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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Oncol.</journal-id>
<journal-title>Frontiers in Oncology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Oncol.</abbrev-journal-title>
<issn pub-type="epub">2234-943X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fonc.2023.1063930</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Oncology</subject>
<subj-group>
<subject>Review</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>tRNA derived fragments:A novel player in gene regulation and applications in cancer</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Zhang</surname>
<given-names>Shuangshuang</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2042276"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Yu</surname>
<given-names>Xiuchong</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1803368"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Xie</surname>
<given-names>Yaoyao</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1893449"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ye</surname>
<given-names>Guoliang</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2103589"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Guo</surname>
<given-names>Junming</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref> <uri xlink:href="https://loop.frontiersin.org/people/1240542"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Department of Gastroenterology, The Affiliated Hospital of Medical School, Ningbo University</institution>, <addr-line>Ningbo</addr-line>, <country>China</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Department of Biochemistry and Molecular Biology and Zhejiang Key Laboratory of Pathophysiology, School of Basic Medical Sciences, School of Medicine, Ningbo University</institution>, <addr-line>Ningbo</addr-line>, <country>China</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Institute of Digestive Diseases, Ningbo University</institution>, <addr-line>Ningbo</addr-line>, <country>China</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Srikala Raghavan, Institute for Stem Cell Science and Regenerative Medicine (inStem), India</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Mailin Gan, Sichuan Agricultural University, China; Thejaswini Venkatesh, Central University of Kerala, India; Dasaradhi Palakodeti, Institute for Stem Cell Science and Regenerative Medicine (inStem), India</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Junming Guo, <email xlink:href="mailto:guojunming@nbu.edu.cn">guojunming@nbu.edu.cn</email>
</p>
</fn>
<fn fn-type="other" id="fn002">
<p>This article was submitted to Molecular and Cellular Oncology, a section of the journal Frontiers in Oncology</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>20</day>
<month>01</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="collection">
<year>2023</year>
</pub-date>
<volume>13</volume>
<elocation-id>1063930</elocation-id>
<history>
<date date-type="received">
<day>07</day>
<month>10</month>
<year>2022</year>
</date>
<date date-type="accepted">
<day>04</day>
<month>01</month>
<year>2023</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2023 Zhang, Yu, Xie, Ye and Guo</copyright-statement>
<copyright-year>2023</copyright-year>
<copyright-holder>Zhang, Yu, Xie, Ye and Guo</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>The heterogeneous species of tRNA-derived fragments (tRFs) with specific biological functions was recently identified. Distinct roles of tRFs in tumor development and viral infection, mediated through transcriptional and post-transcriptional regulation, has been demonstrated. In this review, we briefly summarize the current literatures on the classification of tRFs and the effects of tRNA modification on tRF biogenesis. Moreover, we highlight the tRF repertoire of biological roles such as gene silencing, and regulation of translation, cell apoptosis, and epigenetics. We also summarize the biological roles of various tRFs in cancer development and viral infection, their potential value as diagnostic and prognostic biomarkers for different types of cancers, and their potential use in cancer therapy.</p>
</abstract>
<kwd-group>
<kwd>tRNA-derived fragments</kwd>
<kwd>cancer</kwd>
<kwd>biological role</kwd>
<kwd>clinical value</kwd>
<kwd>chemotherapy resistance</kwd>
</kwd-group>
<contract-sponsor id="cn001">Natural Science Foundation of Zhejiang Province<named-content content-type="fundref-id">10.13039/501100004731</named-content>
</contract-sponsor>
<contract-sponsor id="cn002">National Natural Science Foundation of China<named-content content-type="fundref-id">10.13039/501100001809</named-content>
</contract-sponsor>
<contract-sponsor id="cn003">Ningbo Municipal Bureau of Science and Technology<named-content content-type="fundref-id">10.13039/501100007928</named-content>
</contract-sponsor>
<counts>
<fig-count count="5"/>
<table-count count="1"/>
<equation-count count="0"/>
<ref-count count="111"/>
<page-count count="11"/>
<word-count count="6287"/>
</counts>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<title>1 Introduction</title>
<p>Over the past few decades, non-coding RNAs including tRNA-derived fragments (tRFs) (also named as tRNA-derived small RNAs (tsRNAs) have been verified to play crucial roles in the pathophysiological processes of cancer (<xref ref-type="bibr" rid="B1">1</xref>&#x2013;<xref ref-type="bibr" rid="B3">3</xref>). Challenging the older paradigm that tRFs are merely random products of tRNAs, tRF complementarity to specific locations of pre-tRNAs or mature tRNAs demonstrates that tRFs are purposeful products of tRNAs (<xref ref-type="bibr" rid="B4">4</xref>). The biogenesis of tRFs is strictly controlled by a set of precise ribonucleases that produce 14&#x2013;50 nucleotide-long small RNAs (<xref ref-type="bibr" rid="B5">5</xref>).</p>
<p>Evidence indicates that tRFs participate in biological processes such as gene destabilization (<xref ref-type="bibr" rid="B6">6</xref>, <xref ref-type="bibr" rid="B7">7</xref>), mRNA processing (<xref ref-type="bibr" rid="B8">8</xref>), translation (<xref ref-type="bibr" rid="B9">9</xref>), and epigenetic regulation (<xref ref-type="bibr" rid="B10">10</xref>). An increasing number of studies verify that tRFs play indispensable roles in diverse diseases including cancer and viral infection (<xref ref-type="bibr" rid="B11">11</xref>). Here, we outline tRF biogenesis, classification, and the role of tRNA modifications on the tRF production. We also delineate the major biological functions of tRFs and the roles of tRFs in various types of cancers and viral infections. In addition, we summarize the possible usage of tRFs for cancer diagnostic and prognostic biomarkers, and as therapeutic targets. Lastly, we explore the mechanism of tRF biology that may be involved in chemoresistance.</p>
</sec>
<sec id="s2">
<title>2 Biogenesis and classification of tRFs</title>
