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. 2020 Jul;21(7):509–523. doi: 10.1631/jzus.B1900680

Table 1.

Multiple functions exerted by m6A RNA methylation in various cardiovascular diseases

Disease Molecule Target gene Function Regulation Mechanism Reference
Ischemic heart diseases METTL3 TFEB Writer Up-regulation Silencing METTL3 enhances autophagic flux and inhibits apoptosis in H/R-treated cardiomyocytes by TFEB Pastore et al., 2016
ALKBH5 TFEB Eraser Down-regulation ALKBH5 overexpression enhances autophagic flux and inhibits apoptosis in H/R-treated cardiomyocytes by TFEB Pastore et al., 2016
Heart failure (HF) FTO SERCA2a Eraser Down-regulation FTO overexpression improves cardiomyocyte function and attenuatis cardiac remodeling in HF by regulating SERCA2a Mathiyalagan et al., 2019
Myocardial infarction (MI) FTO Nppa/MYH7/Ryr2/SERCA2a Eraser Down-regulation FTO overexpression protects and repairs cardiomyocyte function through improving cardiac homeostasis after MI Mathiyalagan et al., 2019
Hypertrophy METTL3 MAP3K6/MAP4K5/MAPK14/Nppa/Nppb Writer Up-regulation Silencing METTL3 maintains normal cardiac function in response to hypertrophic stimuli through stress-response mechanism Dorn et al., 2019
FTO Eraser Up-regulation Silencing FTO blunts hypertrophy of NRCM in response to α-adrenergic stimulation Kmietczyk et al., 2019
Abnormal cardiac development METTL3/14 HuR Writer Down-regulation The level of METTL3 expression maintains and even improves the self-renewal capability of mESCs Wang et al., 2014
FTO Eraser Mutation FTO plays an important role in early development of human central nervous and cardiovascular systems Daoud et al., 2016
Obesity FTO Angptl4 Eraser Up-regulation FTO influences triglyceride metabolism in adipocytes and by post-transcriptional regulation of Angptl4 Wang et al., 2015
YTHDF2 PPARγ/C/EBPα Reader Down-regulation Adipogenesis of porcine adipocytes can be led by a loss of m6A on FAM134B through m6A-YTHDF2-dependent way Cai et al.,2019
Diabetes mellitus FTO FOXO1/G6PC/DGAT2 Eraser Up-regulation FTO expression is highly related tothe impairment of plasma glucose and even multiple complications by altering target genes Yang et al., 2019
Abnormal circadian rhythm METTL3 Per2/Arntl Writer Down-regulation Silencing METTL3 can elicit circadian period elongation and RNA processing delay by distributing clock genes Per2 and Arntl Fustin et al., 2013
Inflammation METTL3 MyD88S Writer Up-regulation Silencing METTL3 attenuates theinflammatory response via regulating MyD88S in LPS-induced hDPCs Liu et al., 2019

m6A: N 6-methyladenosine; METTL3: methyltransferase-like 3; ALKBH5: ALKB homolog 5; FTO: fat mass-and obesity-related protein; YTHDF2: YT521-B homology (YTH) domain family 2; TFEB: transcription factor EB; SERCA2a: sarcoplasmic/endoplasmic reticulum Ca2+-ATPase 2a; Nppa: natriuretic peptide precursor (Npp)-A; MYH7: β-myosin heavy chain 7; Ryr2: ryanodine receptor 2; MAP3K6: mitogen-activated protein kinase (MAPK) kinase kinase 6; MAP4K5: MAPK kinase kinase kinase 5; HuR: human antigen R; Angptl4: angiopoietin-like 4; PPARγ: peroxisome proliferator-activated receptor γ; C/EBPα: CCAAT enhancer-binding protein α; FOXO1: forkhead box O1; G6PC: glucose-6-phosphatase (G6Pase) catalytic subunit; DGAT2: diacylglycerol acyltransferase 2; Per2: period 2; Arntl: aryl hydrocarbon receptor nuclear translocator like; MyD88S: splice variant of myeloid differentiation factor 88; H/R: hypoxia/reoxygenation; NRCM: neonatal rat cardiac myocyte; mESCs: mouse embryonic stem cells; FAM134B: family with sequence similarity 134 member B; LPS: lipopolysaccharide; hDPCs: human dental pulp cells