Emerging roles of the RNA modifications N6-methyladenosine and adenosine-to-inosine in cardiovascular diseases

Vilbert Sikorski1, Antti Vento2, Esko Kankuri1

  • 1Department of Pharmacology, Faculty of Medicine, University of Helsinki, 00014 Helsinki, Finland.

Insights

RNA modifications like N6-methyl-adenosine (m6A) and adenosine-to-inosine (A-to-I) editing are increasingly linked to cardiovascular diseases. This review explores their roles in heart health and disease, offering insights into epitranscriptomics.

Area of Science:

  • Molecular Biology
  • Genetics
  • Cardiology

Background:

  • Cardiovascular diseases (CVDs) are leading global causes of death and illness.
  • Post-transcriptional RNA modifications, known as epitranscriptomics, play a crucial role in interpreting genetic information.
  • These modifications are increasingly implicated in the development of CVDs and metabolic disorders.

Purpose of the Study:

  • To review current knowledge on the roles of epitranscriptomic modifications in cardiovascular disease.
  • To focus on the two most prevalent RNA modifications: N6-methyl-adenosine (m6A) and adenosine-to-inosine (A-to-I) editing.
  • To explore their regulatory pathways, components, and downstream effects in the context of cardiovascular health and disease.

Main Methods:

  • Literature review of accumulated discoveries.
  • Synthesis of research on m6A and A-to-I modifications in cardiovascular contexts.
  • Analysis of their impact on disease mechanisms and progression.

Main Results:

  • N6-methyl-adenosine (m6A) modification is a key regulator in various cardiovascular processes.
  • Adenosine-to-inosine (A-to-I) editing also significantly influences cardiovascular function and disease states.
  • Both modifications affect gene expression and cellular pathways relevant to heart health.

Conclusions:

  • Epitranscriptomic modifications, particularly m6A and A-to-I editing, are integral to cardiovascular disease pathogenesis.
  • Understanding these RNA modifications offers potential therapeutic targets for cardiovascular disorders.
  • Further research into epitranscriptomics is crucial for advancing cardiovascular medicine.

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