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Updated: Jul 12, 2026

Continuous Fluorescence-Based Endonuclease-Coupled DNA Methylation Assay to Screen for DNA Methyltransferase Inhibitors
Published on: August 5, 2022
TRDMT1-mediated mRNA m5C methylation decreases chemotherapy sensitivity by activating homologous
Wenhao Luo1, Hao Chen1, Yifan Fu1
1Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, China.
Abstract:
Pancreatic ductal adenocarcinoma (PDAC) is characterized by high malignancy and poor prognosis. However, chemotherapy remains the cornerstone of its treatment. Through transcriptomic analysis of gemcitabine-treated PDAC cells, we identified TRDMT1, rather than other known 5-methylcytosine (m5C) methyltransferases, as a principal regulator of mRNA m5C methylation. TRDMT1 deficiency attenuated the malignant phenotype of PDAC cells and increased their sensitivity to gemcitabine, 5-fluorouracil, oxaliplatin, and irinotecan. Furthermore, deletion of TRDMT1 impaired the recruitment of homologous recombination-related proteins, including BRCA1, RAD51, and RAD52. Analysis of mRNA m5C modification sequencing in TRDMT1-deficient PDAC cells demonstrated that IRS2 exhibited significantly reduced m5C methylation levels and decreased expression. The IRS2/PI3K/AKT axis was identified as the potential downstream signaling pathway through which TRDMT1 mediated the chemotherapeutic response. Survival data from patients with PDAC, and findings from TRDMT1-deficient mouse models, further supported the role of TRDMT1 in reducing chemosensitivity. Collectively, these findings indicate that TRDMT1-mediated mRNA m5C methylation is essential for homologous recombination repair in PDAC and suggest that TRDMT1 may represent a potential therapeutic target for overcoming chemoresistance.
Insights
TRDMT1 regulates mRNA methylation in pancreatic cancer, impacting chemotherapy response. Targeting TRDMT1 may overcome chemoresistance by affecting DNA repair and the IRS2/PI3K/AKT pathway.
Area of Science:
- Oncology
- Molecular Biology
- Epigenetics
Background:
- Pancreatic ductal adenocarcinoma (PDAC) has a poor prognosis, with chemotherapy as a primary treatment.
- Identifying novel regulators of chemoresistance is crucial for improving PDAC patient outcomes.
Purpose of the Study:
- To investigate the role of TRDMT1 in PDAC chemoresistance.
- To elucidate the mechanism by which TRDMT1 influences mRNA methylation and therapeutic response.
Main Methods:
- Transcriptomic analysis of gemcitabine-treated PDAC cells.
- TRDMT1 deficiency assessment in PDAC cells and mouse models.
- mRNA m5C modification sequencing.
- Analysis of homologous recombination protein recruitment.
- Investigation of the IRS2/PI3K/AKT signaling pathway.
Main Results:
- TRDMT1 was identified as a key regulator of mRNA m5C methylation in PDAC.
- TRDMT1 deficiency reduced PDAC cell malignancy and enhanced sensitivity to multiple chemotherapies.
- TRDMT1 deletion impaired homologous recombination repair protein recruitment.
- IRS2 showed decreased m5C methylation and expression in TRDMT1-deficient cells, implicating the IRS2/PI3K/AKT pathway.
- TRDMT1 promotes chemoresistance in PDAC patient data and mouse models.
Conclusions:
- TRDMT1-mediated mRNA m5C methylation is vital for homologous recombination repair in PDAC.
- TRDMT1 is a potential therapeutic target to overcome chemoresistance in pancreatic cancer.
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