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HOXA cluster antisense RNA 3 (HOXA-AS3)

Target
HOXA-AS3
Molecular classification
Long non-coding RNA (lncRNA), Antisense RNA, Other
01

Overview

HOXA cluster antisense RNA 3 (HOXA-AS3) is a long non-coding RNA (lncRNA) located at human chromosome 7p15.2 and is antisense to the HOXA gene cluster[2][3]. It is 25,952 nucleotides in length and is non-protein-coding. HOXA-AS3 is abnormally overexpressed in a range of cancers and non-malignant diseases, where it plays pivotal roles in promoting cell proliferation, migration, invasion, lineage specification, and resistance to apoptosis[2][3]. Its function is mainly mediated through acting as a competing endogenous RNA (ceRNA), sequestering specific microRNAs, and regulating gene networks involved in tumor progression, differentiation, and inflammatory responses[2][3]. HOXA-AS3 upregulation is associated with unfavorable clinical features such as poor prognosis, larger tumor size, higher grade, deeper invasion, and greater likelihood of metastasis[2][3]. As a result, it has been proposed as a potential therapeutic target, with inhibition studies showing suppressed tumor growth and improved disease parameters in preclinical models. However, its direct drug targeting is still experimental, with mechanisms such as CRISPR-dCas9 knockdown or antisense oligonucleotides under investigation[2].

Other names
HOXA-AS3HOXA6asHOXA cluster antisense RNA 3 (non-protein coding)HOXA6as lncRNA
02

Mechanism of action

Competing endogenous RNA (ceRNA) that sponges microRNAs (miRNAs) to regulate target genes (e.g., miR-29c, miR-455-5p, miR-218-5p, miR-4319, miR-29a-3p); Modulation of gene expression stability (e.g., increasing HOXA6 mRNA stability); Regulation of signaling pathways implicated in cancer progression and inflammation (e.g., NF-κB pathway, AKT pathway, EMT); Epigenetic regulation (e.g., effects mediated by histone modifications)

03

Biological functions

Regulation of cell proliferationRegulation of apoptosisRegulation of cell migrationRegulation of cell invasionRegulation of lineage differentiation (e.g., mesenchymal stem cells)Regulation of chemoresistanceRegulation of inflammation
04

Disease associations

Cancer (including liver, glioma, lung, oral, colorectal, gastric, pancreatic)AtherosclerosisPulmonary arterial hypertensionEndometriosisOther
05

Safety considerations

Off-target effects and lack of specificity of lncRNA-targeted therapiesLimited understanding of physiological roles may lead to unexpected systemic effectsDelivery challenges for nucleic acid-based therapeutics
06

Biomarkers

Prognostic biomarker for multiple cancers (e.g., higher HOXA-AS3 levels indicate poor prognosis, higher tumor grade/stage, metastasis)Potential biomarker in atherosclerosis (correlates with disease severity and serum markers)Biomarker in pulmonary arterial hypertension, endometriosis

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