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  2. TRMT6-directed m1A modification initiates lung squamous cell carcinoma via YTHDF3-stabilized cell cycle genes

TRMT6-directed m1A modification initiates lung squamous cell carcinoma via YTHDF3-stabilized cell cycle genes

  • NPJ Precis Oncol. 2026 Mar 10;10(1):165. doi: 10.1038/s41698-026-01361-w.
Weihao Xue # 1 Liqiang Zhu # 2 Xiaolong Wei # 3 Jinqi Sun 2 Weihao Lin 3 Shaomin Huang 3 Lianpin Wu 4 Donghong Zhang 5
Affiliations

Affiliations

  • 1 Department of Cardiology, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
  • 2 Department of Laboratory Medicine, The Second Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.
  • 3 Department of Pathology, Cancer Hospital of Shantou University Medical College, Shantou, Guangdong, China.
  • 4 Department of Cardiology, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China. 198019@wzhealth.com.
  • 5 Department of Cardiology, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China. donghong_zhang@wmu.edu.cn.
  • # Contributed equally.
Abstract

N1-Methyladenosine (m1A) is a prevalent RNA modification that governs RNA metabolism, structure, stability, and translation. Yet its cancer-wide landscape and functional impact remain largely unexplored. Here, we delineate the m1A regulatory network in lung squamous cell carcinoma (LUSC). The dominant m1A writer of TRMT6 emerged as the most up-regulated regulator in LUSC through a comprehensive pan-cancer analysis; both TRMT6 expression and global m1A levels significantly distinguished LUSC from normal tissue, serving as potent diagnostic biomarkers. Functionally, TRMT6 installs m1A marks and facilitates their cellular export. Both the in vitro and in vivo experiments reveal that TRMT6 accelerates LUSC proliferation by orchestrating cell-cycle gene expression. Mechanistically, TRMT6 binds cell-cycle transcripts, most notably TOPBP1 and DSN1, promotes the formation of m1A, and stabilizes these mRNAs via the YTHDF3 reader pathway. A single, critical m1A site in each target mRNA is sufficient to boost TOPBP1 and DSN1 expression. Using dCasRx-TRMT6, we further show that site-specific m1A deposition on DSN1 mRNA is a potent strategy to modulate its expression and drive proliferation. Collectively, our findings uncover a previously unrecognized m1A-dependent regulatory axis that underpins LUSC diagnosis and progression.

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