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NAALADL2 antisense RNA 2 (NAALADL2-AS2)

Target
NAALADL2-AS2
Molecular classification
Long non-coding RNA (lncRNA), Other (non-protein-coding, regulatory RNA)
01

Overview

NAALADL2 antisense RNA 2 (NAALADL2-AS2) is a long non-coding RNA molecule located in both the cytoplasm and nucleus of cancer cells. It functions as a competing endogenous RNA (ceRNA), sequestering miR-34a and miR-125a, which leads to the upregulation of BCL-2, an anti-apoptotic protein, thus promoting cell survival and drug resistance in diffuse large B-cell lymphoma (DLBCL). Inhibition of NAALADL2-AS2 expression sensitizes DLBCL cells to chemotherapeutic drugs such as doxorubicin and rituximab by enhancing apoptosis. Its expression is also increased in metastatic castration-resistant prostate cancer and is associated with better response to enzalutamide, suggesting its relevance across different cancer types. Due to its regulatory role in apoptosis and drug resistance, NAALADL2-AS2 is being explored as a biomarker and a therapeutic target for overcoming chemotherapy resistance and improving patient outcomes in hematological malignancies and possibly solid tumors.

Other names
NAALADL2-AS2lncRNA NAALADL2-AS2
02

Mechanism of action

RNA interference and gene regulation: NAALADL2-AS2 inhibition increases sensitivity to chemotherapeutic drugs by promoting apoptosis through upregulating miR-34a and miR-125a, leading to downregulation of BCL-2, an anti-apoptotic protein.

03

Biological functions

Regulation of apoptosisModulation of drug resistance (chemosensitivity)Regulation of cell proliferationCompeting endogenous RNA (ceRNA) activity: acts as a molecular sponge for miR-34a and miR-125a, indirectly regulating protein expression (notably BCL-2)
04

Disease associations

CancerDrug resistance in cancer therapy (DLBCL particularly, also described in prostate and breast cancer via reference to NAALADL2 and antisense expression changes)Potential role in tumor progression (prostate cancer, breast cancer)
05

Safety considerations

Potential for off-target effects when modulating lncRNAs, given their broad roles in gene regulationUnclear tissue-specific expression and inadvertent impact on normal cellsGeneral challenges with targeting non-coding RNAs therapeutically
06

Interacting drugs

Doxorubicin

2 more in the full profile.

07

Biomarkers

NAALADL2-AS2 expression (used for patient selection and prognostic marker in DLBCL; higher levels also observed in metastatic castration-resistant prostate cancer)miR-34a and miR-125a levels (downstream effectors for monitoring therapeutic efficacy)BCL-2 levels (apoptosis marker)

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