Related Experiment Video
Updated: Oct 17, 2025

Exploring m6A and m5C Epitranscriptomes upon Viral Infection: an Example with HIV
Published on: March 5, 2022
Epitranscriptomic modifications in acute myeloid leukemia: m6A and 2'-O-methylation as targets for novel therapeutic
Cornelius Pauli1,2, Michael Kienhöfer1, Stefanie Göllner1
1Department of Medicine V, Hematology, Oncology and Rheumatology, University of Heidelberg, Im Neuenheimer Feld 410, 69120 Heidelberg, Germany.
Abstract:
Modifications of RNA commonly occur in all species. Multiple enzymes are involved as writers, erasers and readers of these modifications. Many RNA modifications or the respective enzymes are associated with human disease and especially cancer. Currently, the mechanisms how RNA modifications impact on a large number of intracellular processes are emerging and knowledge about the pathogenetic role of RNA modifications increases. In Acute Myeloid Leukemia (AML), the N6-methyladenosine (m6A) modification has emerged as an important modulator of leukemogenesis. The writer proteins METTL3 and METTL14 are both involved in AML pathogenesis and might be suitable therapeutic targets. Recently, close links between 2'-O-methylation (2'-O-me) of ribosomal RNA and leukemogenesis were discovered. The AML1-ETO oncofusion protein which specifically occurs in a subset of AML was found to depend on induction of snoRNAs and 2'-O-me for leukemogenesis. Also, NPM1, an important tumor suppressor in AML, was associated with altered snoRNAs and 2'-O-me. These findings point toward novel pathogenetic mechanisms and potential therapeutic interventions. The current knowledge and the implications are the topic of this review.
Insights
RNA modifications like N6-methyladenosine (m6A) and 2'-O-methylation (2'-O-me) play key roles in cancer. In Acute Myeloid Leukemia (AML), these RNA changes and their enzymes are crucial for disease development and potential therapies.
Area of Science:
- Molecular Biology
- Epigenetics
- Oncology
Background:
- RNA modifications are fundamental biological processes across species.
- These modifications and their associated enzymes are increasingly linked to human diseases, particularly cancer.
- Understanding the mechanisms of RNA modifications in disease pathogenesis is rapidly advancing.
Purpose of the Study:
- To review the current knowledge on RNA modifications in Acute Myeloid Leukemia (AML).
- To explore the roles of specific RNA modifications, N6-methyladenosine (m6A) and 2 -O-methylation (2 -O-me), in leukemogenesis.
- To discuss the implications of these findings for potential therapeutic strategies in AML.
Main Methods:
- Review of existing literature on RNA modifications in AML.
- Analysis of the roles of key enzymes (writers, erasers, readers) in RNA modification.
- Examination of the involvement of m6A and 2 -O-me in cancer development.
Main Results:
- N6-methyladenosine (m6A) modification is a significant modulator of leukemogenesis in AML.
- Writer proteins METTL3 and METTL14 are implicated in AML pathogenesis and represent potential therapeutic targets.
- 2 -O-methylation (2 -O-me) of ribosomal RNA is closely linked to leukemogenesis, with roles in AML1-ETO oncofusion protein activity and NPM1 tumor suppressor function.
Conclusions:
- RNA modifications, including m6A and 2 -O-me, are critical in AML pathogenesis.
- Specific enzymes and pathways involved in RNA modification offer novel therapeutic targets for AML.
- Further research into RNA modification mechanisms can uncover new pathogenetic insights and treatment strategies for AML.
Related Concept Videos
RNA Stability
MicroRNAs
Phase II Reactions: Methylation Reactions
The mechanism of methylation unfolds in two stages. The first stage sees a methyltransferase enzyme facilitating the transfer of a methyl group from S-adenosylmethionine (SAM) to the substrate, forming S-adenosylhomocysteine (SAH). The second stage involves further metabolism of SAH into homocysteine, which can be recycled...
RNA Editing
Regulation of Expression Occurs at Multiple Steps
Transcription results in the generation of precursor (pre-mRNA) that consists of both exons and introns, which needs further processing before being translated to a...
Regulation of Expression at Multiple Steps