<p>In the 1970s, researchers discovered tRFs by examining the urine of cancer patients (<xref ref-type="bibr" rid="B12">12</xref>). However, they did not realize that these small RNAs had biological functions. After a few decades, researchers found that tRFs are not useless debris derived from tRNAs, as they have precise sequence structures and are involved in various biological processes (<xref ref-type="bibr" rid="B13">13</xref>). Pre-tRNAs are produced by RNA polymerase III (RNA Pol III) located in the eukaryotic nucleus. During the maturation process of pre-tRNAs, 5&#x2032;-leader and 3&#x2032;-poly U nucleotides are removed by endoribonuclease P (RNase P) and ribonuclease Z (RNase Z)/cytoplasmic homolog ribonuclease Z2 (ELAC2), respectively (<xref ref-type="bibr" rid="B14">14</xref>, <xref ref-type="bibr" rid="B15">15</xref>). The 3&#x2032;-CCA tail is attached to the 3&#x2032;-acceptor stem of tRNAs with the assistance of a specific tRNA nucleotide transferase (<xref ref-type="bibr" rid="B16">16</xref>). During the process of enzymatic splicing and chemical modifications of pre-tRNAs and mature tRNAs, tRFs are created (<xref ref-type="bibr" rid="B17">17</xref>). Based on the disparate cleavage sites, tRFs are classified into various distinct categories (<xref ref-type="bibr" rid="B18">18</xref>) (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1</bold>
</xref>): 1) 3&#x2032; U tRFs (tRF-1s), which are 16&#x2013;27 nucleotides long, and are released by RNase Z or ELAC2 in the 3&#x2032;-trailer sequences of pre-tRNA (<xref ref-type="bibr" rid="B19">19</xref>); 2) 5&#x2032;-tRFs start from the 5&#x2032;-termini of parental tRNAs and end at the D-loop or around the anticodon-loop; 3) tRF-3s span the 3&#x2032;-termini and progress to the T&#x3a8;C loop of parental tRNAs and are 18 nucleotides or 22 nucleotides in length; 4) i-tRFs (also known as tRF-2s) originate from the internal region of mature tRNAs spanning anticodons and contain D-loop and T-loop sequences, with the sequences being variable in length (<xref ref-type="bibr" rid="B13">13</xref>). Numerous studies have verified that the vast majority of tRFs are exclusively produced by Dicer (<xref ref-type="bibr" rid="B20">20</xref>, <xref ref-type="bibr" rid="B21">21</xref>), while the specific ribonuclease involved in the cutting process of i-tRFs needs further elucidation; 5) tRNA halves (tiRNAs or tRHs), including 5&#x2032;-tiRNAs and 3&#x2032;-tiRNAs (30&#x2013;40 nucleotides in length) correspond to half of a mature tRNA (<xref ref-type="bibr" rid="B22">22</xref>, <xref ref-type="bibr" rid="B23">23</xref>). Substantial evidence has demonstrated that most tiRNAs are produced by angiogenin (ANG) under stress, such as ischemia, oxidative injury, ultraviolet exposure, arsenite exposure, or infection diseases (<xref ref-type="bibr" rid="B13">13</xref>, <xref ref-type="bibr" rid="B24">24</xref>&#x2013;<xref ref-type="bibr" rid="B27">27</xref>). In non-stress conditions, ANG is confined to the nucleus and exists in an inhibited state associated with the ribonuclease inhibitor RNH1. Once exposed to stress stimuli, ANG dissociates from RNH1 and translocates to the cytoplasm for tRNA processing. Sex hormone-dependent tRNA-derived RNAs are found to be abnormally expressed in non-stress conditions such as breast cancers (BCAs) with estrogen receptors (ERs) or prostate cancers (PCAs) with androgen receptors (ARs) (<xref ref-type="bibr" rid="B28">28</xref>). It is worth noting that ANG-dependent tiRNAs may be limited to a few tRNAs. A study identified that ANG specifically produces tiRNA<sup>Gly</sup>, tiRNA<sup>Glu</sup>, tiRNA<sup>Lys</sup>, tiRNA<sup>Val</sup>, tiRNA<sup>His</sup>, tiRNA<sup>Asp</sup>, and tiRNA<sup>Sec</sup> (<xref ref-type="bibr" rid="B22">22</xref>). Surprisingly, the small RNA sequences from ANG-knockout cells revealed that only the abundance of tiRNA<sup>His</sup> and tiRNA<sup>Asp</sup> changed, suggesting that there are other ribonucleases associated with the generation of tiRNAs (<xref ref-type="bibr" rid="B29">29</xref>). In the ciliate <italic>Tetrahymena</italic> and <italic>Saccharomyces cerevisiae</italic>, tiRNAs are produced from the cleavage of RNase T2 family members named RNT2 and Rny1p, respectively (<xref ref-type="bibr" rid="B30">30</xref>, <xref ref-type="bibr" rid="B31">31</xref>). All these findings have indicated the sophistication and complexity of tRFs biogenesis.</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>Biogenesis and classification of tRNA-derived fragments (tRFs). Pre-tRNA is transcribed by RNA Pol III in the nucleus and undergoes 5&#x2032;-leader, 3&#x2032;-polyU removal and 3&#x2032; CCA addition, based on disparate cleavage sites on pre-tRNA or mature tRNA. tRFs can be divided into different types including 3&#x2032;U tRFs (tRF-1s), 5&#x2032;-tRFs, 3&#x2032;-tRFs, i&#x2032;-tRFs, 5&#x2032;-tRNA halves (5&#x2032;-tRHs) and 3&#x2032;-tRHs.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fonc-13-1063930-g001.tif"/>
</fig>
<p>Hanada&#x2019;s team discovered an atypical type of tRF that accumulate in mice with spinal motor neuron degenerative disease (<xref ref-type="bibr" rid="B32">32</xref>). These novel tRFs were derived from pre-tRNA<sup>tyr</sup> after the aberrant removal of introns. RNA sequencing indicated that these novel tRFs encompass 5&#x2032; leader sequences starting with PPP-nucleotide and followed by 5&#x2032; exon sequences (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1</bold>
</xref>).</p>
</sec>
<sec id="s3">
<title>3 Effects of tRNA modification on the biogenesis of tRFs</title>
<p>Modified nucleotides account for 17% of all residues, and tRNAs are the most extensively modified RNAs in eukaryotes (<xref ref-type="bibr" rid="B33">33</xref>). Some modifications are essential for translation efficiency and the accuracy of translation through ensuring the correct wobble base pairing (<xref ref-type="bibr" rid="B34">34</xref>, <xref ref-type="bibr" rid="B35">35</xref>), and for maintaining the stability and folding of tRNAs (<xref ref-type="bibr" rid="B36">36</xref>). Recently, numerous studies have shown the significance of tRNA modification in the production of tRFs (<xref ref-type="bibr" rid="B37">37</xref>&#x2013;<xref ref-type="bibr" rid="B40">40</xref>).</p>
<p>5-methylcytosine modification is one of the important determiners in the stability of tRNAs, and can prevent tRNAs from ANG-mediated cleavage. As a result, the loss of modification leads to the degradation of tRNAs (<xref ref-type="bibr" rid="B40">40</xref>). Blanco et&#xa0;al. identified that NSun2-mediated cytosine-5 RNA methylation at the variable loop can lead to an increased affinity of tRNA and ANG, which gives rise to an accumulation of 5&#x2032;-tRFs and the subsequent attenuation of protein translation rates (<xref ref-type="bibr" rid="B41">41</xref>). Similarly, Tuorto et&#xa0;al. revealed a quantitative loss of cytosine-C5 tRNA methylation in mice with DNMT2 and NSUN2 deficiencies, which led to a substantial decrease in abundance of tRNA<sup>Asp-GTC</sup> and tRNA<sup>Gly-GCC</sup> and reduced efficiency of overall protein synthesis (<xref ref-type="bibr" rid="B42">42</xref>). However, specific tRFs were not revealed by the authors. Analogously, Chen et&#xa0;al. developed a mouse strain with demethylase &#x3b1;-ketoglutarate-dependent dioxygenase alkB homolog 3 (ALKBH3) knockdown and found that ALKBH3 potently and selectively demethylated the m1A and m3C residues on tRNA. However, the expression level of the most targeted tRNAs, aside from tRNA<sup>GlyGCC</sup>, were not significantly changed in HeLa cells with ALKBH3 deletion (<xref ref-type="bibr" rid="B38">38</xref>). However, tRNA<sup>GlyGCC</sup> had low levels in epididymis, testis and lung samples from mice with ALKBH3 knockdown.</p>
