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Long intergenic non-protein coding RNA 624 (LINC00624) is a long non-coding RNA gene located on chromosome 1 (1q21.1), expressed from the reverse strand. It does not encode a protein but functions as a regulatory RNA. LINC00624 has been implicated in promoting cancer progression, notably hepatocellular carcinoma and HER2+ breast cancer, by acting as a molecular decoy for transcriptional repressor complexes (HDAC6-TRIM28-ZNF354C), regulating histone deacetylase activity, and modulating transcription of oncogenic factors such as CHD1L and BCL9. In breast cancer, LINC00624 fosters immune escape and resistance to HER2-targeted therapy by stabilizing ADAR1 and suppressing interferon-driven immune responses, notably inhibiting antigen presentation and CD8+ T cell infiltration. Its overexpression is associated with poor responses to standard therapies and has potential as both a therapeutic target and a biomarker for tumor aggressiveness and therapy resistance. There are currently no approved drugs targeting LINC00624, though antisense oligonucleotide therapies are under investigation.
Drugs (e.g., lapatinib, trastuzumab) face resistance mediated by LINC00624 overexpression, particularly through immune pathway inhibition involving type I interferon signaling and ADAR1-dependent RNA editing. Antisense oligonucleotides targeting LINC00624 could disrupt its function and restore therapeutic efficacy.
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