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Updated: Nov 20, 2025

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Published on: May 23, 2025
YTHDF1 Regulates Pulmonary Hypertension through Translational Control of MAGED1
Li Hu1, Jie Wang1, Huijie Huang1
1Department of Forensic Medicine.
N6-methyladenosine (m6A) RNA modification and YTHDF1 protein promote pulmonary hypertension (PH) by enhancing MAGED1 translation in pulmonary artery smooth muscle cells (PASMCs). This discovery highlights m6A as a novel therapeutic target for PH.
Area of Science:
- Molecular Biology
- Epigenetics
- Cardiovascular Research
Background:
- Posttranscriptional RNA modifications, including N6-methyladenosine (m6A), are increasingly recognized for their roles in cellular processes.
- Pulmonary hypertension (PH) involves complex vascular remodeling, but the contribution of m6A modification and its effectors remains largely unexplored.
Purpose of the Study:
- To investigate the role of m6A RNA modification and m6A effector proteins in the pathogenesis of pulmonary hypertension.
- To determine if m6A modification and YTHDF1 influence pulmonary artery smooth muscle cell (PASMC) behavior and PH development.
Main Methods:
- Quantification of m6A levels and YTHDF1 expression in human and experimental PH samples and cultured PASMCs.
- RNA immunoprecipitation sequencing to identify m6A-modified transcripts.
- Genetic manipulation (deletion/ablation) of YTHDF1 and MAGED1 in vivo and in vitro models of PH.
- Functional assays on PASMCs, including proliferation and phenotype analysis.
Main Results:
- Elevated m6A levels and YTHDF1 protein were observed in PH samples and hypoxic PASMCs.
- YTHDF1 deletion attenuated PASMC proliferation and PH development.
- MAGED1 was identified as an m6A-regulated gene; its ablation improved vascular remodeling and hemodynamics in PH models.
- YTHDF1-mediated MAGED1 translation was dependent on m6A modification and suppressed in METTL3-deficient cells.
- MAGED1 silencing inhibited hypoxia-induced PASMC proliferation by downregulating PCNA.
Conclusions:
- YTHDF1 promotes PASMC proliferation and PH pathogenesis by enhancing MAGED1 translation in an m6A-dependent manner.
- This study establishes m6A RNA modification as a critical mediator in pathological changes within PASMCs and the development of PH.
- Targeting the m6A-YTHDF1-MAGED1 axis presents a potential therapeutic strategy for pulmonary hypertension.
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