# N6-methyladenosine methylation in acute lung injury: Mechanisms and research progress

**Authors:** Yating Hu, Yijie Wang, Xiyue Liu, Xiaoli Xue, Binbin Li, Fangwei Li

PMC · DOI: 10.1016/j.jointm.2025.07.001 · Journal of Intensive Medicine · 2025-08-20

## TL;DR

This paper reviews how N6-methyladenosine RNA modification influences acute lung injury and explores its potential for new treatments.

## Contribution

The paper provides an updated review of m6A methylation's role in ALI and its regulatory mechanisms.

## Key findings

- Aberrant m6A regulators are linked to ALI development.
- M6A writers, erasers, and readers play key roles in ALI molecular mechanisms.
- Understanding m6A could lead to new therapeutic strategies for ALI.

## Abstract

N6-methyladenosine (m6A) methylation is the most prevalent and abundant internal post-transcriptional RNA modification in eukaryotic cells, playing an important regulatory role in various biological processes. The biological functions of m6A modification are dynamically and reversibly mediated by methyltransferases (writers), demethylases (erasers), and m6A binding proteins (readers). Acute lung injury (ALI) is a common critical condition characterized by diffuse edema within the pulmonary interstitium and alveoli, and is associated with high morbidity and mortality. Recent studies have identified that aberrant expression of m6A regulators is closely associated with ALI development. This review highlights the progress in research on m6A writers, erasers, and readers in ALI, focusing on their molecular regulatory mechanisms. Elucidating the molecular mechanisms of m6A and its associated proteins in ALI may reveal new therapeutic strategies and targets.

## Linked entities

- **Diseases:** acute lung injury (MONDO:0006502), ALI (MONDO:0006502)

