The field of the long non-coding RNA (lncRNA) is advancing rapidly. Currently, it is one of the most popular fields in the biological and medical sciences. It is becoming increasingly obvious that the majority of the human transcriptome has little or no-protein coding capacity. Historically,
H19 was the first imprinted non-coding RNA (ncRNA) transcript identified, and the
H19/IGF2 locus has served as a paradigm for the study of genomic imprinting since its discovery. In recent years, we have extensively investigated the expression of the
H19 gene in a number of human cancers and explored the role of
H19 RNA in tumor development. Here, we discuss recently published data from our group and others that provide further support for a central role of
H19 RNA in the process of tumorigenesis. Furthermore, we focus on major transcriptional modulators of the
H19 gene and discuss them in the context of the tumor-promoting activity of the
H19 RNA. Based on the pivotal role of the
H19 gene in human cancers, we have developed a DNA-based therapeutic approach for the treatment of cancers that have upregulated levels of
H19 expression. This approach uses a diphtheria toxin A (DTA) protein expressed under the regulation of the
H19 promoter to treat tumors with significant expression of
H19 RNA. In this review, we discuss the treatment of four cancer indications in human subjects using this approach, which is currently under development. This represents perhaps one of the very few examples of an existing DNA-based therapy centered on an lncRNA system. Apart from cancer,
H19 expression has been reported also in other conditions, syndromes and diseases, where deregulated imprinting at the
H19 locus was obvious in some cases and will be summarized below. Moreover, the
H19 locus proved to be much more complicated than initially thought. It houses a genomic sequence that can transcribe, yielding various transcriptional outputs, both in sense and antisense directions. The major transcriptional outputs of the
H19 locus are presented here.
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