# NAT10-mediated ac4C RNA acetylation stabilizes CXCL5/DEK mRNA to drive proliferation and metastasis in lung adenocarcinoma

**Authors:** Xin Hu, Meiqi Feng, Chengjin Qi, Boran Li, Hongjuan He, Kai Li, Lu Chen, Boshu Ji, Haoran Yu, Yue Zhao, Tong Wu, Ruiheng Ma, Yuhao Dong, Yan Zhang, Qiong Wu

PMC · DOI: 10.1038/s41419-026-08568-6 · Cell Death & Disease · 2026-03-20

## TL;DR

This study shows that NAT10, an RNA acetylation enzyme, promotes lung cancer growth and spread by stabilizing specific mRNAs.

## Contribution

The study identifies NAT10 as a novel driver of lung adenocarcinoma progression through ac4C RNA modification.

## Key findings

- NAT10 is significantly upregulated in lung adenocarcinoma tissues and cell lines.
- NAT10 acetylates CXCL5 and DEK mRNAs, preventing their degradation and promoting cancer progression.
- Targeting NAT10 reduces tumor growth and metastasis in mouse models.

## Abstract

Investigating the epigenetic mechanisms underlying lung adenocarcinoma (LUAD) through the lens of N4-acetylcytosine (ac4C) modification could innovate cancer treatment strategies and targets. We used biological information methods to analyze shared data, with a focus on studying N-acetyltransferase 10 (NAT10), which is the only known ac4C “writer” protein. Our analysis revealed a significant upregulation of NAT10 expression in LUAD, a finding that was corroborated by investigations in both LUAD cancer tissue samples and cell lines. Subsequently, we employed CRISPR/Cas9 technology to knock out the NAT10 gene and analyzed the resulting knockout cells using acRIP-seq and RNA-seq techniques. Our findings demonstrated different expressions of the genes C-X-C motif chemokine ligand 5 (CXCL5) and DEK proto-oncogene (DEK), and functional enrichment analysis indicated a strong association with the adhesion signaling pathway. Laboratory experiments revealed that NAT10 acts as an ac4C “writer,” promoting the acetylation of CXCL5 and DEK and thus preventing the degradation of their mRNAs. Moreover, NAT10 was found to significantly affect the number of metastases and tumor growth following the injection of cancer cells into the tail vein of mice. Our research data suggests that targeting NAT10 has the potential to serve as a diagnostic biomarker or prognostic target for developing anti-metastatic therapies aimed at disrupting the adhesion process.

## Linked entities

- **Genes:** NAT10 (N-acetyltransferase 10) [NCBI Gene 55226], CXCL5 (C-X-C motif chemokine ligand 5) [NCBI Gene 6374], DEK (DEK proto-oncogene) [NCBI Gene 7913]
- **Proteins:** NAT10 (N-acetyltransferase 10)
- **Diseases:** lung adenocarcinoma (MONDO:0005061)

