REVIEW article

Front. Pharmacol.

Sec. Pharmacogenetics and Pharmacogenomics

Volume 16 - 2025 | doi: 10.3389/fphar.2025.1565738

This article is part of the Research TopicInnovations in Pharmacogenomics: Embracing Diversity and Clinical ApplicationView all 4 articles

Research Progress on m6A and Drug Resistance in Gastrointestinal Tumors Author:

Provisionally accepted
Ziyi  XuZiyi Xu1Bo  SunBo Sun1Weizheng  WangWeizheng Wang1Yitao  FanYitao Fan1Jingxiang  SuJingxiang Su1Xinyu  GuXinyu Gu1,2*Jiachun  SunJiachun Sun1*
  • 1Henan Key Laboratory of Cancer Epigenetics, Cancer Institute, The First Affiliated Hospital, College of Clinical Medicine, Medical College of Henan University of Science and Technology, Luoyang, China
  • 2Henan University of Science and Technology, Luoyang, China

The final, formatted version of the article will be published soon.

Gastrointestinal (GI) tumors represent a significant global health burden and are among the leading causes of cancer-related mortality worldwide. their drug resistance is one of the major challenges in cancer therapy. In recent years, epigenetic modifications, especially N6-methyladenosine (m6A) RNA modifications, have become a hot research topic. m6A modification plays an important role in gene expression and cancer progression by regulating RNA splicing, translation, stability, and degradation, which are regulated by "writers", "erasers" and "readers". In GI tumors, resistance to chemotherapy, targeted therapy, and immunotherapy is closely associated with m6A RNA modification. Therefore, the molecular mechanism of m6A modification and its targeted drug development provide new therapeutic strategies for overcoming drug resistance and therapeutic efficacy in GI tumors. In this review, the biological functions of m6A were explored, the specific resistance mechanisms of m6A in different types of GI tumors were explored, new ideas and targets for future treatment resistance were identified, and the limitations of this field were highlighted.

Keywords: M6A, RNA modifications, Drug Resistance, Gastrointestinal tumors, Epigenetic alterations

Received: 23 Jan 2025; Accepted: 21 Apr 2025.

Copyright: © 2025 Xu, Sun, Wang, Fan, Su, Gu and Sun. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence:
Xinyu Gu, Henan University of Science and Technology, Luoyang, China
Jiachun Sun, Henan Key Laboratory of Cancer Epigenetics, Cancer Institute, The First Affiliated Hospital, College of Clinical Medicine, Medical College of Henan University of Science and Technology, Luoyang, China

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