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Cyclin-dependent kinase 6 antisense RNA 1 (CDK6-AS1)

Target
CDK6-AS1
Molecular classification
Long non-coding RNA (lncRNA), Enhancer RNA (eRNA)
01

Overview

Cyclin-dependent kinase 6 antisense RNA 1 (CDK6-AS1), also known as BALR-2 (B-ALL associated long RNA-2), is a long non-coding RNA that acts as an enhancer RNA regulating expression of the adjacent CDK6 gene[1][3][6]. It is differentially overexpressed in various cancers, particularly B-cell acute lymphoblastic leukemia (B-ALL) and gastric cancer, and is associated with poor prognosis and chemoresistance, especially to glucocorticoids in B-ALL[1][2][6]. Mechanistically, CDK6-AS1 modulates cell cycle progression and proliferation, largely via regulating CDK6 and related gene expression. It is also implicated in the tumor microenvironment by reducing antitumor immune infiltration when highly expressed[1]. CDK6-AS1 is primarily studied as a prognostic and predictive biomarker rather than a classical drug target, but its functional impact on drug resistance and cancer progression makes it a focus of ongoing biomarker and lncRNA-targeted therapy research[1][2][6].

Other names
BALR-2B-ALL associated long RNA-2CDK6 antisense RNA 1
02

Mechanism of action

CDK6-AS1 does not act directly as a classic drug target. However, its biological mechanisms, which could be relevant for therapies impacting its pathway, include modulation of cell proliferation and survival by altering CDK6 and cell cycle gene expression, induction of chemoresistance by upregulation (e.g., increased glucocorticoid resistance via upregulated BALR-2/CDK6-AS1), and altered immune cell infiltration and tumor microenvironment.

03

Biological functions

Regulation of gene transcriptionCell cycle controlRegulation of cell proliferationModulation of apoptosisInfluence on drug sensitivity/resistance
04

Disease associations

Cancer (especially B-cell acute lymphoblastic leukemia, gastric cancer, and several other tumor types)Chemoresistance (notably glucocorticoid resistance in B-ALL)Potential roles in "Other" diseases are possible but not well defined.
05

Safety considerations

Not applicable as a direct drug targetTargeting lncRNAs like CDK6-AS1 therapeutically presents challenges, including off-target effects and delivery safety
06

Interacting drugs

Glucocorticoids (e.g., prednisone) (indirectly, via influencing sensitivity/resistance)
07

Biomarkers

Prognostic biomarker in gastric cancer and B-ALL (higher expression associated with poorer prognosis)Predictive of resistance to glucocorticoids in B-ALLAssociated with mutational burden and immune infiltration: lower CDK6-AS1 correlates with increased immune cell infiltration

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