## Full-text entities

- **Genes:** TLN1 (talin 1) [NCBI Gene 7094] {aka ILWEQ, TLN, talin-1}, SERPINE1 (serpin family E member 1) [NCBI Gene 5054] {aka PAI, PAI-1, PAI1, PLANH1}, CEP170 (centrosomal protein 170) [NCBI Gene 9859] {aka FAM68A, KAB, KIAA0470}, S100A4 (S100 calcium binding protein A4) [NCBI Gene 6275] {aka 18A2, 42A, CAPL, FSP1, MTS1, P9KA}, BCKDK (branched chain keto acid dehydrogenase kinase) [NCBI Gene 10295] {aka BCKDKD, BDK}, TNF (tumor necrosis factor) [NCBI Gene 7124] {aka DIF, IMD127, TNF-alpha, TNFA, TNFSF2, TNLG1F}, NAT10 (N-acetyltransferase 10) [NCBI Gene 55226] {aka ALP, Kre33, NET43}, Mki67 (antigen identified by monoclonal antibody Ki 67) [NCBI Gene 17345] {aka D630048A14Rik, Ki-67, Ki67}, EEF2 (eukaryotic translation elongation factor 2) [NCBI Gene 1938] {aka EEF-2, EF-2, EF2, SCA26}, Dek (DEK proto-oncogene) [NCBI Gene 110052] {aka 1810019E15Rik, D13H6S231E}, PIK3CB (phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit beta) [NCBI Gene 5291] {aka P110BETA, PI3K, PI3KBETA, PIK3C1}, MORC1 (MORC family CW-type zinc finger 1) [NCBI Gene 27136] {aka CT33, MORC, ZCW6}, DEK (DEK proto-oncogene) [NCBI Gene 7913] {aka D6S231E}, YAP1 (Yes1 associated transcriptional regulator) [NCBI Gene 10413] {aka COB1, YAP, YAP-1, YAP2, YAP65, YKI}, CTNNB1 (catenin beta 1) [NCBI Gene 1499] {aka CTNNB, EVR7, MRD19, NEDSDV, armadillo}, CCL5 (C-C motif chemokine ligand 5) [NCBI Gene 6352] {aka D17S136E, RANTES, SCYA5, SIS-delta, SISd, TCP228}, CXCL5 (C-X-C motif chemokine ligand 5) [NCBI Gene 6374] {aka ENA-78, SCYB5}, Gapdh (glyceraldehyde-3-phosphate dehydrogenase) [NCBI Gene 14433] {aka Gapd}, HMGB2 (high mobility group box 2) [NCBI Gene 3148] {aka HMG2}, Nat10 (N-acetyltransferase 10) [NCBI Gene 98956], GLMP (glycosylated lysosomal membrane protein) [NCBI Gene 112770] {aka C1orf85, NCU-G1, lnc-UCID}, FN1 (fibronectin 1) [NCBI Gene 2335] {aka CIG, ED-B, FINC, FN, FNZ, GFND}, ANKZF1 (ankyrin repeat and zinc finger peptidyl tRNA hydrolase 1) [NCBI Gene 55139] {aka Vms1, ZNF744}, AXL (AXL receptor tyrosine kinase) [NCBI Gene 558] {aka ARK, AXL3, JTK11, Tyro7, UFO}, AKT1 (AKT serine/threonine kinase 1) [NCBI Gene 207] {aka AKT, PKB, PKB-ALPHA, PRKBA, RAC, RAC-ALPHA}, EPHB2 (EPH receptor B2) [NCBI Gene 2048] {aka BDPLT22, CAPB, DRT, EK5, EPHT3, ERK}, Cxcl5 (C-X-C motif chemokine ligand 5) [NCBI Gene 20311] {aka AMCF-II, Cxcl6, ENA-78, GCP-2, LIX, Scyb5}, RET (ret proto-oncogene) [NCBI Gene 5979] {aka CDHF12, CDHR16, HSCR1, MEN2A, MEN2B, MTC1}, MMRN1 (multimerin 1) [NCBI Gene 22915] {aka ECM, EMILIN4, GPIa*, MMRN}, MORC2 (MORC family CW-type zinc finger 2) [NCBI Gene 22880] {aka CMT2Z, DIGFAN, ZCW3, ZCWCC1}, CXCR2 (C-X-C motif chemokine receptor 2) [NCBI Gene 3579] {aka CD182, CDw128b, CMKAR2, IL8R2, IL8RA, IL8RB}, TRIM21 (tripartite motif containing 21) [NCBI Gene 6737] {aka RNF81, RO52, Ro/SSA, SSA, SSA1, TRIM21/Ro52}, HSP90AA1 (heat shock protein 90 alpha family class A member 1) [NCBI Gene 3320] {aka EL52, HEL-S-65p, HSP86, HSP89A, HSP90A, HSP90N}
- **Diseases:** LUAD (MESH:D000077192), weight gain (MESH:D015430), Cancer (MESH:D009369), lymph node metastasis (MESH:D008207), Breast cancer (MESH:D001943), clear-cell renal cell carcinoma (MESH:D002292), ovarian cancer (MESH:D010051), lung squamous cell carcinoma (MESH:D002294), Head-and-neck squamous cell carcinoma (MESH:D000077195), B-cell lymphoma (MESH:D016393), pancreatic ductal adenocarcinoma (MESH:D021441), multiple myeloma (MESH:D009101), small-cell lung cancer (MESH:D055752), lung metastases (MESH:D009362), LUAD cancer (MESH:D008175), tumorigenesis (MESH:D063646), non-small cell lung cancer (MESH:D002289), hepatocellular carcinoma (MESH:D006528), laryngeal carcinoma (MESH:D007822), gastric cancer (MESH:D013274), cervical cancer (MESH:D002583), colorectal cancer (MESH:D015179)
- **Chemicals:** acRIP (MESH:C051529), Lys (MESH:D008239), Lenvatinib (MESH:C531958), Alexa 568 (MESH:C000607448), paraffin (MESH:D010232), penicillin (MESH:D010406), hydrogen peroxide (MESH:D006861), Remodelin (MESH:C000588556), phenol (MESH:D019800), Si (MESH:D012825), PBS (MESH:D007854), GTP (MESH:D006160), Methylene blue (MESH:D008751), HCl (MESH:D006851), acetyl coenzyme A (MESH:D000105), actinomycin D (MESH:D003609), CO2 (MESH:D002245), hematoxylin (MESH:D006416), polylysine (MESH:D011107), ATP (MESH:D000255), water (MESH:D014867), Digoxigenin (MESH:D004076), Fluorescein (MESH:D019793), puromycin (MESH:D011691), NaCl (MESH:D012965), streptomycin (MESH:D013307), PVDF (MESH:C024865), N4-acetylcytosine (-), ethanol (MESH:D000431), crystal violet (MESH:D005840), Triton X-100 (MESH:D017830), triethanolamine (MESH:C009546), chloroform (MESH:D002725), acrylamide (MESH:D020106), sodium citrate (MESH:D000077559), paraformaldehyde (MESH:C003043), DAPI (MESH:C007293), SDS (MESH:D012967), EDTA (MESH:D004492), wax (MESH:D014885), xylene (MESH:D014992)
- **Species:** Mycoplasma (genus) [taxon 2093], Mus musculus (house mouse, species) [taxon 10090], Homo sapiens (human, species) [taxon 9606]
- **Mutations:** G641E
- **Cell lines:** A549 — Homo sapiens (Human), Lung adenocarcinoma, Cancer cell line (CVCL_0023), BEAS-2B — Homo sapiens (Human), Transformed cell line (CVCL_0168), SK-Lu-1 — Homo sapiens (Human), Lung adenocarcinoma, Cancer cell line (CVCL_0629), PC9 — Homo sapiens (Human), Lung adenocarcinoma, Cancer cell line (CVCL_B260)

## Full text

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## Figures

7 figures with captions in the complete paper: https://tomesphere.com/paper/PMC13039259/full.md

## References

4 references — full list in the complete paper: https://tomesphere.com/paper/PMC13039259/full.md

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Source: https://tomesphere.com/paper/PMC13039259