METTL3-mediated TUG1 regulation of miR-9 in doxorubicin resistance in HCC

Enliang Li1, Rongshou Wu1, Yuexiao Tang2

  • 1Department of General Surgery, the Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi 330006, China.

Life Sciences
|July 4, 2025
PubMed
Abstract

Insights

Researchers identified a new molecular pathway involving METTL3, m6A, TUG1, miR-9, and EIF5A2 that drives doxorubicin resistance in hepatocellular carcinoma (HCC). This discovery offers novel therapeutic targets for overcoming drug resistance in HCC treatment.

Area of Science:

  • Oncology
  • Molecular Biology
  • Epigenetics

Background:

  • Hepatocellular carcinoma (HCC) is a leading cause of cancer mortality globally.
  • Doxorubicin (DOX) resistance significantly limits treatment efficacy for HCC patients.

Purpose of the Study:

  • To elucidate the molecular mechanisms behind DOX resistance in HCC.
  • To identify novel therapeutic targets for enhancing DOX sensitivity in HCC.

Main Methods:

  • Utilized N6-methyladenosine (m6A) RNA immunoprecipitation sequencing and qRT-PCR to analyze m6A RNA methylation in HCC cells.
  • Established a patient-derived xenograft mouse model to evaluate the in vivo efficacy of SP94-dR/miR-9 nanoparticles.

Main Results:

  • Upregulated METTL3 and TUG1 expression correlated with poor HCC survival.
  • METTL3 and TUG1 depletion enhanced HCC cell sensitivity to DOX.
  • METTL3 positively regulated TUG1 via m6A modification.
  • TUG1 depletion sensitized HCC cells to DOX by upregulating miR-9 and EIF5A2.
  • SP94-dR/miR-9 nanoparticles improved DOX sensitivity by modulating autophagy and inhibiting tumor growth.

Conclusions:

  • Identified a novel METTL3-m6A-TUG1-miR-9-EIF5A2 signaling axis crucial for DOX resistance in HCC.
  • This pathway represents a promising target for developing strategies to overcome DOX resistance in HCC management.