## Full-text entities

- **Genes:** IL1B (interleukin 1 beta) [NCBI Gene 3553] {aka IL-1, IL1-BETA, IL1F2, IL1beta}, Mettl4 (methyltransferase 4, N6-adenosine) [NCBI Gene 76781] {aka 2410198H06Rik, A730091E08Rik, HsT661}, THRIL (TNF and HNRNPL related immunoregulatory long non-coding RNA) [NCBI Gene 102659353] {aka BRI3BP-AS1, BRI3BPAS1, Linc1992, TCONS_00020260}, TNF (tumor necrosis factor) [NCBI Gene 7124] {aka DIF, IMD127, TNF-alpha, TNFA, TNFSF2, TNLG1F}, Il1b (interleukin 1 beta) [NCBI Gene 16176] {aka IL-1beta, Il-1b}, EIF3A (eukaryotic translation initiation factor 3 subunit A) [NCBI Gene 8661] {aka EIF3, EIF3S10, P167, TIF32, eIF3-p170, eIF3-theta}, HNRNPA2B1 (heterogeneous nuclear ribonucleoprotein A2/B1) [NCBI Gene 3181] {aka HNRNPA2, HNRNPB1, HNRPA2, HNRPA2B1, HNRPB1, IBMPFD2}, APOC2 (apolipoprotein C2) [NCBI Gene 344] {aka APO-CII, APOC-II}, CCL1 (C-C motif chemokine ligand 1) [NCBI Gene 6346] {aka I-309, P500, SCYA1, SISe, TCA3}, RBMXP1 (RBMX pseudogene 1) [NCBI Gene 3186] {aka HNRNP-G, HNRPG}, Nfe2l2 (nuclear factor, erythroid derived 2, like 2) [NCBI Gene 18024] {aka Nrf2}, YTHDC2 (YTH N6-methyladenosine RNA binding protein C2) [NCBI Gene 64848] {aka CAHL, hYTHDC2}, Fto (FTO alpha-ketoglutarate dependent dioxygenase) [NCBI Gene 26383] {aka mKIAA1752}, Il6 (interleukin 6) [NCBI Gene 16193] {aka Il-6}, IL18 (interleukin 18) [NCBI Gene 3606] {aka IGIF, IL-18, IL-1g, IL1F4}, STAT1 (signal transducer and activator of transcription 1) [NCBI Gene 6772] {aka CANDF7, IMD31A, IMD31B, IMD31C, ISGF-3, STAT91}, Mir192 (microRNA 192) [NCBI Gene 387187] {aka Mirn192, mir-192, mmu-mir-192}, SIRT1 (sirtuin 1) [NCBI Gene 23411] {aka SIR2, SIR2L1, SIR2alpha}, VIRMA (vir like m6A methyltransferase associated) [NCBI Gene 25962] {aka KIAA1429, MSTP054, fSAP121}, HNRNPC (heterogeneous nuclear ribonucleoprotein C) [NCBI Gene 3183] {aka HNRNP, HNRPC, MRD74, SNRPC}, Fbxo3 (F-box protein 3) [NCBI Gene 57443] {aka 1200002G09Rik, 1700026K02Rik, Fba}, IGF2 (insulin like growth factor 2) [NCBI Gene 3481] {aka C11orf43, GRDF, IGF-II, PP9974, SRS3}, Slc7a11 (solute carrier family 7 (cationic amino acid transporter, y+ system), member 11) [NCBI Gene 26570] {aka 9930009M05Rik, sut, xCT}, ZC3H13 (zinc finger CCCH-type containing 13) [NCBI Gene 23091] {aka KIAA0853, Xio}, Gpx4 (glutathione peroxidase 4) [NCBI Gene 625249] {aka GPx-4, GSHPx-4, PHGPx, mtPHGPx, snGPx}, METTL3 (methyltransferase 3, N6-adenosine-methyltransferase complex catalytic subunit) [NCBI Gene 56339] {aka IME4, M6A, MT-A70, Spo8, hMETTL3}, Ythdf1 (YTH N6-methyladenosine RNA binding protein 1) [NCBI Gene 228994] {aka 2210410K23Rik, 8030473O16}, ATF3 (activating transcription factor 3) [NCBI Gene 467], NLRP3 (NLR family pyrin domain containing 3) [NCBI Gene 114548] {aka AGTAVPRL, AII, AVP, C1orf7, CIAS1, CLR1.1}, PPARA (peroxisome proliferator activated receptor alpha) [NCBI Gene 5465] {aka NR1C1, PPAR, PPAR-alpha, PPARalpha, hPPAR}, METTL14 (methyltransferase 14, N6-adenosine-methyltransferase non-catalytic subunit) [NCBI Gene 57721] {aka hMETTL14}, YTHDC1 (YTH N6-methyladenosine RNA binding protein C1) [NCBI Gene 91746] {aka YT521, YT521-B}, Ythdf2 (YTH N6-methyladenosine RNA binding protein 2) [NCBI Gene 213541] {aka 9430020E02Rik, HGRG8, NY-REN-2}, Tnf (tumor necrosis factor) [NCBI Gene 21926] {aka DIF, TNF-a, TNF-alpha, TNFSF2, TNFalpha, Tnfa}, ARFGEF1 (ARF guanine nucleotide exchange factor 1) [NCBI Gene 10565] {aka ARFGEP1, BIG1, DEDISB, P200}, IGFBP3 (insulin like growth factor binding protein 3) [NCBI Gene 3486] {aka BP-53, IBP-3, IBP3, IGFBP-3}, ALKBH5 (alkB homolog 5, RNA demethylase) [NCBI Gene 54890] {aka ABH5, OFOXD, OFOXD1}, HIF1A (hypoxia inducible factor 1 subunit alpha) [NCBI Gene 3091] {aka HIF-1-alpha, HIF-1A, HIF-1alpha, HIF1, HIF1-ALPHA, MOP1}, TTC4 (tetratricopeptide repeat domain 4) [NCBI Gene 7268] {aka CNS1}, Gbp4 (guanylate binding protein 4) [NCBI Gene 17472] {aka GBP-4, Mag-2, Mpa-2, Mpa2}, IGF2BP3 (insulin like growth factor 2 mRNA binding protein 3) [NCBI Gene 10643] {aka CT98, IMP-3, IMP3, KOC, KOC1, VICKZ3}, WTAP (WT1 associated protein) [NCBI Gene 9589] {aka Mum2}, FTO (FTO alpha-ketoglutarate dependent dioxygenase) [NCBI Gene 79068] {aka ALKBH9, BMIQ14, GDFD, IFEX9}, GPX4 (glutathione peroxidase 4) [NCBI Gene 2879] {aka GPx-4, GSHPx-4, MCSP, PHGPx, SMDS, snGPx}, IGF2BP2 (insulin like growth factor 2 mRNA binding protein 2) [NCBI Gene 10644] {aka IMP-2, IMP2, VICKZ2}
- **Diseases:** edema (MESH:D004487), lung injury (MESH:D055370), ALI (MESH:D055371), pulmonary edema (MESH:D011654), tumor (MESH:D009369), lung cancer (MESH:D008175), mitochondrial damage (MESH:D028361), respiratory diseases (MESH:D012140), SCLC (MESH:D055752), melanoma (MESH:D008545), trauma (MESH:D014947), shock (MESH:D012769), inflammation (MESH:D007249), hypoxemia (MESH:D000860), ARDS (MESH:D012128), AML (MESH:D015470), lung inflammation (MESH:D011014), multi-organ failure (MESH:D009102), alveolar hemorrhage (MESH:D006470), obese (MESH:D009765), NETs (MESH:C536657), acute hypoxemic respiratory failure (MESH:D012131), leukemic (MESH:D007938), alveolar epithelial cell (AEC) type II (MESH:D009375), sepsis (MESH:D018805), CLP (MESH:D002429), exchange (MESH:D001816), pulmonary fibrosis (MESH:D011658)
- **Chemicals:** N6-methyladenosine (MESH:C010223), prostaglandin E2 (MESH:D015232), malondialdehyde (MESH:D008315), disulfide (MESH:D004220), CWI1-2 (-), Reactive oxygen species (MESH:D017382), LPS (MESH:D008070), lipid (MESH:D008055), TiO2 (MESH:C009495), meclofenamic acid (MESH:D008469), m6A (MESH:C005955)
- **Species:** Mus musculus (house mouse, species) [taxon 10090], Streptococcus pneumoniae (species) [taxon 1313], Homo sapiens (human, species) [taxon 9606]
- **Cell lines:** A549 — Homo sapiens (Human), Lung adenocarcinoma, Cancer cell line (CVCL_0023), AECII — Homo sapiens (Human), Telomerase immortalized cell line (CVCL_VR37), BEAS-2B — Homo sapiens (Human), Transformed cell line (CVCL_0168), RAW264.7 — Mus musculus (Mouse), Mouse leukemia, Cancer cell line (CVCL_0493)

## Full text

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## Figures

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## References

72 references — full list in the complete paper: https://tomesphere.com/paper/PMC12925867/full.md

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Source: https://tomesphere.com/paper/PMC12925867