# Regulatory roles of circular RNAs in Wnt and other oncogenic signaling pathways in breast cancer progression: a comprehensive review

**Authors:** Amirreza Khalaji, Yousef Nazari, Mojtaba Pandeh, Aram Farhoudian, Leila Ghorbi, Pedram Naderi, Elham Mohebi Janagard, Samira Amin Afshari, Reza Morovatshoar

PMC · DOI: 10.1186/s40001-025-02967-9 · European Journal of Medical Research · 2025-08-14

## TL;DR

This review explores how circular RNAs regulate Wnt and other cancer-related pathways in breast cancer, offering new insights for diagnosis and treatment.

## Contribution

The paper provides a comprehensive analysis of specific circRNAs and their roles in modulating breast cancer progression through Wnt signaling.

## Key findings

- CircRNAs like circDONSON and circRNF10 influence tumor growth and suppression via Wnt signaling.
- CircRNAs act as microRNA sponges, affecting cancer cell proliferation, metastasis, and drug resistance.
- Dysregulated circRNAs contribute to oncogenesis and therapeutic resistance in breast cancer.

## Abstract

Circular RNAs (circRNAs) are critical regulators in breast cancer (BC) progression, particularly through their interactions with the Wnt/β-catenin signaling pathway. This comprehensive review elucidates the regulatory roles of key circRNAs, including circABCC4, circFAT1, circARL8B, and circDONSON, in modulating BC behavior. These circRNAs primarily function as microRNA sponges, influencing essential processes such as proliferation, metastasis, drug resistance, and cell survival. For instance, circDONSON promotes tumor growth and radioresistance through SOX4-mediated Wnt signaling, whereas circRNF10 exhibits tumor-suppressive properties. The dual role of circRNAs as oncogenes or tumor suppressors highlights their complexity. Their high stability and tissue-specific expression patterns position them as promising diagnostic biomarkers and therapeutic targets. Dysregulation of circRNAs modulates Wnt/β-catenin signaling, a key driver of BC progression, promoting oncogenesis and therapeutic resistance. This review synthesizes evidence from peer-reviewed literature, emphasizing the molecular mechanisms and clinical implications of circRNA–Wnt interactions. By exploring these intricate networks, we identify novel opportunities for targeted BC therapies, underscoring the potential of circRNAs to transform diagnosis and treatment. Future research should prioritize standardizing circRNA quantification and validating findings across diverse patient cohorts to enhance clinical applicability.

## Linked entities

- **Genes:** ABCC4 (ATP binding cassette subfamily C member 4 (PEL blood group)) [NCBI Gene 10257], FAT1 (FAT atypical cadherin 1) [NCBI Gene 2195], ARL8B (ARF like GTPase 8B) [NCBI Gene 55207], DONSON (DNA replication fork stabilization factor DONSON) [NCBI Gene 29980], RNF10 (ring finger protein 10) [NCBI Gene 9921], SOX4 (SRY-box transcription factor 4) [NCBI Gene 6659], ctnnb1.S (catenin beta 1 S homeolog) [NCBI Gene 380441]
- **Diseases:** breast cancer (MONDO:0004989)