<p>Pseudouridylation also plays critical roles in regulating the abundance and species of tRFs (<xref ref-type="bibr" rid="B43">43</xref>). A family of pseudouridine synthases (PUS7) were reported to catalyze pseudouridylation of RNAs (<xref ref-type="bibr" rid="B44">44</xref>). Guzzi&#x2019;s team indicated that the deficiency of PUS7 results in reduced levels of ~18 nucleotide-long 5&#x2032;-tRFs but increased levels of 5&#x2032;-tiRNAs, suggesting that the pseuduridylated modification on tRNAs are correlated with their differentiated endonuclease affinity and subsequent processing products (<xref ref-type="bibr" rid="B43">43</xref>).</p>
<p>Queuosine modification is uniquely detected on eukaryotic tRNA anticodon-loop containing G<sub>34</sub>U<sub>35</sub>N<sub>36</sub> sequences (<xref ref-type="bibr" rid="B45">45</xref>). In the process of queuosine modification, guanine is substituted by queuine with the assistance of queuine tRNA-ribosyl transferase catalytic subunit 1 (QTRT1) (<xref ref-type="bibr" rid="B46">46</xref>). Wang et&#xa0;al. revealed that queuosine modification significantly protects tRNA<sup>His</sup> and tRNA<sup>Asn</sup> from ANG-mediated cleavage (<xref ref-type="bibr" rid="B37">37</xref>). These data provide new insights into how tRNA modifications affect small RNA pools. However, it is unclear how these modifications enhance tRNA stability. Thus, a detailed understanding of the biogenesis of tRFs requires more research.</p>
</sec>
<sec id="s4">
<title>4 Distinct biological roles of tRFs</title>
<p>tRFs are ubiquitous in all domains of organisms and are associated with the pathophysiological processes of various diseases (<xref ref-type="bibr" rid="B26">26</xref>, <xref ref-type="bibr" rid="B47">47</xref>, <xref ref-type="bibr" rid="B48">48</xref>). The biological functions of tRFs have been reported in recent years. Here, we summarize the main biological roles of tRFs such as in gene silencing, RNA processing, and translational, apoptotic, and epigenetic regulation in different types of diseases.</p>
<sec id="s4_1">
<title>4.1 Gene silencing in AGO-dependent and AGO-independent mechanisms</title>
<p>Researchers previously treated tRFs as a distinctive type of microRNA (miRNA). It is logical to speculate that tRFs function similarly to miRNAs. For example, Green&#x2019;s group detailed that tRF-3003a (derived from tRNA<sup>CysGCA</sup>) confers gene silencing of Janus Kinase 3 (JAK3) by &#x2018;seed sequence&#x2019; complementarity in osteoarthritis chondrocytes (<xref ref-type="bibr" rid="B49">49</xref>). They further verified that tRF-3003a associated with AGO2 and GW182, and forms RNA-induced silencing complex by performing AGO2 and GW182 RNA immunoprecipitation assays. Another study found that the C-terminus of AGO2 was indispensable for functionality, but the N-terminus was not indispensable for interacting with GW182 (<xref ref-type="bibr" rid="B50">50</xref>). The effects of GW182 were suggested to be quite important in AGO2-mediated gene silencing. However, more research is needed to uncover the details of tRFs in AGO-dependent gene silencing.</p>
<p>Several studies have indicated that disparate tRFs show distinct affinities with various AGO subtypes. An earlier meta-analysis revealed that several tRFs have a stronger affinity to AGO1, AGO3 and AGO4 in comparison with AGO2, indicating that tRFs possess other mechanisms of action beyond binding to AGO2, unlike miRNAs (<xref ref-type="bibr" rid="B51">51</xref>). A tRF named CU1276 suppresses the endogenous expression of Replication Protein1 (RPA1) by sequence complementarity, while the RNA-induced silencing complex is composed of AGO3, AGO4 and AGO1 rather than AGO2 (<xref ref-type="bibr" rid="B4">4</xref>, <xref ref-type="bibr" rid="B52">52</xref>). Likewise, Zhong et&#xa0;al. identified that Gly-tRF (5&#x2032;-tRF, with the length of 29&#x2013;34 nucleotides) is upregulated in both ethanol-fed mice and alcoholic fatty liver disease patients. Further research has indicated that alcohol consumption can result in the activation of oxidative stress and the subsequent upregulation of Gly-tRFs (<xref ref-type="bibr" rid="B53">53</xref>). Gly-tRFs interact with AGO3, but not with other types of AGOs, to silence sirtuin1 (Sirt1) expression by targeting its 3&#x2032;-UTR. This leads to the disruption of lipid metabolism pathways and liver injury (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2A</bold>
</xref>). However, the potential mechanism of discrepant affinity of tRFs to AGO needs further study.</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>Gene expression regulation by tRNA-derived fragments (tRFs). <bold>(A)</bold> Gly-tRFs inhibit the expression of Sirt1 by associating with AGO3 to target Sirt1 mRNA 3&#x2032;-UTR. <bold>(B)</bold> 5&#x2032;-tsRNAs sequester RBP IGF2BP1 from the c-Myc mRNA and affects the stability of the target mRNA. <bold>(C)</bold> tiRNA-Gly promotes translocation of RBM17 from the cytoplasm to the nucleus, and induces RBM17-dependent splicing of MAP4K4 mRNA. <bold>(D)</bold> LeuCAG3&#x2019;-tsRNA promotes the translation efficiency of ribosomal protein S28 (<italic>RPS28</italic>) mRNA by unfolding the hairpin structure of <italic>RPS28</italic>.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fonc-13-1063930-g002.tif"/>
</fig>
</sec>
<sec id="s4_2">
<title>4.2 Post transcriptional regulation with RNA binding proteins</title>
<p>In comparison to the studies described above, other studies support that tRFs play a role in gene silencing by interacting with RNA binding proteins (RBPs). A previous study verified that a series of i-tRFs (derived from tRNA<sup>GluYTC</sup>, tRNA<sup>AspGTC</sup>, tRNA<sup>GlyTCC</sup>, and tRNA<sup>TyrGTA</sup>) competitively bind to Y-box binding protein 1 (YBX1), known to stabilize oncogenic transcripts. The upregulation of i-tRFs sequesters YBX1 away from oncogenic mRNAs, leading to the degradation of oncogenic transcripts. Krishna et&#xa0;al. reported that a series of 5&#x2032;-tsRNAs (including tsRNA-GlnCTG, tsRNA-GlyGCC, tsRNA-GluTTC, and tsRNA-ValCCC) modulate the states of mouse embryonic stem cells by influencing the abundance of stemness-marker c-Myc (<xref ref-type="bibr" rid="B7">7</xref>). Based on RNA pulldown assays and mass spectrometry, it has been verified that 5&#x2032;-tsRNAs preferentially bind to RBP IGF2BP1. IGF2BP1 is known to maintain the stability of c-Myc mRNA by interacting with the coding region instability determinant. This association results in the instability of c-Myc mRNA and lowers c-Myc expression (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2B</bold>
</xref>). The study provides new insights in gene silencing at the post-transcriptional level.</p>
<p>A recent study identified that tiRNA-Gly promotes the proliferation and migration of papillary thyroid cancer cells by binding to RNA binding motif protein 17 (RBM17) (<xref ref-type="bibr" rid="B8">8</xref>), a spliceosome protein that can selectively splice mRNAs. The study revealed that the interaction of tiRNA-Gly and RBM17 suppresses ubiquitin-dependent degradation of RBM17, and facilitates the translocation of RBM17 from the cytoplasm to the nucleus. RBM17 mediates alternative exon splicing of Mitogen-Activated Protein 4 Kinase 4 (MAP4K4) pre-mRNA. Increased tiRNA-Gly induced higher levels of truncated MAP4K4 mRNA and lower levels of long variant MAP4K4 mRNA. MAP4K4 was known as a protein kinase to activate the MAPK pathway (<xref ref-type="bibr" rid="B54">54</xref>), though it was revealed that the two variants of MAP4K4 substantially phosphorylated the downstream proteins of the MAPK pathway, and the truncated variant showed a stronger effect than that of the long variant (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2C</bold>
