R-loops: a key driver of inflammatory responses in cancer

Abstract R-loops, which are noncanonical three-stranded nucleic acid structures formed when RNA hybridizes with complementary DNA strand while displacing the other DNA strand, have emerged as crucial players in cellular homeostasis and cancer pathogenesis. Here we explore the intricate relationship...

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Main Authors: Seo Yun Lee, Min Jae Kwak, Jae Jin Kim
Format: Article
Language:English
Published: Nature Publishing Group 2025-07-01
Series:Experimental and Molecular Medicine
Online Access:https://doi.org/10.1038/s12276-025-01495-0
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author Seo Yun Lee
Min Jae Kwak
Jae Jin Kim
author_facet Seo Yun Lee
Min Jae Kwak
Jae Jin Kim
author_sort Seo Yun Lee
collection DOAJ
description Abstract R-loops, which are noncanonical three-stranded nucleic acid structures formed when RNA hybridizes with complementary DNA strand while displacing the other DNA strand, have emerged as crucial players in cellular homeostasis and cancer pathogenesis. Here we explore the intricate relationship between R-loops and inflammation in the context of cancer development and progression. R-loops can trigger inflammatory responses through various mechanisms, including DNA damage induction, genome instability and activation of innate immune pathways, particularly in cancer cells, where R-loop regulation is frequently dysregulated. In the tumor microenvironment, R-loop-mediated genomic instability contributes to inflammatory signaling cascades, affecting both cancer cells and the surrounding tumor microenvironment. We discuss how aberrant R-loop formation influences key inflammatory pathways, including the cGAS–STING axis and NF-κB signaling, and their subsequent effects on tumor progression. Furthermore, we explored how cancer cells manipulate R-loops to modify their inflammatory microenvironment, potentially affecting their therapeutic responses. Understanding the complex interplay between R-loops and cancer-associated inflammation provides novel insights into tumor biology and opens new avenues for therapeutic intervention. This Review summarizes the current knowledge on R-loop biology in cancer, its inflammatory consequences and potential strategies for targeting R-loop-mediated inflammation in cancer treatment, underscoring the importance of this emerging field in cancer medicine.
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spelling doaj-art-35ccfd5dd68740f59e9259ea21be8f2c2025-08-20T03:04:15ZengNature Publishing GroupExperimental and Molecular Medicine2092-64132025-07-015771455146610.1038/s12276-025-01495-0R-loops: a key driver of inflammatory responses in cancerSeo Yun Lee0Min Jae Kwak1Jae Jin Kim2Department of Life Science and Multidisciplinary Genome Institute, Hallym UniversityDepartment of Life Science and Multidisciplinary Genome Institute, Hallym UniversityDepartment of Life Science and Multidisciplinary Genome Institute, Hallym UniversityAbstract R-loops, which are noncanonical three-stranded nucleic acid structures formed when RNA hybridizes with complementary DNA strand while displacing the other DNA strand, have emerged as crucial players in cellular homeostasis and cancer pathogenesis. Here we explore the intricate relationship between R-loops and inflammation in the context of cancer development and progression. R-loops can trigger inflammatory responses through various mechanisms, including DNA damage induction, genome instability and activation of innate immune pathways, particularly in cancer cells, where R-loop regulation is frequently dysregulated. In the tumor microenvironment, R-loop-mediated genomic instability contributes to inflammatory signaling cascades, affecting both cancer cells and the surrounding tumor microenvironment. We discuss how aberrant R-loop formation influences key inflammatory pathways, including the cGAS–STING axis and NF-κB signaling, and their subsequent effects on tumor progression. Furthermore, we explored how cancer cells manipulate R-loops to modify their inflammatory microenvironment, potentially affecting their therapeutic responses. Understanding the complex interplay between R-loops and cancer-associated inflammation provides novel insights into tumor biology and opens new avenues for therapeutic intervention. This Review summarizes the current knowledge on R-loop biology in cancer, its inflammatory consequences and potential strategies for targeting R-loop-mediated inflammation in cancer treatment, underscoring the importance of this emerging field in cancer medicine.https://doi.org/10.1038/s12276-025-01495-0
spellingShingle Seo Yun Lee
Min Jae Kwak
Jae Jin Kim
R-loops: a key driver of inflammatory responses in cancer
Experimental and Molecular Medicine
title R-loops: a key driver of inflammatory responses in cancer
title_full R-loops: a key driver of inflammatory responses in cancer
title_fullStr R-loops: a key driver of inflammatory responses in cancer
title_full_unstemmed R-loops: a key driver of inflammatory responses in cancer
title_short R-loops: a key driver of inflammatory responses in cancer
title_sort r loops a key driver of inflammatory responses in cancer
url https://doi.org/10.1038/s12276-025-01495-0
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