## Full-text entities

- **Genes:** MAPK1 (mitogen-activated protein kinase 1) [NCBI Gene 5594] {aka ERK, ERK-2, ERK2, ERT1, MAPK2, NS13}, NFKBIB (NFKB inhibitor beta) [NCBI Gene 4793] {aka IKBB, TRIP9}, MDM2 (MDM2 proto-oncogene) [NCBI Gene 4193] {aka ACTFS, HDMX, LSKB, hdm2}, PCBP1 (poly(rC) binding protein 1) [NCBI Gene 5093] {aka HEL-S-85, HNRPE1, HNRPX, hnRNP-E1, hnRNP-X}, TRAF3 (TNF receptor associated factor 3) [NCBI Gene 7187] {aka CAP-1, CD40bp, CRAF1, IIAE5, IMD132A, IMD132B}, VANGL2 (VANGL planar cell polarity protein 2) [NCBI Gene 57216] {aka LPP1, LTAP, STB1, STBM, STBM1}, HSPG2 (heparan sulfate proteoglycan 2) [NCBI Gene 3339] {aka HSPG, PLC, PRCAN, SJA, SJS, SJS1}, YTHDF3 (YTH N6-methyladenosine RNA binding protein F3) [NCBI Gene 253943] {aka DF3}, CDK4 (cyclin dependent kinase 4) [NCBI Gene 1019] {aka CMM3, MCPH31, PSK-J3}, TGFBR1 (transforming growth factor beta receptor 1) [NCBI Gene 7046] {aka AAT5, ACVRLK4, ALK-5, ALK5, ESS1, LDS1}, ROR1 (ROR family WNT receptor 1) [NCBI Gene 4919] {aka NTRKR1, dJ537F10.1}, MAP3K14 (mitogen-activated protein kinase kinase kinase 14) [NCBI Gene 9020] {aka FTDCR1B, HS, HSNIK, IMD112, NIK}, PIK3CA (phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha) [NCBI Gene 5290] {aka CCM4, CLAPO, CLOVE, CWS5, HMH, MCAP}, TNF (tumor necrosis factor) [NCBI Gene 7124] {aka DIF, IMD127, TNF-alpha, TNFA, TNFSF2, TNLG1F}, CDC42 (cell division cycle 42) [NCBI Gene 998] {aka CDC42Hs, G25K, TKS}, HNF4A (hepatocyte nuclear factor 4 alpha) [NCBI Gene 3172] {aka FRTS4, HNF4, HNF4a7, HNF4a8, HNF4a9, HNF4alpha}, TRADD (TNFRSF1A associated via death domain) [NCBI Gene 8717] {aka Hs.89862}, MIR7-3 (microRNA 7-3) [NCBI Gene 407045] {aka MIRN7-3, hsa-mir-7-3, mir-7-3}, NOTCH2 (notch receptor 2) [NCBI Gene 4853] {aka AGS2, HJCYS, hN2}, MAPK8 (mitogen-activated protein kinase 8) [NCBI Gene 5599] {aka JNK, JNK-46, JNK1, JNK1A2, JNK21B1/2, PRKM8}, ZHX2 (zinc fingers and homeoboxes 2) [NCBI Gene 22882] {aka AFR1, RAF}, NOTCH1 (notch receptor 1) [NCBI Gene 4851] {aka AOS5, AOVD1, TAN1, hN1}, INPP4B (inositol polyphosphate-4-phosphatase type II B) [NCBI Gene 8821], GAPDH (glyceraldehyde-3-phosphate dehydrogenase) [NCBI Gene 2597] {aka G3PD, GAPD, HEL-S-162eP}, TP53 (tumor protein p53) [NCBI Gene 7157] {aka BCC7, BMFS5, LFS1, P53, TRP53}, MTOR (mechanistic target of rapamycin kinase) [NCBI Gene 2475] {aka FRAP, FRAP1, FRAP2, RAFT1, RAPT1, SKS}, RELB (RELB proto-oncogene, NF-kB subunit) [NCBI Gene 5971] {aka I-REL, IMD53, IREL, REL-B}, TNFRSF19 (TNF receptor superfamily member 19) [NCBI Gene 55504] {aka TAJ, TAJ-alpha, TRADE, TROY}, MIR214 (microRNA 214) [NCBI Gene 406996] {aka MIRN214, miRNA214, mir-214}, MAP3K4 (mitogen-activated protein kinase kinase kinase 4) [NCBI Gene 4216] {aka MAPKKK4, MEKK 4, MEKK4, MTK1, PRO0412}, FUBP1 (far upstream element binding protein 1) [NCBI Gene 8880] {aka FBP, FUBP, hDH V}, SDC1 (syndecan 1) [NCBI Gene 6382] {aka CD138, SDC, SYND1, syndecan}, ALB (albumin) [NCBI Gene 213] {aka FDAHT, HSA, PRO0883, PRO0903, PRO1341}, CHUK (component of inhibitor of nuclear factor kappa B kinase complex) [NCBI Gene 1147] {aka BPS2, IKBKA, IKK-1, IKK-alpha, IKK1, IKKA}, NFKB2 (nuclear factor kappa B subunit 2) [NCBI Gene 4791] {aka CVID10, H2TF1, LYT-10, LYT10, NF-kB2, p100}, TGFBR2 (transforming growth factor beta receptor 2) [NCBI Gene 7048] {aka AAT3, FAA3, LDS1B, LDS2, LDS2B, MFS2}, MAP3K7 (mitogen-activated protein kinase kinase kinase 7) [NCBI Gene 6885] {aka CSCF, FMD2, MEKK7, TAK1, TGF1a}, FUS (FUS RNA binding protein) [NCBI Gene 2521] {aka ALS6, ETM4, FUS1, HNRNPP2, POMP75, TLS}, SOX4 (SRY-box transcription factor 4) [NCBI Gene 6659] {aka CSS10, EVI16, IDDSDF}, ADAR (adenosine deaminase RNA specific) [NCBI Gene 103] {aka ADAR1, AGS6, DRADA, DSH, DSRAD, G1P1}, Egfr (epidermal growth factor receptor) [NCBI Gene 24329] {aka ERBB1, ErbB-1, Errp}, PTK2B (protein tyrosine kinase 2 beta) [NCBI Gene 2185] {aka CADTK, CAKB, FADK2, FAK2, PKB, PTK}, ZNF609 (zinc finger protein 609) [NCBI