</xref>). These data revealed the significance of alternative splicing in altering signal pathways mediated by tiRNA-Gly. This study provides novel insights into the role of tiRNAs in post-transcriptional gene expression regulation.</p>
</sec>
<sec id="s4_3">
<title>4.3 Regulation of translation</title>
<p>It has been demonstrated that the overall translation speed can be decreased by about 10% by tRFs (<xref ref-type="bibr" rid="B25">25</xref>). However, the underlying mechanism of the inhibitory effect of tRFs on protein translation is unclear. Ivanovet et&#xa0;al. reported that 5&#x2032;-tiRNA<sup>Ala</sup> and 5&#x2032;-tiRNA<sup>Cys</sup> promotes the synthesis of stress granules in a phospho-eIF2a-independent way, and disturbs the formation of the translation initiation complex by replacing the eukaryotic initiation factors from m7G-capped mRNAs (<xref ref-type="bibr" rid="B55">55</xref>). Further studies have clarified that the G-quadruplex-like structure (G4-motif) at the 5&#x2032;-end of 5&#x2032;-tiRNAs contribute to the formation of intermolecular RNA G-quadruplexes (<xref ref-type="bibr" rid="B9">9</xref>). These complexes can interact with the cold shock domain of translational silencer protein YBX1 (also referred as YB-1), which facilitates the assembly of stress granules and strengthens the resistance against stress (<xref ref-type="bibr" rid="B56">56</xref>). Mechanistic studies have indicated that RNA G-quadruplexes are necessary for replacing translational initiation factors (eIF4G/A) from mRNAs. However, YBX1 protein is not indispensable for interfering with translation-initiation complexes, but it is required in facilitating the assembly of stress granules (<xref ref-type="bibr" rid="B57">57</xref>). In addition, another study provided deep insights into how pseudouridylated tRFs affect translational initiation in embryogenesis and hematopoietic lineage manifestation (<xref ref-type="bibr" rid="B43">43</xref>). It was identified that tRF-5s are abundant in human embryonic stem cells (<xref ref-type="bibr" rid="B43">43</xref>). Pseudouridylation of tRF-5 at the U8 position (referred to as mTOGs) inhibits translation initiation by competitively binding to polyA binding protein-1 (PABPC1), eIF4G/A, and eIF4E.</p>
<p>tRFs not only disrupt translation initiation but also enhance translation efficiency. For example, the overexpression of LeuCAG3&#x2032;-tsRNA significantly promotes the biogenesis of 18S rRNA (<xref ref-type="bibr" rid="B58">58</xref>). LeuCAG3&#x2032;-tsRNA promotes the translation efficiency of <italic>RPS28</italic> mRNA by interacting with the coding sequence and unfolding the hairpin structure of <italic>RPS28</italic> mRNA. (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2D</bold>
</xref>).</p>
<p>Moreover, research has verified that the pre-tRNA trailer derived tRFs sequesters La/SSB in the cytoplasm and leads to the inhibition of HCV internal ribosome entry site-mediated translation (<xref ref-type="bibr" rid="B59">59</xref>). Certain aspects of tRF-5 play a critical role in translation silencing. For example, a conserved &#x201c;GG&#x201d; dinucleotide structure in tRF-5 contributes to translation inhibition regardless of the shortened length of RF-5 (<xref ref-type="bibr" rid="B60">60</xref>). These results pave the way for tRFs in translation regulation by interacting with RBPs or mRNAs.</p>
</sec>
<sec id="s4_4">
<title>4.4 Regulation of cellular apoptosis</title>
<p>Studies have disclosed the potential role of tRFs in regulating cell apoptosis. Saikia et&#xa0;al. verified that a series of tiRNAs perturb the formation of the apoptosome by interfering with the interaction of apoptotic protease activating factor-1 (APAF1) and cytochrome c, resulting in increased survival of mouse embryonic fibroblasts. The affinity of cytochrome c for disparate tiRNAs varies considerably, and it was shown that cytochrome c showed significantly lower affinity to tiRNA<sup>Arg</sup> than to tiRNA<sup>Ala</sup>. However, how cytochrome c recognizes specific tRNA targets needs further research (<xref ref-type="bibr" rid="B61">61</xref>).</p>
<p>A recent study revealed that tRF-21-VBY9PYKHD (i-tRF, derived from tRNA<sup>GlyGCC</sup>) is involved in cell apoptosis regulation (<xref ref-type="bibr" rid="B62">62</xref>). Inflammatory cytokine-induced tRF-21 was downregulated in pancreatic ductal adenocarcinoma (PDAC), and overexpression of tRF-21 significantly enhanced apoptosis and inhibited growth of PDAC cells. Further research revealed that tRF-21 knockdown promotes the phosphorylation of heterogeneous nuclear ribonucleoprotein L (hnRNP L) and the formation of hnRNP L and dead-box helicase 17 (DDX17) complexes. These complexes play crucial roles in splicing Caspase 9 into Caspase 9b (with anti-apoptotic specificity) and mH2A1.2 (with pro-invasive specificity), while upregulation of tRF-21 exerts the opposite effect (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3A</bold>
</xref>). These studies reveal novel apoptosis-related mechanisms for the treatment of cancers.</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>Apoptosis and epigenetic regulation by tRNA-derived fragments (tRFs). <bold>(A)</bold> The interaction of tRF-21-VBY9PYKHD and hnRNP L inhibits the phosphorylation of hnRNP L mediated by AKT2 and promotes the formation of the hnRNP L and DDX17 complex. This complex splices Caspase 9 and mH2A1 pre-mRNAs into Caspase 9b mRNA and mH2A1.2 mRNA. <bold>(B)</bold> tRF-3 translocates into the nucleus with the assistance of Twi12. The Twi12-tRF-3 complex binds to the exonuclease Xrn2 and Tan1 to form a complex, which plays important roles in rRNA processing. <bold>(C)</bold> IL-4 decreases the production of tRNA<sup>Glu</sup> followed by the downregulation of td-piR, which assembles with PIWIL4 and recruits SETDB1, SUV39H1, and HP1&#x3b2; to the promoter of CD1a mRNA and facilitates methylation of H3K9 histone followed by inhibition of CD1a transcription.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fonc-13-1063930-g003.tif"/>
</fig>
</sec>
<sec id="s4_5">
<title>4.5 Epigenetic regulation of tRFs in a transposon-dependent manner</title>
