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Tumor Discovery                                                  RNA-protein complexes deregulated in cancer



            regulator independent of its RNA m6A methyltransferase   recognition by m6A erasers. This variability, coupled
            activity, 191,192  as it colocalizes with repressive H3K27me3   with cell type-specific  interactions with m6A  writers,
            marks on chromatin. METTL14 binds to H3K27me3 and   readers, and erasers, contributes to differences in cancer
            KDM6Brecruits facilitating H3K27me3 demethylation, a   susceptibility and progression. Different cancers exhibit
            process essential for the transition from embryonic stem   distinct expression levels of m6A-modifying enzymes,
            cells to differentiated cells.  Another methyltransferase   further influencing cancer development and therapeutic
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            complex (MTC) is formed by the association of RNA-  outcomes.
            binding motif protein 15 (RBM15), vir-like m6A       Similar  to  ncRNAs,  there  is  a  dynamic  crosstalk
            methyltransferase-associated protein (VIRMA), zinc   between  circRNAs  and  m6A  modifications.  CircRNAs
            finger CCHC-type containing 4 (ZCCHC4), and zinc   impact  cancer  response  to  chemotherapeutics  through
            finger CCCH-type containing 13 (ZC3H13). 27        mechanisms such as modulating drug transport, DNA
              Regarding internal m7G (N7-methylguanosine) writers,   repair, apoptosis, the TME, autophagy, EMT, cancer stem
            METTL1 forms a protein complex with WD repeat domain   cells, and glycolysis. 209
            4 (WDR4). This complex is active on tRNAs, rRNAs,
            mRNAs  (enhancing  mRNA  translation),  and  miRNAs.   4. Epitranscriptome regulation of ncRNAs
            The insulin-like growth factor 2 mRNA-binding protein   and cancer therapeutics
            (IGF2BP) family serves as readers of m6A modifications,   Recent databases have compiled information on ncRNAs
            regulating the stability of m6A-modified mRNAs. m6A   involved in epigenetic regulation. 207,208  A significant
            influences RNA-driven phase separation by altering   resource, curated by Yulia Medvedeva’s laboratory at the
            RNA–RNA and RNA–protein interactions. For example,   Institute of Bioengineering, Russian Academy of Science,
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            the loading of m6A readers facilitates phase separation.    lists over 4,100 such ncRNAs and is accessible at https://
            Notably, IGFBP2/3 act as m6A readers, binding ncRNAs   github.com/lab-medvedeva/himorna-frontend.  Similar
            and promoting the  stability of m6A-modified mRNAs.    to how amino acid charges and PTMs  confer new
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            Other  m6A  readers include eukaryotic  initiation  factor   properties, epitranscriptomic modifications in ncRNAs
            (eIF3), proteins of the heterogeneous nuclear RNP   influence interaction strength, base pairing, and RNA
            (HNRNP) family, and YTHDF1 and YTHDF2, which       stability.
            contain the YT521-B homologous (YTH) domain.
                                                                 The METTL3 inhibitor STM2457 entered phase
              The cytoplasmic protein YTHDF2 binds to m6A marks,   I clinical  trials in 2022, demonstrating inhibition of
            either leading to degradation of m6A-modified RNAs   proliferation in AML.  S-adenosylmethionine (SAM), an
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            by erasers or facilitating the localization and translation   essential cofactor, is required for both DNMT1 (a DNA
            of bound mRNAs through interactions with translation   methylating enzyme) and METTL3. 212,213  METTL3A, a
            initiation factors. In the nucleus, YTHDC1 regulates pre-  component of the m6A writer complex, is a key target in
            mRNA splicing by recruiting splicing factors.      cancers with elevated m6A levels. METTL3 inhibitors,

              Demethylases such as fat mass- and obesity-associated   including STC-15, have been tested in clinical trials. 214
            protein (FTO) and alkylation repair AlkB homolog protein   Various epitranscriptomic modifications of ncRNAs
            5  (ALKBH5)  remove  m6A  modifications. PSPC1,  a   affect RNA stability and function in cancer. Researchers
            regulatory subunit of ALKBH5, binds to K235-acetylated   have developed drugs targeting the writers, readers, and
            ALKBH5, enhancing its recognition of m6A-modified   erasers of m6A modifications. 211-214,216  Promising anticancer
            RNAs and promoting its erasing activity. Elevated K235   effects have been reported for inhibitors targeting the
            acetylation of ALKBH5 is observed in cancers and is   METTL3–METTL14  methylation  complex.  These
            linked to tumorigenesis.  Table 5 highlights the ncRNAs   inhibitors exhibit diverse chemical structures, such as
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            and circRNAs regulated by m6A-associated enzymes.  adenine derivatives, sinefungin, UZH derivatives, CDIBA
                                                               derivatives,  STM2457,  and  eltrombopag.   In addition,
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              An internal N7-methylguanosine (m7G) modification
            in ncRNAs  has been identified as a  significant  factor in   compounds such as mitoxantrone, suramin, KH3, and
                                                               eltrombopag inhibit the RNA-binding domain of ELAVL/
            resistant acute myeloid leukemia (AML).  However,   HuR, demonstrating antiangiogenic properties.  Notably,
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            limited information exists on m7G readers and erasers.
                                                               various METTL3 inhibitors entered phase 1 clinical trials
              Each ncRNA possesses unique properties, with m6A   for AML in 2022. 211,214,217  Researchers have explored two
            modifications sometimes enhancing stability through   main approaches: developing m6A writer inhibitors
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            interactions with m6A readers, while in other cases,   and allosterically activating m6A writing complexes.
            they make ncRNAs susceptible to degradation through   Drug compounds targeting METTL14, a transcriptional
            Volume 3 Issue 4 (2024)                         14                                doi: 10.36922/td.4657
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