Gene 23060], PGPEP1 (pyroglutamyl-peptidase I) [NCBI Gene 54858] {aka PAP-I, PGI, PGP, PGP-I, PGPI, Pcp}, CTCF (CCCTC-binding factor) [NCBI Gene 10664] {aka CFAP108, FAP108, MRD21}, MIR4638 (microRNA 4638) [NCBI Gene 100616342] {aka mir-4638}, SMAD2 (SMAD family member 2) [NCBI Gene 4087] {aka CHTD8, JV18, JV18-1, LDS6, MADH2, MADR2}, CDH1 (cadherin 1) [NCBI Gene 999] {aka Arc-1, BCDS1, CD324, CDHE, ECAD, LCAM}, TFAP2C (transcription factor AP-2 gamma) [NCBI Gene 7022] {aka AP2-GAMMA, ERF1, TFAP2G, hAP-2g}, PRRT2 (proline rich transmembrane protein 2) [NCBI Gene 112476] {aka BFIC2, BFIS2, DSPB3, DYT10, EKD1, FICCA}, MYC (MYC proto-oncogene, bHLH transcription factor) [NCBI Gene 4609] {aka MRTL, MYCC, bHLHe39, c-Myc}, IGF2BP1 (insulin like growth factor 2 mRNA binding protein 1) [NCBI Gene 10642] {aka CRD-BP, CRDBP, IMP-1, IMP1, VICKZ1, ZBP1}, SHH (sonic hedgehog signaling molecule) [NCBI Gene 6469] {aka HHG1, HLP3, HPE3, MCOPCB5, SMMCI, ShhNC}, LRP5 (LDL receptor related protein 5) [NCBI Gene 4041] {aka BMND1, EVR1, EVR4, HBM, LR3, LRP-5}, REL (REL proto-oncogene, NF-kB subunit) [NCBI Gene 5966] {aka C-Rel, HIVEN86A, IMD92}, TGFB1 (transforming growth factor beta 1) [NCBI Gene 7040] {aka CAEND1, CED, DPD1, IBDIMDE, LAP, TGF-beta1}, EIF4A3 (eukaryotic translation initiation factor 4A3) [NCBI Gene 9775] {aka DDX48, Fal1, MUK34, NMP265, NUK34, RCPS}, ABCC4 (ATP binding cassette subfamily C member 4 (PEL blood group)) [NCBI Gene 10257] {aka MOAT-B, MOATB, MRP4}, CD40 (CD40 molecule) [NCBI Gene 958] {aka Bp50, CDW40, TNFRSF5, p50}, GPC1 (glypican 1) [NCBI Gene 2817] {aka glypican}
- **Diseases:** bone metastases (MESH:D009362), Cancer (MESH:D009369), carcinogenesis (MESH:D063646), rhabdomyosarcoma (MESH:D012208), lymph node metastasis (MESH:D008207), glioblastoma (MESH:D005909), intestinal cancers (MESH:D007414), lung inflammation (MESH:D011014), gastric cancer (MESH:D013274), immunological disorders (MESH:D007154), malignant melanoma (MESH:D008545), invasive (MESH:D009361), glioma (MESH:D005910), TNBC (MESH:D064726), lung adenocarcinoma (MESH:D000077192), CRC (MESH:D015179), cervical cancer (MESH:D002583), hepatocellular carcinoma (MESH:D006528), bladder cancer (MESH:D001749), oral squamous cell carcinoma (MESH:D000077195), pulmonary fibrosis (MESH:D011658), prostate cancer (MESH:D011471), inflammatory breast carcinoma (MESH:D058922), lung cancer (MESH:D008175), bronchopulmonary dysplasia (MESH:D001997), BC (MESH:D001943), developmental (MESH:C567924), silicosis (MESH:D012829), infectious diseases (MESH:D003141), inflammation (MESH:D007249), deaths (MESH:D003643), diabetic retinopathy (MESH:D003930)
- **Chemicals:** PIP2 (MESH:D019269), inorganic phosphate (MESH:D010710), BioRender (-), Phosphatidylinositol 3,4,5-trisphosphate (MESH:C060974), OX (MESH:D000077150), m6A (MESH:C005955), PGE2 (MESH:D015232), GTP (MESH:D006160), PTX (MESH:D017239), Ser (MESH:D012694), DAG (MESH:D004075), ADM (MESH:D004317), TAM (MESH:D013629), calcium (MESH:D002118), lipopolysaccharides (MESH:D008070), fatty acid (MESH:D005227), N6-methyladenosine (MESH:C010223), GDP (MESH:D006153), IP3 (MESH:D015544)
- **Species:** Mus musculus (house mouse, species) [taxon 10090], Drosophila melanogaster (fruit fly, species) [taxon 7227], Bacteria Latreille et al. 1825 (Bacteria stick insect, genus) [taxon 629395], Severe acute respiratory syndrome coronavirus 2 (no rank) [taxon 2697049], Homo sapiens (human, species) [taxon 9606], Caenorhabditis elegans (species) [taxon 6239]
- **Cell lines:** BT474/OX — Homo sapiens (Human), Invasive breast carcinoma of no special type, Cancer cell line (CVCL_0179)

## Full text

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## Figures

3 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12351993/full.md

## References

1 references — full list in the complete paper: https://tomesphere.com/paper/PMC12351993/full.md

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Source: https://tomesphere.com/paper/PMC12351993