugs are known to target it directly, and its therapeutic tractability remains under investigation[2][1][5].

Other names
Cancer susceptibility candidate 20 (non-protein coding)Cancer susceptibility 20 (lncRNA)CASC20 lncRNAENSG00000229876 (Ensembl)NCBI Gene: 101929244
02

Mechanism of action

Acts as a competitive endogenous RNA, sponging specific microRNAs such as miR-143-5p, thereby regulating downstream targets like MEMO1 and modulating epithelial-mesenchymal transition (EMT) and tumor metastasis[2] Modulates microRNA expression affecting genes involved in osteogenesis and chondrogenesis[1]

03

Biological functions

Regulation of osteogenesis (bone formation)[1]Regulation of chondrogenesis (cartilage formation)[1]Modulation of microRNA (miRNA) activity (e.g., sponging miR-143-5p)[2]Regulation of cell proliferation, migration, and invasion in cancer cells (notably gastric cancer)[2]
04

Disease associations

Cancer (especially gastric cancer; acts as an oncogene/tumor promoter)[2][7]Heterotopic ossification (aberrant bone formation after injury/trauma)[1]Calcific tendinitis[5]
05

Safety considerations

No direct therapeutic interventions reported, so specific safety concerns are not established; challenges relate to therapeutic targeting of non-coding RNAs (e.g., delivery, specificity, and off-target effects), as is common with lncRNA targets[2][6]
06

Biomarkers

High CASC20 expression as a biomarker for poor prognosis and increased risk of metastasis in gastric cancer patients[2]Expression associated with heterotopic ossification severity after hip arthroplasty[1]

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