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m6A-Related Regulation of Ferroptosis Contributes to Nasal Epithelial Barrier Dysfunction in Allergic Rhinitis
Zehua Lin1, Baoai Han1, Qiang Xie1
1Department of Otorhinolaryngology Head and Neck Surgery, Zhongnan Hospital of Wuhan University, Wuhan, China.
Allergy
|August 10, 2026
Summary
House dust mite exposure triggers ferroptosis, a cell death pathway, leading to nasal epithelial barrier damage in allergic rhinitis. This damage is mediated by GAS1 suppressing GPX4, a process regulated by m6A methylation.
Area of Science:
- Immunology
- Cell Biology
- Molecular Biology
Background:
- Ferroptosis, a cell death form driven by lipid peroxidation, is implicated in respiratory injury but its role in allergic rhinitis (AR) is unknown.
- Investigating ferroptosis in AR is crucial for understanding disease pathogenesis.
Purpose of the Study:
- To assess the role of ferroptosis in allergic rhinitis (AR) pathogenesis.
- To elucidate the molecular mechanisms underlying ferroptosis in AR.
Main Methods:
- Utilized human nasal epithelial cells and mouse models to study house dust mite (HDM)-induced ferroptosis and barrier disruption.
- Employed m6A assays, RIP-qPCR, and MeRIP-qPCR to analyze N6-methyladenosine (m6A) methylation and its regulatory role.
- Validated findings using clinical nasal mucosal samples and GAS1-knockdown mice.
Main Results:
- HDM exposure induced ferroptosis and epithelial barrier disruption, characterized by increased lipid peroxidation.
- Glutathione peroxidase 4 (GPX4) protected against ferroptosis; its inhibition or knockdown exacerbated epithelial damage.
- Growth arrest-specific 1 (GAS1) promoted ferroptosis by downregulating GPX4, a mechanism confirmed in vivo.
- GAS1's effect on GPX4 was mediated by METTL3-dependent m6A modification of GPX4 mRNA.
Conclusions:
- HDM exposure drives AR pathogenesis via ferroptosis-induced nasal epithelial barrier impairment.
- GAS1-METTL3-mediated regulation of GPX4 m6A methylation represents a novel mechanism in AR.
- Targeting this pathway may offer therapeutic strategies for allergic rhinitis.