<p>Transposons are genetic sequences that can translocate their sites within a genome (<xref ref-type="bibr" rid="B63">63</xref>). The mobilizable peculiarity of transposons is beneficial to the diversity of life and strengthens the adaptation to stress conditions (<xref ref-type="bibr" rid="B64">64</xref>). However, substantial evidence has shown that various cancers are significantly correlated with the transcriptional activity of transposons (<xref ref-type="bibr" rid="B65">65</xref>, <xref ref-type="bibr" rid="B66">66</xref>). To constrain the possible harmful effects of transposons, eukaryotes have developed various mechanisms such as DNA methylation, chromatin modification, as well as RNA silencing mediated by piRNA-Piwi complexes to keep these genetic elements in a quiescent state (<xref ref-type="bibr" rid="B67">67</xref>). The question naturally arises of how the genome protects itself from being destructed when most of the epigenetic marks and piRNAs disappear during epigenetic reprogramming, like during embryonic development prior to implantation. It was verified that a novel class of tRF-3s (derived from mature tRNAs<sup>LysUUU</sup>) 18&#x2013;22 nucleotides long was discovered to be enriched in SET domain bifurcated histone lysine methyltransferase 1 (SETDB1) knockout mouse embryonic stem cells (<xref ref-type="bibr" rid="B68">68</xref>). SETDB1 induces histone H3K9 trimethylation and plays a passive role in the transcription of long terminal repeat-retrotransposons, named endogenous retroviruses. The 18 nucleotide-long tRF-3 interferes with retroviral cDNA synthesis by displacing tRNAs from the primer binding site located in the long terminal repeat retrotransposon. The 22 nucleotide-long tRF-3 leads to the gene silencing of endogenous retrovirus mRNA through sequence complementarity to the primer binding site and results in reduced retrotransposon integration. MERVL is a retroelement that functions to drive the transcription of specific genes (<xref ref-type="bibr" rid="B69">69</xref>). GlyGCC 5&#x2032;-tRF suppresses MERVL-mediated gene transcription by binding to heterogeneous nuclear ribonucleoproteins F and H (hnRNP F/H) to form complexes, which play a crucial role in the biogenesis of several classes of small non-coding RNAs including U7 snRNAs. The stability and utility of U7 snRNAs rely on Cajal bodies. U7 snRNAs promote the production of histone proteins by interacting with histone downstream elements. As a result, the biogenesis of histone partially halts the post-transcriptional expression of MERV-mediated genes (<xref ref-type="bibr" rid="B10">10</xref>).</p>
</sec>
<sec id="s4_6">
<title>4.6 Epigenetic regulation of tRFs in a Piwi-dependent manner</title>
<p>tRF-3 has a length of 26&#x2013;31 nucleotides and has been found to interact with ribonucleoproteins AGO/Piwi and participate in epigenetic regulation (<xref ref-type="bibr" rid="B70">70</xref>). Couvillion et&#xa0;al. challenged the conventional wisdom that AGO/Piwi typically induces mRNA degradation and represses translation through RNA-induced silencing complex formation (<xref ref-type="bibr" rid="B70">70</xref>). They revealed that tRF-3 associates with the <italic>Tetrahymena thermophila</italic> AGO/Piwi protein Twi12 and promotes its nuclear translocation, while Twi12 plays essential roles in ribosomal RNA processing by assembling with Xrn2 and Tan1 proteins (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3B</bold>
</xref>). This study unveiled the roles of tRF-3s in nuclear translocation of Twi12 and possible mechanisms of epigenetic regulation. Simultaneously, it was speculated that the modified bases on tRF-3s attenuated the effects of sequence complementarity to target genes. This study may help to broaden the roles of tRF-3 and differentiate these roles from those of tRF-5.</p>
<p>Another study identified that tRF<sup>Glu</sup> derives td-piR(Glu) with a 2&#x2032;-O-methylation and 3&#x2032;-terminus, and is highly enriched in monocytes in comparison to dendritic cells (<xref ref-type="bibr" rid="B71">71</xref>). In addition, interleukin-4 (IL-4) decreases the production of tRNA<sup>Glu</sup> and its by-product td-piR(Glu) by regulating the activity of polymerase III. td-piR(Glu) functions as an IL-4-mediated signaling molecule by promoting H3K9 histone methylation, binding to PIWIL4 protein and recruiting SETDB1 and heterochromatin protein 1&#x3b2; (HP1&#x3b2;). Suppressor of variegation 3-9 homolog 1 (SUV39H1) is also recruited to the promoter of <italic>CD1A</italic>, which results in the suppression of <italic>CD1A</italic> transcriptional activity (<xref ref-type="bibr" rid="B71">71</xref>). These results suggest that td-piR(Glu) participates in chromatin remodeling in immune cells (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3C</bold>
</xref>).</p>
</sec>
</sec>
<sec id="s5">
<title>5 Effect of tRFs in cancer and viral infection</title>
<p>Mounting evidence indicates that the dysregulation of tRFs are key players of various malignant tumors.</p>
<sec id="s5_1">
<title>5.1 Regulation of cancer cell proliferation</title>
<p>Upregulated oncogenic signaling and downregulated anti-cancer signaling triggers the initiation and progression of cancers. tRF-19-3L7L73JD (i-tRF, derived from tRNA<sup>ValAAC</sup>) is downregulated in the plasma of pre-operative gastric cancer patients, while overexpression of tRF-19-3L7L73JD attenuates viability of gastric cancer cells by promoting cell apoptosis (<xref ref-type="bibr" rid="B72">72</xref>). Lee et&#xa0;al. demonstrated that tRF-1001 is abundantly expressed in PCA cells and the knockdown of tRF-1001 affects cell cycle distribution and reduces cell proliferation (<xref ref-type="bibr" rid="B19">19</xref>). In another study, 5&#x2032; tRF<sup>HisGTG</sup> (derived from tRF<sup>HisGTG</sup>) was upregulated in colorectal cancer (CRC) tissues and positively correlated with tumor size. Moreover, the overexpression of 5&#x2032; tRF<sup>HisGTG</sup> promoted cancer cell division by targeting large tumor suppressor 2 (<italic>LATS2</italic>), which functions in the tumor-suppressive Hippo signaling pathway (<xref ref-type="bibr" rid="B73">73</xref>). Analogously, tRF-Val was found to be upregulated in GC cell lines and tissues. Functionally, tRF-Val promoted proliferation of GC cells <italic>in vivo</italic> and <italic>in vitro</italic> by destabilizing the eukaryotic translation elongation gene, elongation factor 1-alpha 1 (<italic>EEF1A1</italic>), a regulator that mediates p53 ubiquitination by enhancing the effects of E3 ubiquitin ligase (<xref ref-type="bibr" rid="B74">74</xref>). This study suggests the substantial potential of tRFs in cell proliferation regulation.</p>
</sec>
<sec id="s5_2">
<title>5.2 Regulation of cancer cell migration and invasion</title>
<p>Migration and invasion allow cancer cells to spread to distant tissues or organs from the primary tumor site. Accumulating studies have shown that dysregulated tRFs are correlated with the invasion and metastasis of tumors. For example, Zhang et&#xa0;al. discovered that tRF-03357 is more abundant in ovarian cancer cells, and overexpression of tRF-03357 significantly inhibits the migration and invasion of ovarian cancer cells (<xref ref-type="bibr" rid="B75">75</xref>). Li et&#xa0;al. revealed that a cluster of 5&#x2032;-tiRNAs regulate the metastatic and invasive abilities of CRC cells, and among the detected 5&#x2032;- tiRNAs, 5&#x2032;-tiRNA<sup>Val</sup> (derived from tRNA<sup>Val</sup>) was verified to be positively correlated with lymph node and distant metastasis <italic>in vivo</italic> and <italic>in vitro</italic> (<xref ref-type="bibr" rid="B76">76</xref>). Meanwhile, another study revealed that tRF-20-MEJB5Y13 promotes the migration and invasion of CRC cells (<xref ref-type="bibr" rid="B77">77</xref>). Dong et&#xa0;al. discovered that the overexpression of tRF-24-V29K9UV3IU hinders the migratory capacity of gastric cells, and a bioinformatics analysis revealed that tRF-24-V29K9UV3IU influences signaling pathways involved in cancer metastasis (<xref ref-type="bibr" rid="B78">78</xref>). However, the detailed mechanism of these phenotypes requires further study.</p>
</sec>
<sec id="s5_3">
<title>5.3 Regulation of cancer cell apoptosis</title>
