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Updated: Dec 6, 2025

Characterizing RNA Modifications in Single Neurons Using Mass Spectrometry
Published on: April 21, 2022
N6-methyladenosine RNA modification in cancer therapeutic resistance: Current status and perspectives
Zhijie Xu1, Bi Peng2, Yuan Cai2
1Department of Pathology, Xiangya Hospital, Central South University, Changsha 410008, Hunan, China; Department of Oncology, Mayo Clinic, Rochester, MN 55905, USA.
Abstract:
Several strategies, including chemotherapy and radiotherapy, have improved therapeutic outcomes among cancer patients in clinical practice. However, due to their heterogeneity, cancer cells frequently display primary or acquired therapeutic resistance, thereby resulting in treatment failure. The mechanisms underlying cancer therapeutic resistance are complex and varied. Among them, N6-methyladenosine (m6A) RNA modification has gained increasing attention as a potential determinant of therapy resistance within various cancers. In this review, we primarily describe evidence for the effect of the m6A epitranscriptome on RNA homeostasis modulation, which has been shown to alter multiple cellular pathways in cancer research and treatment. Additionally, we discuss the profiles and biological implications of m6A RNA methylation, which is undergoing intensive investigation for its effect on the control of therapeutic resistance.
Insights
N6-methyladenosine (m6A) RNA modification influences cancer therapy resistance by altering RNA homeostasis. Understanding m6A
Area of Science:
- Oncology
- Molecular Biology
- Epigenetics
Background:
- Chemotherapy and radiotherapy have improved cancer treatment outcomes.
- Cancer cells often develop resistance to therapies, leading to treatment failure.
- Therapeutic resistance mechanisms are complex and diverse.
Purpose of the Study:
- To review the role of the N6-methyladenosine (m6A) epitranscriptome in cancer therapy resistance.
- To explore how m6A RNA modification impacts RNA homeostasis and cellular pathways in cancer.
- To discuss the biological implications of m6A RNA methylation in controlling therapeutic resistance.
Main Methods:
- Literature review of studies on m6A RNA modification and cancer therapy resistance.
- Analysis of evidence linking m6A epitranscriptome to RNA homeostasis modulation.
- Discussion of m6A RNA methylation profiles and their biological significance.
Main Results:
- The m6A epitranscriptome significantly affects RNA homeostasis.
- Modulation of RNA homeostasis by m6A influences multiple cellular pathways relevant to cancer.
- m6A RNA methylation is a key factor in the development of therapeutic resistance.
Conclusions:
- N6-methyladenosine (m6A) RNA modification is a critical determinant of cancer therapeutic resistance.
- Targeting the m6A epitranscriptome holds potential for overcoming treatment failure in cancer.
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