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Updated: Mar 21, 2026

Intestinal Epithelial Regeneration in Response to Ionizing Irradiation
Published on: July 27, 2022
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.
Abstract:
Colorectal cancer is initiated by loss of APC, which drives expansion of LGR5+ intestinal stem cell (ISC) populations. Whilst LGR5 + ISC expansion is a critical step for tumour initiation and progression, its regulation is poorly understood. Emerging evidence suggests post-transcriptional RNA modifications play a key role in cancer biology, but their role in CRC initiation has not been explored. Here, we identify the m5C methyltransferase NSUN2 as a key regulator of ISC expansion and intestinal tumourigenesis. NSUN2 is upregulated in multiple CRC mouse models and human tumours, and its depletion impairs ISC expansion and hyperproliferation, leading to reduced tumour initiation. Transcriptome-wide bisulfite sequencing revealed that NSUN2 mediates m5C methylation on mRNAs encoding key ISC regulators and components of the MAPK/ERK pathway. Mechanistically, loss of NSUN2 reduces ERK phosphorylation in Apc-deficient models, and oncogenic KrasG12D expression is sufficient to restore ERK signalling and rescue ISC expansion. Together, this establishes a novel role for NSUN2 as a key regulator of ISC-driven CRC initiation and describes a critical molecular mechanism linking m5C methylation to MAPK-driven stem cell transformation.
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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