NSUN2 mediates intestinal stem cell expansion and colorectal tumour initiation via MAPK/ERK signalling

Aslihan Bastem Akan1,2, Caroline V Billard1,2, Szu-Ying Chen3

  • 1Institute of Genetics and Cancer, The University of Edinburgh, Western General Hospital Campus, Edinburgh, UK.

Cell Death & Disease
|March 20, 2026
PubMed

Insights

The methyltransferase NSUN2 regulates intestinal stem cell expansion and colorectal cancer (CRC) initiation. Loss of NSUN2 impairs tumor growth by affecting RNA methylation and MAPK/ERK signaling.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Colorectal cancer (CRC) initiation involves the expansion of LGR5+ intestinal stem cells (ISCs) upon loss of APC.
  • Regulation of ISC expansion during tumor initiation is not fully understood.
  • Post-transcriptional RNA modifications are increasingly recognized for their role in cancer, but their specific involvement in CRC initiation remains unexplored.

Purpose of the Study:

  • To identify key regulators of ISC expansion in colorectal cancer initiation.
  • To investigate the role of RNA modifications, specifically m5C methylation, in CRC development.
  • To elucidate the molecular mechanisms linking RNA methylation to stem cell transformation in CRC.

Main Methods:

  • Utilized multiple CRC mouse models and human tumor samples.
  • Performed transcriptome-wide bisulfite sequencing to map m5C methylation sites.
  • Assessed the impact of NSUN2 depletion on ISC expansion, proliferation, and tumor initiation.
  • Analyzed MAPK/ERK pathway signaling through Western blotting for ERK phosphorylation.

Main Results:

  • NSUN2, an m5C methyltransferase, was found to be upregulated in CRC models and human tumors.
  • NSUN2 depletion significantly impaired ISC expansion and hyperproliferation, reducing tumor initiation.
  • NSUN2 mediates m5C methylation on mRNAs crucial for ISC regulation and the MAPK/ERK pathway.
  • Loss of NSUN2 reduced ERK phosphorylation in Apc-deficient models, which was rescued by oncogenic Kras expression.

Conclusions:

  • NSUN2 is a critical regulator of ISC-driven CRC initiation.
  • NSUN2 links m5C RNA methylation to MAPK/ERK signaling in stem cell transformation.
  • Targeting NSUN2 may offer a novel therapeutic strategy for colorectal cancer.

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