M6A-dependent regulation of microRNAs from CKD stage 5 patients: insights from epigenetic modification analysis

Zhiqian Yang1,2,3, Fanna Liu2, Mingjun Ye2

  • 1Clinical Medical Research Center, Shenzhen People's Hospital (The First Affiliated Hospital, Southern University of Science and Technology; The Second Clinical Medical College, Jinan University), Shenzhen, China.

Epigenetics
|April 7, 2026
PubMed

Insights

This study reveals altered N6-methyladenosine (m6A) patterns in small RNAs from peripheral blood mononuclear cells (PBMCs) of chronic kidney disease (CKD) stage 5 patients, identifying potential miRNA-target gene biomarkers.

Area of Science:

  • Molecular Biology
  • Genomics
  • Immunology

Background:

  • Chronic kidney disease (CKD) stage 5 is associated with systemic inflammation.
  • Peripheral blood mononuclear cells (PBMCs) are crucial in this inflammatory process.
  • Epitranscriptomic modifications, like N6-methyladenosine (m6A), are increasingly recognized in disease.

Purpose of the Study:

  • To investigate the m6A epitranscriptomic landscape of small RNAs in PBMCs from CKD stage 5 patients.
  • To identify specific small RNAs and their modification patterns altered in CKD stage 5.
  • To explore potential miRNA-target gene interactions relevant to CKD pathogenesis.

Main Methods:

  • Small RNA modification microarrays were used to profile m6A levels in PBMCs.
  • Differential m6A-modified small RNAs (miRNAs, pre-miRNAs, tsRNAs) were identified.
  • Bioinformatic analyses, including enrichment analysis and target prediction, were performed.
  • Quantitative PCR (qPCR) and Mass Spectrometry-based RNA immunoprecipitation (MeRIP) validated key findings.

Main Results:

  • 158 miRNAs, 149 pre-miRNAs, and 197 tsRNAs exhibited differential m6A modification.
  • Enrichment analysis pointed to pathways like PI3K-Akt signaling and leukocyte transendothelial migration.
  • IRF1 and RUNX2 were identified as key target genes.
  • Reduced m6A was confirmed in miR-205-3p and miR-93-5p, correlating with RUNX2 upregulation and IRF1 downregulation.

Conclusions:

  • CKD stage 5 is characterized by a distinct m6A epitranscriptomic profile in PBMC small RNAs.
  • Specific miRNA-target gene axes, such as miR-205-3p/RUNX2 and miR-93-5p/IRF1, are implicated.
  • These findings suggest potential utility of these altered small RNA modifications as biomarkers for CKD stage 5.

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