Liao Jun-Nan, Ni Wen-Juan, Wu Ping-Hui, Yang Ya-Dong, Yang Ying, Long Wen, Xie Mei-Zhen, Zhu Xiu-Zhi, Xie Fu-Hua, Leng Xiao-Min
The First Affiliated Hospital of Gannan Medical University, Gannan Medical University, Ganzhou 341000, Jiangxi Province, China.
School of Basic Medicine, Gannan Medical University, Ganzhou 341000, Jiangxi Province, China.
World J Gastrointest Oncol. 2025 May 15;17(5):104076. doi: 10.4251/wjgo.v17.i5.104076.
N6-methyladenosine (m6A) modification, one of the most prevalent RNA epigenetic modifications in eukaryotes, constitutes over 60% of all RNA methylation modifications. This dynamic modification regulates RNA processing, maturation, nucleocytoplasmic transport, translation efficiency, phase separation, and stability, thereby linking its dysregulation to diverse physiological and pathological processes. , a core catalytic component of the methyltransferase complex responsible for m6A deposition, is frequently dysregulated in diseases, including colorectal cancer (CRC). Although 's involvement in CRC pathogenesis has been documented, its precise molecular mechanisms and functional roles remain incompletely understood. mediates CRC progression-encompassing proliferation, invasion, drug resistance, and metabolic reprogramming-through m6A-dependent modulation of both coding RNAs and noncoding RNAs. Its regulatory effects are primarily attributed to interactions with key signaling pathways at multiple stages of CRC development. Emerging evidence highlights as a promising biomarker for CRC diagnosis and prognosis, as well as a potential therapeutic target. By synthesizing recent advances in research within CRC, this review provides critical insights into novel strategies for clinical diagnosis and targeted therapy.
N6-甲基腺苷(m6A)修饰是真核生物中最普遍的RNA表观遗传修饰之一,占所有RNA甲基化修饰的60%以上。这种动态修饰调节RNA加工、成熟、核质运输、翻译效率、相分离和稳定性,因此其失调与多种生理和病理过程相关。作为负责m6A沉积的甲基转移酶复合物的核心催化成分,在包括结直肠癌(CRC)在内的疾病中经常失调。尽管已证明其参与CRC发病机制,但其精确的分子机制和功能作用仍不完全清楚。通过对编码RNA和非编码RNA的m6A依赖性调节,介导包括增殖、侵袭、耐药和代谢重编程在内的CRC进展。其调节作用主要归因于在CRC发展的多个阶段与关键信号通路的相互作用。新出现的证据表明,是CRC诊断和预后的有前景的生物标志物,也是潜在的治疗靶点。通过综合CRC中研究的最新进展,本综述为临床诊断和靶向治疗的新策略提供了关键见解。