- Review
The Role of microRNAs as Potential Biomarkers in Diffuse Large B-Cell Lymphoma
- Eirini Panteli,
- Epameinondas Koumpis and
- Eleftheria Hatzimichael
- + 5 authors
Diffuse large B-cell lymphoma (DLBCL) is the most common and clinically aggressive subtype of non-Hodgkin lymphoma (NHL). While novel therapies such as rituximab and polatuzumab vedotin have led to improved outcomes, approximately 35% of patients eventually develop relapsed or refractory disease. MicroRNAs (miRNAs), a class of endogenous single-stranded RNAs approximately 22 nucleotides in length, play a pivotal role in the regulation of gene expression at the post-transcriptional level through interactions with complementary target RNAs and contribute significantly to the development, progression, and treatment response of DLBCL. Oncogenic miRNAs, such as miR-155, miR-21, and the miR-17–92 cluster, promote proliferation, survival, immune evasion, and therapy resistance by modulating pathways including PI3K/AKT, NF-κB, and MYC. Conversely, tumor-suppressive miRNAs such as miR-34a, miR-144, miR-181a, and miR-124-3p inhibit oncogene activity and enhance apoptosis, with their loss often associated with adverse outcomes. Among these, miR-155 and miR-21 are particularly well studied, playing central roles in both tumor progression and remodeling of the tumor microenvironment. This review summarizes current evidence on the biological and clinical relevance of miRNAs in DLBCL, emphasizing their diagnostic and prognostic potential.
7 January 2026


![miRNAs are transcribed by RNA polymerase II as primary transcripts (pri-miRNAs), which are then processed in the nucleus by the enzyme Drosha along with its cofactor DGCR8 into precursor miRNAs (pre-miRNAs). These pre-miRNAs are transported to the cytoplasm via exportin 5, where they associate with the Dicer/TRBP complex and are cleaved into short double-stranded RNA molecules. One strand of this miRNA duplex is then incorporated into the Argonaute protein to form the RNA-induced silencing complex (RISC). RISC then binds to specific target mRNAs, leading to their degradation, destabilization, or inhibition of translation. In addition to the canonical pathway, miRNAs can be generated through non-canonical biogenesis routes, including Drosha-independent mechanisms (where pri-miRNAs are processed by the spliceosome) as well as Dicer-independent pathways. Abbreviations: Ago2: Argonaute 2, DGCR8: DiGeorge syndrome critical region 8, RISC: RNA-induced silencing complex, TRBP: Transactivation response element RNA-binding protein. Created in https://BioRender.com (accessed on 8 July 2025). Modified from Seyhan, Attila 2023 [51].](https://mdpi-res.com/ncrna/ncrna-12-00002/article_deploy/html/images/ncrna-12-00002-g001-550.jpg)



