Related Experiment Video
Updated: Jul 22, 2025

Predictive Immune Modeling of Solid Tumors
Published on: February 25, 2020
Novel insight into RNA modifications in tumor immunity: Promising targets to prevent tumor immune escape
Yuxin Kong1, Jie Yu1, Shengfang Ge1
1Department of Ophthalmology, Shanghai Key Laboratory of Orbital Diseases and Ocular Oncology, Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, Shanghai 200001, China.
Abstract:
An immunosuppressive state is a typical feature of the tumor microenvironment. Despite the dramatic success of immune checkpoint inhibitor (ICI) therapy in preventing tumor cell escape from immune surveillance, primary and acquired resistance have limited its clinical use. Notably, recent clinical trials have shown that epigenetic drugs can significantly improve the outcome of ICI therapy in various cancers, indicating the importance of epigenetic modifications in immune regulation of tumors. Recently, RNA modifications (N6-methyladenosine [m6A], N1-methyladenosine [m1A], 5-methylcytosine [m5C], etc.), novel hotspot areas of epigenetic research, have been shown to play crucial roles in protumor and antitumor immunity. In this review, we provide a comprehensive understanding of how m6A, m1A, and m5C function in tumor immunity by directly regulating different immune cells as well as indirectly regulating tumor cells through different mechanisms, including modulating the expression of immune checkpoints, inducing metabolic reprogramming, and affecting the secretion of immune-related factors. Finally, we discuss the current status of strategies targeting RNA modifications to prevent tumor immune escape, highlighting their potential.
Insights
RNA modifications like m6A, m1A, and m5C are crucial in tumor immunity, impacting immune cells and tumor cells. Targeting these epigenetic changes shows promise for overcoming resistance to immune checkpoint inhibitor (ICI) therapy.
Area of Science:
- Immunology
- Epigenetics
- Oncology
Background:
- Tumor microenvironments are typically immunosuppressive, limiting the effectiveness of immune checkpoint inhibitor (ICI) therapy.
- Epigenetic modifications play a key role in tumor immune regulation, with recent trials showing improved ICI outcomes with epigenetic drugs.
- RNA modifications, including N6-methyladenosine (m6A), N1-methyladenosine (m1A), and 5-methylcytosine (m5C), are emerging as critical factors in tumor immunity.
Purpose of the Study:
- To provide a comprehensive understanding of the roles of m6A, m1A, and m5C in tumor immunity.
- To elucidate the mechanisms by which these RNA modifications regulate immune cells and tumor cells.
- To discuss current strategies targeting RNA modifications for cancer immunotherapy.
Main Methods:
- Review of current literature on RNA modifications and tumor immunity.
- Analysis of mechanisms including immune checkpoint modulation, metabolic reprogramming, and immune factor secretion.
- Discussion of therapeutic strategies targeting RNA modifications.
Main Results:
- m6A, m1A, and m5C directly regulate immune cells and indirectly affect tumor cells.
- These RNA modifications influence immune checkpoints, cellular metabolism, and the secretion of immune-related factors.
- Targeting RNA modifications offers potential to overcome resistance to ICI therapy.
Conclusions:
- RNA modifications are critical regulators of the tumor immune response.
- Understanding these epigenetic mechanisms is key to developing novel cancer immunotherapies.
- Targeting RNA modifications presents a promising strategy to enhance ICI therapy efficacy and prevent tumor immune escape.
Related Concept Videos
Tumor Immunotherapy
Adaptive Mechanisms in Cancer Cells
Some of the advantages that cancer cells have on normal cells include - enhanced ability to divide without terminally differentiating, induce new blood vessel formation,...
lncRNA - Long Non-coding RNAs
Targeted Cancer Therapies
There are several types of targeted therapies against...
Cancer Stem Cells and Tumor Maintenance
Cancer stem cells are thought to originate from tissue-specific normal stem cells or progenitor cells. The normal stem cells usually reside in...
Cytotoxic T Cells-mediated Immune Response
Immunological surveillance is the ability of immune cells to monitor and eliminate infected cells with intracellular pathogens, neoplastically transformed cells, and cells with non-self antigens. Cytotoxic T cells and NK...

