Department of Hematology, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, People's Republic of China.
Bioland Laboratory (Guangzhou Regenerative Medicine and Health Guangdong Laboratory), Guangzhou, People's Republic of China.
Ann Hematol. 2024 Aug;103(8):2601-2612. doi: 10.1007/s00277-023-05302-6. Epub 2023 Aug 7.
N6-methyladenosine (m6A) RNA modification has recently emerged as an essential regulator of normal and malignant hematopoiesis. As a reversible epigenetic modification found in messenger RNAs and non-coding RNAs, m6A affects the fate of the modified RNA molecules. It is essential in most vital bioprocesses, contributing to cancer development. Here, we review the up-to-date knowledge of the pathological functions and underlying molecular mechanism of m6A modifications in normal hematopoiesis, leukemia pathogenesis, and drug response/resistance. At last, we discuss the critical role of m6A in immune response, the therapeutic potential of targeting m6A regulators, and the possible combination therapy for AML.
N6-甲基腺苷(m6A)RNA 修饰最近已成为正常和恶性造血的重要调节剂。作为信使 RNA 和非编码 RNA 中发现的一种可逆的表观遗传修饰,m6A 影响修饰 RNA 分子的命运。它在大多数重要的生物过程中都是必不可少的,有助于癌症的发展。在这里,我们综述了 m6A 修饰在正常造血、白血病发病机制和药物反应/耐药性中的最新病理功能和潜在分子机制的知识。最后,我们讨论了 m6A 在免疫反应中的关键作用、靶向 m6A 调节剂的治疗潜力以及 AML 的可能联合治疗。