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. 2025 Aug 21;23:948. doi: 10.1186/s12967-025-06985-3

Table 1.

The mechanism and function of m5C RNA modification in colorectal cancer

Factor/enzyme Type Target RNAs and m5C sites Functions Mechanisms References
NSUN2 Writers ENO1 mRNA Promotes the occurrence and development of colorectal cancer Regulates of glycometabolic reprogramming through the NSUN2/YBX1/m5C-ENO1 positive feedback loop [10]
SKIL mRNA Promotes colorectal cancer cell proliferation and migration Enhances SKIL mRNA stability and activates the TAZ signaling pathway [9]
mRNA Promotes nuclear export of m5C-modified mRNA [61]
TREX2 mRNA Promotes tumorigenesis and resistance to anti-PD-L1 immunotherapy Maintains TREX2 m5C methylation and mRNA stability to inhibit cGAS/STING pathway activation [71]
tRNA-Arg C34 site Regulates EMT process and enhances cell migration and invasion abilities Protects tRNA-Arg from endonuclease cleavage, promoting the accumulation of pro-transfer tRFs [8]
SLC7A11 mRNA Promotes colorectal cancer cell proliferation and inhibits ferroptosis Methylation of SLC7A11 mRNA enhances the stability and translation efficiency of the mRNA [72]
mRNA Promotes the occurrence and development of colorectal cancer Regulates of mRNA stability and translation [73]
NSUN4 Writers NXPH4 mRNA Promotes the proliferation, migration, and invasion of tumor cells Methylation of NXPH4 mRNA activates the HIF signaling pathway [74]
NSUN5 Writers Peripheral blood immune cells m5C is a biomarker for the noninvasive diagnosis of colorectal cancer Upregulation of NSUN5 and YBX1 expression promotes m5C modification [75]
Promotes colorectal cancer cell proliferation Regulates the cell cycle through the Rb-CDK4/6-CCNE1 pathway [76]
circ_0102913 Promotes the proliferation, migration, and invasion of colorectal cancer cells Promotes tumor progression by activating downstream signaling pathways through the miR-571/RAC2 axis [77]
NSUN6 Writers METTL3 mRNA Overexpression of METTL3 promotes G1/S phase transition in colorectal cancer cells Promotes the cell cycle and proliferation of colorectal adenocarcinoma cells [78]
METTL17 Writers mt-RNA Regulates mitochondrial translation function and inhibits ferroptosis Promotes resistance to ferroptosis and tumor proliferation and migration in colorectal cancer cells [33]
ALYREF Readers mRNA Promotes the nuclear export and expression of target mRNA in synergy with ELAVL1 Promotes the occurrence and development of colorectal cancer [59]
mRNA Specifically binds to m5C-modified mRNA, promoting mRNA nuclear export [61]
YBX1 Readers ENO1 mRNA Participation in the NSUN2/YBX1/m5C—ENO1 positive feedback loop Promotes the occurrence and development of colorectal cancer [10]