<p>Prostate cancer remains the most commonly diagnosed malignancy in men worldwide, representing a major health challenge due to its heterogeneity, aggressive progression, and resistance to conventional therapies. Although improvements in diagnostic imaging, PSA screening, and targeted therapies have advanced clinical management, prostate cancer still presents substantial clinical challenges, notably progression to castration-resistant prostate cancer (CRPC) and metastatic disease. Recent research emphasizes the importance of non-coding RNAs (ncRNAs), including microRNAs, small interfering RNAs, PIWI-interacting RNAs, small nucleolar RNAs, small nuclear RNAs, transfer RNA-derived small RNAs, YRNAs, vault RNAs, circular RNAs, and long non-coding RNAs, in the regulation of gene expression, signaling pathways, tumor growth, metastasis, and therapy resistance. This review comprehensively synthesizes the current understanding of ncRNAs in prostate cancer, highlighting their diverse regulatory functions, interactions, clinical implications, and potential as biomarkers and therapeutic targets. By integrating existing knowledge and exploring novel molecular mechanisms, we aim to facilitate the way to personalized prostate cancer management, stratification of patient risk, and precision therapeutic strategies.</p>

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Effects of Non-Coding RNAs in Prostate Cancer: Diagnosis, Prognosis, and Therapy

  • Zuzana Varchulova Novakova,
  • Lubica Milosovicova,
  • Sona Bernatova,
  • Lucia Neuschlova,
  • Stefan Harsanyi

摘要

Prostate cancer remains the most commonly diagnosed malignancy in men worldwide, representing a major health challenge due to its heterogeneity, aggressive progression, and resistance to conventional therapies. Although improvements in diagnostic imaging, PSA screening, and targeted therapies have advanced clinical management, prostate cancer still presents substantial clinical challenges, notably progression to castration-resistant prostate cancer (CRPC) and metastatic disease. Recent research emphasizes the importance of non-coding RNAs (ncRNAs), including microRNAs, small interfering RNAs, PIWI-interacting RNAs, small nucleolar RNAs, small nuclear RNAs, transfer RNA-derived small RNAs, YRNAs, vault RNAs, circular RNAs, and long non-coding RNAs, in the regulation of gene expression, signaling pathways, tumor growth, metastasis, and therapy resistance. This review comprehensively synthesizes the current understanding of ncRNAs in prostate cancer, highlighting their diverse regulatory functions, interactions, clinical implications, and potential as biomarkers and therapeutic targets. By integrating existing knowledge and exploring novel molecular mechanisms, we aim to facilitate the way to personalized prostate cancer management, stratification of patient risk, and precision therapeutic strategies.