环状RNA (circRNA)在肾细胞癌中的研究进展:生物发生、生物学功能及临床意义
Research Progress on circRNA in Renal Cell Carcinoma (RCC): Biogenesis, Biological Functions, and Clinical Significance
摘要: 环状RNA (circRNA)是一类具有共价闭环结构的非编码RNA,凭借稳定性高、时空表达特异、丰度高等独特特性,在多种生理与病理过程中发挥关键调控作用,尤其与癌症的发生发展密切相关。肾细胞癌(RCC)作为常见恶性肿瘤,其诊疗仍面临挑战,而circRNA在RCC中的功能机制与临床价值逐渐成为研究热点。本文系统综述了circRNA的生物发生机制(包括套索驱动、内含子配对驱动、RBP介导及pre-tRNA驱动的环化剪接四种模型)、核心生物学特征及主要功能(如充当miRNA海绵、与蛋白质相互作用、调控转录/选择性剪接、翻译生成肽段等),重点阐述了circRNA在RCC中的具体作用(如circGRAMD4促进癌细胞生长、circPVT1增强细胞转移能力等),并分析了circRNA作为RCC诊断与预后生物标志物、治疗靶点的潜力,同时展望了其在肿瘤诊疗及circRNA疫苗开发领域的应用前景。本文旨在为深入理解circRNA在RCC中的作用机制提供参考,为RCC的精准诊疗研究提供新思路。
Abstract: Circular RNAs (circRNAs) are a class of non-coding RNAs with a covalently closed circular structure. Endowed with unique characteristics including high stability, spatiotemporal expression specificity, and high abundance, they play crucial regulatory roles in various physiological and pathological processes, and are particularly closely associated with the occurrence and development of cancer. Renal cell carcinoma (RCC) is a common malignant tumor, and its diagnosis and treatment still face challenges. However, the functional mechanisms and clinical value of circRNAs in RCC have gradually become a research focus. This article systematically reviews the biogenesis mechanisms of circRNAs (including four models: lariat-driven circularization, intron-pairing-driven circularization, RBP-mediated circularization, and pre-tRNA-driven circular splicing), their core biological characteristics, and main functions (such as acting as miRNA sponges, interacting with proteins, regulating transcription/alternative splicing, and translating into peptides). It focuses on elaborating the specific roles of circRNAs in RCC (e.g., circGRAMD4 promotes cancer cell growth; circPVT1 enhances cell metastasis ability) and analyzes the potential of circRNAs as diagnostic and prognostic biomarkers as well as therapeutic targets for RCC. Meanwhile, it prospects the application prospects of circRNAs in the fields of tumor diagnosis and treatment and circRNA vaccine development. This article aims to provide a reference for in-depth understanding of the mechanism of action of circRNAs in RCC and offer new ideas for the research on precise diagnosis and treatment of RCC.
文章引用:张方涛, 甘立峰, 钟海东, 谢明贵, 钱彪. 环状RNA (circRNA)在肾细胞癌中的研究进展:生物发生、生物学功能及临床意义[J]. 临床医学进展, 2025, 15(12): 998-1008. https://doi.org/10.12677/acm.2025.15123496

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