Targeting NAT10 alleviates colonic senescence and elderly-onset colitis by disrupting N4-acetylation of DYRK1A

Jingyu Chen1,2,3,4, Meng Xue1,2,3, Shuyi Mi1,2,3

  • 1Department of Gastroenterology, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.

Nature Communications
|March 1, 2026
PubMed

Insights

Scientists found that the N4-acetylcytidine (ac4C) modification, regulated by NAT10, drives colon cell senescence and intestinal aging. Targeting NAT10 could reverse aging and treat elderly-onset ulcerative colitis.

Area of Science:

  • Molecular Biology
  • Gastroenterology
  • Aging Research

Background:

  • Intestinal aging, marked by senescence and reduced self-renewal, heightens susceptibility to elderly-onset ulcerative colitis (UC).
  • The precise mechanisms driving this susceptibility remain largely unknown.
  • Cellular senescence is a key factor in age-related diseases.

Purpose of the Study:

  • To investigate the role of mRNA N4-acetylcytidine (ac4C) modification and its writer, N-acetyltransferase 10 (NAT10), in human colonic epithelial cell senescence.
  • To explore the potential of targeting the NAT10 pathway as a therapeutic strategy for elderly-onset UC and intestinal aging.

Main Methods:

  • Studied the impact of NAT10 knockdown on human colonic epithelial cell senescence in vitro and intestinal aging in aged mice.
  • Employed ac4C-modified transcriptome sequencing to identify NAT10-regulated genes.
  • Analyzed NAT10 and DYRK1A expression in UC tissues from elderly patients.
  • Investigated the therapeutic effects of NAT10 inhibition and DYRK1A inhibition in aged mice with colitis.

Main Results:

  • NAT10 was identified as a critical regulator of human colonic epithelial cell senescence.
  • NAT10 knockdown alleviated senescence in vitro and intestinal aging in vivo.
  • NAT10 stabilizes DYRK1A mRNA via ac4C modification, promoting colon epithelial senescence.
  • NAT10 and DYRK1A were upregulated in elderly UC patients' tissues and correlated with disease severity.
  • Inhibition of NAT10 or DYRK1A ameliorated colitis in aged mice.

Conclusions:

  • NAT10-mediated RNA ac4C modification is a key driver of colon epithelial cell senescence and intestinal aging.
  • Modulating NAT10 activity offers a promising therapeutic avenue for rejuvenating the aging intestine.
  • This pathway presents a novel strategy for treating elderly-onset ulcerative colitis.