Dynamic alterations of the transcriptome-wide m6A methylome in cytogenetically normal acute myeloid leukaemia during

Jinjing Zhang1, Tong Liu1, Yue Wang1

  • 1Department of Hematology, the First Hospital of China Medical University, Shenyang, Liaoning 110001, China.

Genomics
|October 11, 2023
PubMed

Insights

N6-methyladenosine (m6A) modification is altered in acute myeloid leukaemia (AML), particularly during relapse. This study reveals widespread m6A changes and identifies key genes linked to AML progression and prognosis.

Area of Science:

  • Epigenetics
  • Molecular Biology
  • Oncology

Background:

  • N6-methyladenosine (m6A) is a crucial epitranscriptomic modification implicated in acute myeloid leukaemia (AML).
  • The comprehensive m6A methylome landscape in AML patients, especially during disease progression from diagnosis to relapse, remains largely unexplored.

Purpose of the Study:

  • To investigate genome-wide m6A methylome alterations in AML patients at diagnosis and relapse compared to healthy controls.
  • To identify m6A-modified genes and pathways associated with AML pathogenesis and relapse.
  • To explore the relationship between m6A modifications, gene expression, and clinical outcomes in AML.

Main Methods:

  • MeRIP-Seq was employed to profile the m6A methylome in bone marrow samples from AML patients (diagnosis and relapse) and healthy donors.
  • Bioinformatic analyses, including differential peak analysis, Gene Ontology (GO), and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analyses, were performed.
  • Integrated analysis of MeRIP-Seq and RNA-Seq data was conducted to link m6A modifications with gene expression patterns.

Main Results:

  • Significant differential m6A peaks were identified in AML patients at diagnosis (11,076 peaks) and relapse (11,962 peaks) compared to controls.
  • Dysregulated m6A peaks were enriched in 3' UTRs, stop codons, and coding sequences, particularly on chromosomes 1, 19, and 17.
  • m6A-modified genes were significantly associated with cancer-related biological functions and pathways, and 5 genes (HSPG2, HOMER3, TSPO2, CXCL12, FUT1) were linked to AML prognosis.
  • Upregulation of IGF2BP2, HSPG2, and HOMER3 was observed in AML at diagnosis, with dynamic changes during remission and relapse, suggesting their role in leukemogenesis.

Conclusions:

  • This study presents the first comprehensive analysis of the differential m6A methylome in AML patients during diagnosis and relapse.
  • m6A modification plays a significant role in AML relapse, offering new insights into the epigenetic mechanisms driving disease progression.
  • The findings highlight potential therapeutic targets and diagnostic biomarkers for AML, particularly concerning relapse and treatment resistance.