<p>Malignancy, characterized by an attenuation of cancer cell apoptosis, can also be regulated by certain tRFs. For example, overexpression of tRF-315 (derived from tRNA<sup>lys</sup>) inhibits the apoptosis of PCA cells by perturbing the expression of growth arrest and DNA damage 45a (<italic>GADD45a</italic>), which plays a vital role in sustaining <italic>BAX</italic> mRNA stability and facilitating the expression of the apoptotic factor <italic>BAX</italic> (<xref ref-type="bibr" rid="B79">79</xref>). These studies shed light on novel apoptosis-promoting mechanisms and could be relevant in the treatment of PCA.</p>
</sec>
<sec id="s5_4">
<title>5.4 Promotion of viral replication</title>
<p>A growing number of studies have identified dysregulated tRFs in cells or tissues associated with viral infection, and have revealed the function of tRFs in viral replication (<xref ref-type="bibr" rid="B11">11</xref>, <xref ref-type="bibr" rid="B80">80</xref>&#x2013;<xref ref-type="bibr" rid="B83">83</xref>). 5&#x2032;-tRF-GlyCCC and 5&#x2032;-tRF-LysCTT were discovered to be upregulated in A549 cells upon respiratory syncytial virus (RSV) infection, and overexpression of 5&#x2032;-tRF-GlyCCC and 5&#x2032;-tRF-LysCTT significantly promoted RSV replication (<xref ref-type="bibr" rid="B81">81</xref>). However, the mechanism underlying this observation was not specified in the study. Ruggero et&#xa0;al. demonstrated the specific function of tRF-3019 in promoting human T-celll leukemia virus type1 (HTLV-1) replication in CD4+ T cells (<xref ref-type="bibr" rid="B11">11</xref>). It was revealed that tRF-3019 exhibited perfect base pairing to the primer binding site of HTLV-1, and served as a primer in guiding the reverse-transcriptional activity of HTLV-1. A study by Deng et&#xa0;al. revealed a novel targeting mechanism of tRFs in regulating viral replication (<xref ref-type="bibr" rid="B80">80</xref>). For example, tRF5-GluCTC was highly abundant in airway epithelial cells upon RSV infection (<xref ref-type="bibr" rid="B80">80</xref>). Contrary to typical microRNAs, tRF5-GluCTC utilizes a novel gene silencing mechanism. It was reported that the interaction of the 3&#x2032;-portion of and 3&#x2032;-UTR of apolipoprotein E receptor 2 (<italic>APOER2</italic>) mRNA resulted in reduced expression of <italic>APOER2</italic>. APoER2 is an antiviral protein whose inhibition leads to RSV replication. Given the role of tRF5-GluCTC in promoting RSV replication (<xref ref-type="bibr" rid="B84">84</xref>), Choi et&#xa0;al. examined whether tRF5-GluCTC silences target gene expression in miRNA machinery (<xref ref-type="bibr" rid="B83">83</xref>). Both AGO1 and AGO4 was found to contribute to gene silencing of tRF5-GluCTC, while AGO2 and AGO3 were not involved in tRF5-GluCTC-induced gene expression activity. These observations signify the possible development of novel therapeutics against viral infection by exploiting the function of tRFs.</p>
</sec>
</sec>
<sec id="s6">
<title>6. Clinical values of tRFs in cancers</title>
<p>Numerous studies have elucidated the abnormal expression of tRFs in various kinds of tumors and body fluids in cancer patients. There is enormous potential for tRFs to function as novel biomarkers for diagnosis, tracking the prognosis of cancer, as therapeutic targets, as well as in improving chemotherapy resistance (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4</bold>
</xref> and <xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>).</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>Roles of tRNA-derived fragments (tRFs) in various cancers. Different types of tRFs could serve as various biomarkers or therapeutic targets for distinct cancers or potential therapeutic agents.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fonc-13-1063930-g004.tif"/>
</fig>
<table-wrap id="T1" position="float">
<label>Table&#xa0;1</label>
<caption>
<p>Clinical values of tRFs in various cancers.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" align="left">tRF Type</th>
<th valign="top" align="center">tRF name</th>
<th valign="top" align="center">Parental tRNA</th>
<th valign="top" align="center">Cancer</th>
<th valign="top" align="center">Expression</th>
<th valign="top" align="center">Source</th>
<th valign="top" align="center">Clinical values</th>
<th valign="top" align="center">Reference</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" rowspan="4" align="left">tRF-5</td>
<td valign="top" align="left">hsa_tsr016141</td>
<td valign="top" align="left">tRNA-GlnTTG</td>
<td valign="top" align="left">BC</td>
<td valign="top" align="left">higher</td>
<td valign="top" align="left">plasma</td>
<td valign="top" align="left">correlated with metastasis and cancer stage and improved the diagnostic efficiency</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B85">85</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">tRFArgCCT-017 tRFGlyCCC-001 tiRNAPheGAA-003</td>
<td valign="top" align="left">tRNA-ArgCCT tRNA-GlyCCC tRNA-PheGAA</td>
<td valign="top" align="left">BC</td>
<td valign="top" align="left">higher</td>
<td valign="top" align="left">plasma</td>
<td valign="top" align="left">potential diagnostic and prognostic biomarkers</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B86">86</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">5&#x2032;-tRF-GlyGCC</td>
<td valign="top" align="left">tRNA-GlyGCC</td>
<td valign="top" align="left">CRC</td>
<td valign="top" align="left">higher</td>
<td valign="top" align="left">plasma</td>
<td valign="top" align="left">potential diagnostic biomarker</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B87">87</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">tRF-5026a</td>
<td valign="top" align="left">tRNA-ValAAC</td>
<td valign="top" align="left">GC</td>
<td valign="top" align="left">lower</td>
<td valign="top" align="left">tissue and plasma</td>
<td valign="top" align="left">potential therapeutic agent</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B88">88</xref>)</td>
</tr>
<tr>
<td valign="top" rowspan="2" align="left">tRF-3</td>
<td valign="top" align="left">tRF-3019</td>
<td valign="top" align="left">tRNA-ProAGG/ tRNA-ProTGG</td>
<td valign="top" align="left">TLL</td>
<td valign="top" align="left">higher</td>
<td valign="top" align="left">HTLV-1-infected CD4 cells</td>
<td valign="top" align="left">potential therapeutic target</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B11">11</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">tRFValTAC-41/ tRFMetCAT-37</td>
<td valign="top" align="left">tRNA-ValTAC/ tRNA-MetCAT</td>
<td valign="top" align="left">PDAC</td>
<td valign="top" align="left">higher</td>
<td valign="top" align="left">serum</td>
<td valign="top" align="left">potential diagnostic and prognostic marker</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B89">89</xref>)</td>
</tr>
<tr>
<td valign="top" rowspan="2" align="left">i-tRF</td>
<td valign="top" align="left">i-tRF-GlyGCC</td>
<td valign="top" align="left">tRNA-GlyGCC</td>
<td valign="top" align="left">OC</td>
<td valign="top" align="left">higher</td>
<td valign="top" align="left">serum</td>
<td valign="top" align="left">associated with overall survival and progression free survival</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B90">90</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">tRF-21- VBY9PYKHD</td>
<td valign="top" align="left">tRNA-GlyGCC</td>
<td valign="top" align="left">PDAC</td>
