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Cancer susceptibility candidate 2 (non-protein coding) (CASC2)

Target
CASC2
Molecular classification
Long non-coding RNA (lncRNA), Non-coding RNA, Tumor suppressor (functional category)
01

Overview

Cancer susceptibility candidate 2 (CASC2) is a long non-coding RNA (lncRNA) located on chromosome 10q26 in humans. It is classified as a tumor suppressor and is involved in the regulation of cell growth, apoptosis, migration, invasion, and bone mineralization. CASC2 acts by sponging specific microRNAs, such as miR-18a-5p and miR-181a, thereby modulating downstream genes involved in cell cycle control and tumor suppression (e.g., PIAS3, RBBP8). It is downregulated in many cancers, correlating with advanced stage and poor prognosis, and has also been implicated in bone diseases such as osteosarcoma and osteoarthritis. While not yet a direct drug target, CASC2 is under investigation as a potential biomarker and future therapeutic target due to its regulatory role in both tumorigenesis and bone biology.

Other names
Cancer susceptibility 2Protein CASC2, isoform 3CASC2C10orf5Cancer susceptibility candidate gene 2 protein, isoform 3Cancer susceptibility candidate gene 2 protein isoforms 1/2C10orf5, cancer susceptibility 2 (non-protein coding)CASC2 (non-protein coding)
02

Mechanism of action

Acts as a competing endogenous RNA (ceRNA), sequestering microRNAs such as miR-18a, miR-181a, and miR-24-3p, thereby modulating the expression of downstream tumor suppressors and oncogenes (e.g., PIAS3, RBBP8, and possibly others). Tumor suppressor activity via inhibition of proliferation, induction of apoptosis, and G0/G1 cell cycle arrest. Regulates bone mineralization and extracellular matrix protein expression in osteoblasts through modulation of targets such as COMP and BSP.

03

Biological functions

Regulation of cell proliferationRegulation of apoptosis (programmed cell death)Regulation of cell cycle progressionRegulation of migration and invasionModulation of mineralization in osteoblasts and bone-related processes
04

Disease associations

Cancer (glioma, endometrial, colorectal, nasopharyngeal, lung, bladder, gastric, breast, hepatocellular, osteosarcoma)Bone disease (osteoporosis, osteoarthritis, osteosarcoma)Inflammation (e.g. osteoarthritis)Other (potential implication in various tumors and skeletal disorders)
05

Safety considerations

None directly identified for CASC2 itself as a drug target, as it is not yet a therapeutic target in clinical use.Modulating CASC2 expression could have off-target effects on cell proliferation, apoptosis, or bone mineralization if not carefully controlled.
06

Interacting drugs

None specifically identified in current literature. CASC2 is not directly targeted by any approved drugs but may modulate sensitivity or resistance to certain chemotherapeutics by regulating microRNAs and downstream gene expression.
07

Biomarkers

Downregulation of CASC2 in cancer tissue is associated with advanced tumor stages and poor prognosisCASC2 plasma levels (elevated in osteoarthritis, reduced in various cancers)Potential as a diagnostic and prognostic biomarker in cancer and bone diseases

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