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Updated: Feb 13, 2026

Author Spotlight: Unveiling the Role of TMOD3 in Platinum Resistance and Immune Infiltration in Ovarian Cancer
Published on: August 2, 2024
Epitranscriptomic Regulation of Platinum Resistance via the METTL3-ADAM23 Axis in Ovarian Cancer
Ujin Kim1, Junzui Li1, Daniela Matei1,2,3
1Department of Obstetrics and Gynecology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.
Abstract:
N6-methyladenosine (m6A) has emerged as a pivotal regulator of post-transcriptional gene control, yet its contribution to chemotherapy resistance remains insufficiently defined. Here, we describe a previously unrecognized METTL3-ADAM23 epitranscriptomic regulatory relationship associated with platinum (Pt) resistance in ovarian cancer (OC). We show that cisplatin treatment increases global m6A levels and METTL3 expression, linking Pt exposure to activation of the m6A machinery. Functional perturbation studies demonstrate that METTL3 overexpression enhances cisplatin resistance, whereas METTL3 knockdown or pharmacologic inhibition with the selective METTL3 inhibitor STM2457 sensitizes OC cells to Pt treatment in vitro and improves Pt response in vivo. Transcriptomic profiling identifies ADAM23, a cell-adhesion-related tumor suppressor, as a METTL3-dependent, m6A-associated transcript, with altered mRNA expression observed across multiple experimental systems and several high-confidence predicted m6A sites within its transcript. Cisplatin-associated METTL3 upregulation correlates with reduced ADAM23 expression, suggesting a potential regulatory relationship that may contribute to chemoresistance. Together, these findings support a model in which METTL3-associated increases in m6A methylation are linked to Pt resistance, in part through modulation of ADAM23 expression, and highlight METTL3 as a potential therapeutic target in OC.
Insights
N6-methyladenosine (m6A) regulates gene control, and its role in chemotherapy resistance is emerging. This study reveals METTL3-ADAM23 interactions impacting platinum resistance in ovarian cancer, suggesting METTL3 as a therapeutic target.
Area of Science:
- Molecular Biology
- Cancer Research
- Epigenetics
Background:
- N6-methyladenosine (m6A) is a key regulator of gene expression.
- Its role in chemotherapy resistance, particularly in ovarian cancer, is not fully understood.
- Platinum-based chemotherapy is a cornerstone treatment for ovarian cancer, but resistance remains a challenge.
Purpose of the Study:
- To investigate the role of the m6A epitranscriptomic regulator METTL3 in platinum resistance in ovarian cancer.
- To identify novel m6A-associated regulatory pathways involved in chemoresistance.
- To evaluate METTL3 as a potential therapeutic target for overcoming platinum resistance.
Main Methods:
- Analysis of m6A levels and METTL3 expression following cisplatin treatment in ovarian cancer cells.
- Functional studies involving METTL3 knockdown, overexpression, and pharmacologic inhibition (STM2457).
- Transcriptomic profiling to identify m6A-modified targets, including ADAM23.
- In vitro and in vivo assessment of drug sensitivity and tumor response.
Main Results:
- Cisplatin treatment increased global m6A levels and METTL3 expression in ovarian cancer cells.
- METTL3 overexpression conferred cisplatin resistance, while METTL3 inhibition sensitized cells to platinum treatment.
- ADAM23 was identified as a METTL3-dependent transcript, with its expression inversely correlated with METTL3 levels and platinum treatment.
- METTL3 inhibition improved platinum response in vivo.
Conclusions:
- METTL3-mediated m6A modification plays a significant role in platinum resistance in ovarian cancer.
- The METTL3-ADAM23 axis is a key epitranscriptomic regulatory mechanism contributing to chemoresistance.
- Targeting METTL3 presents a promising therapeutic strategy to enhance platinum efficacy in ovarian cancer.
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