NSUN2 restrains renal fibrosis via m5C-stabilized GPX4 and ferroptosis inhibition

Yuxin Zan1, Lin Chen2, Liming Ma3

  • 1Hubei Key Laboratory of Embryonic Stem Cell Research, Hubei Provincial Clinical Research Center for Umbilical Cord Blood Hematopoietic Stem Cells, Taihe Hospital, Hubei University of Medicine, Shiyan 442000, Hubei, China.

Cellular Signalling
|April 23, 2026
PubMed
Abstract

Insights

The study shows that NSUN2, a regulator of RNA modification, protects against renal fibrosis by stabilizing GPX4 mRNA, thus inhibiting ferroptosis. This identifies a new therapeutic target for kidney disease.

Area of Science:

  • Molecular Biology
  • Renal Pathophysiology
  • Epigenetics

Background:

  • Renal fibrosis (RFib) is a key factor in chronic kidney disease (CKD) progression.
  • The role of 5-methylcytosine (m5C) RNA modification in RFib and ferroptosis is not fully understood.

Purpose of the Study:

  • To investigate the role of m5C regulators in renal fibrosis.
  • To explore the connection between NSUN2, GPX4, and ferroptosis in RFib.

Main Methods:

  • Analysis of public GEO cohorts and in vivo/in vitro RFib models.
  • Gene set enrichment analysis (GSEA), qPCR arrays, and m5C RNA immunoprecipitation (MeRIP-qPCR).
  • Network pharmacology and in silico studies to identify potential therapeutic compounds.

Main Results:

  • NSUN2 was downregulated in fibrotic kidneys and HK-2 cells, correlating with ferroptosis activation.
  • NSUN2 enhanced GPX4 protein by increasing GPX4 mRNA stability via m5C modification.
  • Ginsenosides, particularly Rh2, were computationally identified as potential NSUN2 binders.

Conclusions:

  • NSUN2 mitigates renal fibrogenesis by maintaining GPX4 expression through m5C-mediated post-transcriptional regulation, thereby limiting ferroptosis.
  • Targeting the NSUN2-GPX4 axis with identified ginsenosides shows therapeutic potential for RFib, requiring further validation.

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