<td valign="top" align="left">lower</td>
<td valign="top" align="left">tissue</td>
<td valign="top" align="left">potential therapeutic agent</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B62">62</xref>)</td>
</tr>
<tr>
<td valign="top" align="left">tRH-5</td>
<td valign="top" align="left">5&#x2019;-tRH-GlyTCC, 5&#x2019;-tRH-ValAAC,&#x2003;5&#x2019;- tRH-GluCTC,</td>
<td valign="top" align="left">tRNA- GlyTCC/ tRNA- alAAC/ tRNA- GluCTC</td>
<td valign="top" align="left">LC</td>
<td valign="top" align="left">higher</td>
<td valign="top" align="left">exosome&#x2003;from plasma</td>
<td valign="top" align="left">potential biomarker</td>
<td valign="top" align="center">(<xref ref-type="bibr" rid="B91">91</xref>)</td>
</tr>
</tbody>
</table>
</table-wrap>
<sec id="s6_1">
<title>6.1 tRFs as potential biomarkers for cancer diagnosis and prognosis</title>
<p>Early diagnosis and treatment are considered critical factors relating to the improved prognosis of cancer patients. Therefore, it is crucial to develop specific biomarkers to significantly improve the diagnostic efficiency for cancer patients. The fact that various types of tRFs have been detected in body fluids, such as blood, urine, saliva and sperm (<xref ref-type="bibr" rid="B92">92</xref>&#x2013;<xref ref-type="bibr" rid="B94">94</xref>), has rendered tRFs promising biomarkers. Recent studies have affirmed the values of tRFs as diagnostic and prognostic markers. Panoutsopoulou et&#xa0;al. revealed that i-tRF-GlyGCC is abundant in ovarian cancer compared to healthy controls. A Kaplan-Meier survival analysis confirmed the diagnostic value of elevated i-tRF-GlyGCC in predicting poor overall survival (OS) and worse progression-free survival of patients (<xref ref-type="bibr" rid="B90">90</xref>). Another study verified that the diagnostic values of tRFArgCCT-017, tRFGlyCCC-001, and tiRNAPheGAA-003 in BCA within an area under the curve were 0.683, 0.656, and 0.666, respectively (<xref ref-type="bibr" rid="B86">86</xref>). Meanwhile, elevated tRFArgCCT-017 or tiRNAPhe-GAA-003 levels are correlated with worse OS and disease-free survival rates in BCA patients (<xref ref-type="bibr" rid="B86">86</xref>). Wu et&#xa0;al. revealed that the plasma levels of 5&#x2032;-tRF-GlyGCC increase with the progression and metastasis of CRC (<xref ref-type="bibr" rid="B87">87</xref>). The combination of 5&#x2032;-tRF-GlyGCC and carcinoembryonic antigen, and carbohydrate antigen 19-9 (CA19-9) improves the AUC to 0.926. Gu et&#xa0;al. reported that the serum level of hsa_tsr016141 is correlated with metastasis and the cancer stage of gastric cancer, and can improve the diagnostic efficiency when combined with carcinoembryonic antigen and CA19-9 (<xref ref-type="bibr" rid="B85">85</xref>).</p>
<p>Xue et&#xa0;al. found that the combination of tRFValTAC-41 or tRFMetCAT-37 with CA19-9 can increase the diagnostic value (AUC = 0.947 and 0.949, respectively) in PDAC compared to CA19-9 alone (AUC = 0.906), and confirmed the clinical significance of tsRNA-ValTAC-41in predicting poor OS (<xref ref-type="bibr" rid="B89">89</xref>). In addition, high expression of tsRNA-5001a was revealed to be associated with increased risk of postoperative recurrences and poor OS in lung adenocarcinoma (<xref ref-type="bibr" rid="B3">3</xref>). Moreover, several studies have revealed that tRFs can be selectively exported in extracellular vesicles (<xref ref-type="bibr" rid="B95">95</xref>). Zhu et&#xa0;al. verified that 5&#x2032;-tRH-GlyTCC, 5&#x2032;-tRH-ValAAC, 5&#x2032;-tRH-GluCTC, and 3&#x2032;-tRF-ValTAC exhibit higher levels in plasma exosomes in patients with liver cancer (<xref ref-type="bibr" rid="B91">91</xref>). Intriguingly, it was reported that 5&#x2032;-tiRNAs can form homodimers or heterodimers to prevent endonucleolytic cleavage, thus enhancing the stability of 5&#x2032;-tiRNAs in extracellular vesicles (<xref ref-type="bibr" rid="B96">96</xref>). The presented studies indicate the immense potential of tRFs as novel forms of bio-liquid-based markers in diagnosing and evaluating prognosis.</p>
</sec>
<sec id="s6_2">
<title>6.2 tRFs as therapeutic agents or targets for cancer therapy</title>
<p>In the context of tRFs with suppressive effects on tumor development, synthesized tRF mimics can be introduced into cancer cells or tissues to treat cancers. Pan et&#xa0;al. identified that inflammatory cytokine-induced tRF-21-VBY9PYKHD was downregulated in PDAC cells, and overexpression of tRF-21 significantly enhanced apoptosis and inhibited growth of PDAC cells (<xref ref-type="bibr" rid="B62">62</xref>). Mice treated with tRF-21 agomir showed a reduction in tumor volume and had longer survival times. Likewise, Zhu et&#xa0;al. transfected gastric cancer cells with tRF-5026a mimics and injected these cells subcutaneously into nude mice, successfully attenuating the tumor growth <italic>in vivo</italic> (<xref ref-type="bibr" rid="B88">88</xref>). Han&#x2019;s group transfected CRC cells with tRF3008A (derived from tRNA<sup>Val</sup>) mimics and subcutaneously or intravenously injected these cells into mice to identify the effects of tRF3008A (<xref ref-type="bibr" rid="B97">97</xref>). tRF3008A had suppressive effects on the proliferation and migration of CRC. The results indicate the potential value of tRFs as therapeutic agents (<xref ref-type="bibr" rid="B98">98</xref>). In the context of oncogenic tRFs, the inhibition of certain tRFs may have therapeutic effects on cancer (<xref ref-type="bibr" rid="B99">99</xref>). Yang et&#xa0;al. demonstrated that upregulation of AS-tDR-007333 significantly promoted the growth and migration of non-small cell lung cancer cells (<xref ref-type="bibr" rid="B99">99</xref>). A mechanistic study revealed that AS-tDR-007333 and HSPB1 synergistically enhance transcription of mediator complex subunit 29 (<italic>MED29</italic>) by modifying histone modifications on <italic>MED29</italic> promoter regions. The therapeutic efficacy of AS-tDR-007333 was evaluated <italic>in vivo</italic>. Reduced levels of AS-tDR-007333 significantly inhibited growth of NSCLC tumors (<xref ref-type="bibr" rid="B99">99</xref>). However, it should be noted that several endogenous tRFs harbor modifications that may confer improved stability compared to synthesized tRFs.</p>
</sec>
<sec id="s6_3">
<title>6.3 Use of tRFs to improve chemotherapy resistance</title>
<p>Chemotherapy resistance is a challenge in cancer treatment and affects patient survival directly (<xref ref-type="bibr" rid="B100">100</xref>). It is therefore imperative to ascertain the potential mechanisms of cancer chemoresistance. We speculate on the potential methods that tRFs could be involved in cancer chemoresistance. For example, Cui et&#xa0;al. determined that tDR-0009 (derived from tRNA<sup>GlyGCC-1-1</sup>) and tDR-7336 (derived from tRNA<sup>GlyGCC-1-2</sup>) were significantly upregulated in hypoxic BCA cells, and a bioinformatics analysis revealed the two upregulated tRFs were mainly involved in cellular response to IL-6 in TNBC (<xref ref-type="bibr" rid="B101">101</xref>). IL-6 was reported to promote transcription of <italic>HIF1A</italic> by activating STAT3 signaling, and enhancing cisplatin resistance of ovarian cancer cells both <italic>in vitro</italic> and vivo by upregulation of <italic>HIF1A</italic> (<xref ref-type="bibr" rid="B102">102</xref>). As a transcription factor, HIF-1&#x3b1; induces paclitaxel and cisplatin resistance of BCA cells by increasing transcription of apoptosis-resistant Bcl-2, as well as ATP-binding cassette (ABC) transport proteins, P-glycoproteins (P-gps) and multidrug-resistant protein 1s (MRP1s) (<xref ref-type="bibr" rid="B103">103</xref>). On the basis of the above studies, we speculate that specific tRFs may act as new classes of regulators in cancer chemoresistance (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5A</bold>
</xref>).</p>
<fig id="f5" position="float">
<label>Figure&#xa0;5</label>
<caption>
<p>Molecular mechanism underlying tRNA-derived fragment (tRFs) regulation of carcinogenesis and chemoresistance. <bold>(A)</bold> DR-0009 and tDR-7336 activate the JAK/STAT3 pathway. Activated STAT3 promotes the biogenesis of HIF-1&#x3b1;. HIF-1&#x3b1; upregulates the expression of Bcl-2, ABC transporters, P-gp and MRP1. <bold>(B)</bold> 5&#x2032; tiRNA<sup>Val</sup> suppresses FZD3/Wnt/&#x3b2;-Catenin signaling. Inhibition of Wnt signals results in the degradation of free &#x3b2;-Catenin followed by downregulation of c-Myc and cyclin D1. <bold>(C)</bold> The 17nt-tRF/miR-1280 suppresses Notch/JAG2 transmembrane signal transduction by downregulating JAG2. This then leads to transcriptional repression of <italic>Gata1</italic> and <italic>Gata3</italic> and upregulation of miR-200b. miR-200b downregulates ZEB1 by targeting its 3&#x2032;-UTR, followed by reduced expression of USP17, CHD1L and DUX4.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fonc-13-1063930-g005.tif"/>
</fig>
<p>Meanwhile, Mo et&#xa0;al. demonstrated that overexpressed 5&#x2032; tiRNA<sup>Val</sup> suppresses cell proliferation and migration of BCA cells by targeting frizzled-3 (Fz-3) (<xref ref-type="bibr" rid="B104">104</xref>). As a vital component of the Wnt/&#x3b2;-catenin pathway, Fz-3 upregulation promotes expression of c-Myc, while Fz-3 inhibition results in degradation of free &#x3b2;-catenin (<xref ref-type="bibr" rid="B104">104</xref>) (<xref ref-type="bibr" rid="B105">105</xref>). This results in the subsequent attenuation of c-Myc expression (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5B</bold>
</xref>). c-Myc has been reported to confer antiestrogen resistance in BCA cells (<xref ref-type="bibr" rid="B106">106</xref>, <xref ref-type="bibr" rid="B107">107</xref>).</p>
<p>Moreover, Huang&#x2019;s team demonstrated that the 17 nucleotide-long tRF/miR-1280 suppresses proliferation and metastasis activity by destabilizing jagged canonical Notch ligand 2 (JAG2) (<xref ref-type="bibr" rid="B108">108</xref>). JAG2 is a membrane-bound ligand, and the binding of JAG2 to notch receptors results in proteolysis of the Notch intracellular domain, which translocates into the nucleus and binds to the promoter of <italic>GATA1</italic> and <italic>GATA3</italic> genes. GATA1 and GATA3 proteins exert transcriptional inhibition of miR-200b. As a result, the inhibition of Notch/JAG2 signaling reduces <italic>GATA1</italic> and <italic>GATA3</italic> expression, upregulates miR-200b expression, and subsequently increases expression of <italic>ZEB1</italic> (target gene of miR-200b) (<xref ref-type="bibr" rid="B108">108</xref>). While <italic>ZEB1</italic> was verified in CRC cells to inhibit transcription of ubiquitin-specific peptidase 17 (<italic>USP17</italic>), chromodomain helicase DNA-binding protein 1-like (<italic>CHD1L</italic>), and double homeobox 4 (<italic>DUX4</italic>), knockdown of <italic>ZEB1</italic> improved CRC cell response to cisplatin (<xref ref-type="bibr" rid="B109">109</xref>). For example, 17 nucleotide-long tRF/miR-1280 mediated suppression of the Notch/JAG2 pathway and results in reduced levels of ZEB1. This may improve cisplatin sensitivity in CRC (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5C</bold>
</xref>). The regulatory mechanism that tRFs may play in chemoresistance is complicated, and is unlikely to be limited to the mechanism mentioned above. However, it is likely that tRFs may participate in this elaborate network.</p>
</sec>
</sec>
<sec id="s7" sec-type="conclusions">
<title>7 Conclusions and future outlook</title>
<p>According to existing literature, there are more than 500 tRNAs used to transport amino acids during translation (<xref ref-type="bibr" rid="B110">110</xref>). Therefore, it is rational to speculate that the number of existing tRF species may exceed the current estimates. The advanced technology of RNA sequencing contributes to the detection of diverse types of tRFs. tRFs have been verified to play roles in regulating the proliferation, metastasis, invasiveness and chemoresistance of cancer cells. Their specialties in cancer tissues and plasma makes it possible for scientists to develop novel screening, diagnostic and prognostic &#x201c;liquid biopsy&#x201d; biomarkers, as well as treatment targets for cancers. Nevertheless, as we have only scratched the surface of the biological roles of tRFs, the availability and biological significance of the various tRFs still require further investigation.</p>
<p>Firstly, the clinical applications of tRFs require in-depth research. Because of the extensively modified residues on tRNAs (<xref ref-type="bibr" rid="B111">111</xref>), tRFs inevitably contain these modifications, and may lead to inaccurate cDNA production. Our group previously combined tRF pretreatment and qRT-PCR to quantify tRFs (<xref ref-type="bibr" rid="B88">88</xref>), and we also applied hairpin structure primers to achieve accurate cDNA synthesis. The conventional methods used to detect tRFs mainly include high-throughput sequencing and Northern blotting. As these methods are not suitable for large-scale clinical testing, more advanced methods are needed for clinical applications.</p>
<p>Secondly, as tRF research in the context of chemotherapy resistance is in its infancy, it is still challenging to fully comprehend the potential mechanisms of the role of tRFs in chemoresistance. Therefore, the depth and breadth of research on the carcinogenesis of tRFs should be further expanded, especially with chemotherapeutic resistance.</p>
<p>In conclusion, despite the limited knowledge about tRFs, it is obvious that tRFs exist ubiquitously in all domains of organisms and play formidable roles in different pathophysiological processes. However, in-depth studies are required before clinical applications can be performed.</p>
</sec>
<sec id="s8">
<title>Conflicts of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s9" sec-type="author-contributions">
<title>Author contributions</title>
<p>JG designed the study. SZ and JG wrote the manuscript. XY and YX contributed to the literature search. All authors revised the manuscript. All authors contributed to the article and approved the submitted version.</p>
</sec>
</body>
<back>
<sec id="s10" sec-type="funding-information">
<title>Funding</title>
<p>The authors are thankful for the financial support from the Zhejiang Provincial Natural Science Foundation of China (no. LGF21H200004), the National Natural Science Foundation of China (no. 81974316), the Ningbo Municipal Bureau of Science and Technology (nos. 2021Z133 and 2022Z130), and the K.C. Wong Magna Fund from Ningbo University. </p>
</sec>
<sec id="s11" sec-type="COI-statement">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s12" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
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