Structural Insights Into m6A-Erasers: A Step Toward Understanding Molecule Specificity and Potential Antiviral Targeting

Abstract

The cellular RNA can acquire a variety of chemical modifications during the cell cycle, and compelling pieces of evidence highlight the importance of these modifications in determining the metabolism of RNA and, subsequently, cell physiology. Among myriads of modifications, methylation at the N6-position of adenosine (m⁶A) is the most important and abundant internal modification in the messenger RNA. The m⁶A marks are installed by methyltransferase complex proteins (writers) in the majority of eukaryotes and dynamically reversed by demethylases such as FTO and ALKBH5 (erasers). The incorporated m⁶A marks on the RNA transcripts are recognized by m6A-binding proteins collectively called readers. Recent epigenetic studies have unequivocally highlighted the association of m⁶A demethylases with a range of biomedical aspects, including human diseases, cancers, and metabolic disorders. Moreover, the mechanisms of demethylation by m⁶A erasers represent a new frontier in the future basic research on RNA biology. In this review, we focused on recent advances describing various physiological, pathological, and viral regulatory roles of m⁶A erasers. Additionally, we aim to analyze structural insights into well-known m⁶A-demethylases in assessing their substrate binding-specificity, efficiency, and selectivity. Knowledge on cellular and viral RNA metabolism will shed light on m⁶A-specific recognition by demethylases and will provide foundations for the future development of efficacious therapeutic agents to various cancerous conditions and open new avenues for the development of antivirals.

Introduction

Epitranscriptome is an emerging area of biology that collectively describes over 100 chemical modifications to various forms of RNAs, including messenger RNA (mRNA), transfer RNA (tRNA), ribosomal RNA, and long non-coding RNAs (lncRNAs). These chemical modifications display an extensive landscape that regulates multiple biological processes (Roundtree et al., 2017). RNA can accept one or more chemical modifications to different bases, including cytosine (m⁵C) (Motorin et al., 2009), adenosine (m¹A) (Li X. et al., 2017; Safra et al., 2017), pseudouridine (Carlile et al., 2014), and inosine (Levanon et al., 2004). However, methylation at the N6 position of adenosine (m⁶A) is considered the most prominent modification (Dominissini et al., 2012; Boccaletto et al., 2018). In addition to cellular RNA, the m6A marks are also incorporated into the viral RNA (Krug et al., 1976; Kane and Beemon, 1985; Narayan et al., 1987; Tirumuru et al., 2016; Courtney et al., 2017; Kennedy et al., 2017), hence highlighting unexplored aspects of host–pathogen interactions.

During the physiological regulatory processes, the methylation process is embarked on by the m⁶A methyltransferase complex. Conversely, to reverse the m6A marks, the RNA demethylases are required to alleviate the effects of various installed chemical modifications and/or dynamically reverse RNA changes to perform a specified function in cell life cycles (Han et al., 2010). Various mammalian alkylated DNA repair protein (AlkB) homologs share the same basic structure to nine publicly known AlkB protein members (Sundheim et al., 2008; Yang et al., 2008; Aik et al., 2012; Wang et al., 2014). The prototype AlkB gene/protein was firstly identified in Escherichia coli strains in the 80s (Kataoka et al., 1983); however, the detailed functions of AlkB proteins in repairing the damage arise from alkylation were described in the 2000s. The bacterial AlkB protein has a broad range of specificity to various nucleobases (Falnes et al., 2002; Delaney and Essigmann, 2004; Delaney et al., 2005; Alemu et al., 2016). Unlike the multifunctional prokaryotic AlkB, the higher-order eukaryotic AlkB homologs, such as ALKBH1-8 and the FTO, have only limited functions with higher substrate specificity for either epigenetic modifications and/or nucleic acids repair function (Falnes et al., 2002).

Human AlkB Homolog-1 (hALKBH1) protein was first documented to repair 3-methylcytosine (3mC) in both DNA and RNA (Westbye et al., 2008). The hALKBH1 was identified to mediate additional lyase activity of DNA at abasic sites in Fe²⁺- or 2-oxoglutarate-independent manner (Müller et al., 2010). Moreover, it has been reported that ALKBH1 regulates post-transcriptional gene expression through promoting methylation reversal of N1-methyladenosine (m¹A) in both cytoplasmic and mitochondrial tRNAs (Liu et al., 2016; Kawarada et al., 2017). Furthermore, mammalian ALKBH1 demethylates m⁵C derivative intermediates on the tRNAs as well in various cellular compartments (Kawarada et al., 2017). More recently, it was confirmed that ALKBH1 could also demethylate N6-methyladenine (m⁶A) on DNA, suggesting dual important epigenomic regulatory roles in DNA and epitranscriptomic roles on various forms of RNAs (Tian et al., 2020; Zhang et al., 2020). Although ALKBH-2 and−3 promote both m¹A and 3-methylcytidine (m³C) demethylation, ALKBH2 efficiently repairs both methylated single-stranded DNA (ssDNA) and double-stranded DNA (dsDNA), whereas ALKBH3 preferentially demethylates single-stranded nucleic acids (Monsen et al., 2010). Recently, ALKBH3 was found to post-transcriptionally regulate protein expression through the demethylation of m¹A on specific cellular transcripts (Woo and Chambers, 2019). Besides this role, ALKBH3 demethylates specific tRNA modifications, including m¹A and m³C, which ultimately promotes cancer progression (Chen Z. et al., 2019). Of all ALKBHs described so far, ALKBH-4 and−7 were found to demethylate preferentially proteins rather than nucleic acids (Li et al., 2013; Wang et al., 2014). Importantly, the widely studied eukaryotic ALKB homologs proteins including ALKBH5 and FTO were found to specifically demethylate m⁶A, which is the most prevalent internal chemical modification on RNA for epigenetic control of cell life cycles (Jia et al., 2011; Zheng et al., 2013; Feng et al., 2014; Xu et al., 2014). Moreover, ALKBH8 was reported to mediate 5-methoxycarbonylmethyluridin repair through hydroxylation of tRNA (Fu et al., 2010). The detailed function of ALKBH6 has not yet been identified (Hu et al., 2019).

Herein, we aim to provide a comprehensive review of the recent progress made to uncover the structural features of the m⁶A demethylases compared with the rest of the AlkB protein members. Additionally, we aim to draw comparative features between ALKBH5 and FTO for their binding specificity, efficiency, and selectivity along with providing the recent updates of the various regulatory aspects of m⁶A erasers and the promising inhibitors to further guide the development of efficacious therapeutics to target cancers, metabolic disorders, and viruses.

Enzymatic Biochemistry of m⁶A Demethylases

The identification of different nucleobases that had been exposed to oxidative demethylation is deemed essential for understanding the intracellular biological and metabolic functions of the m⁶A-containing substrates. Confined mostly to the nucleus, ALKBH5 utilizes the m⁶A-containing ssRNA as the major substrate for demethylation via α-ketoglutaric-dependent oxidase activity (Aik et al., 2014; Feng et al., 2014). The ALKBH5 has also been reported to target the dimethylated adenosine (m${}_2^6$A) in the ribosomal RNA. The m${}_2^6$A is a non-canonical base present in ribosomal RNA as a normal component of the small subunit of the ribosome that assists in the common translation machinery (Ensfelder et al., 2018).

The Schofield group was the first to predict the earliest substrate for FTO, the 3-methylthymine (3mT), via bioinformatic analysis (Gerken et al., 2007). Consistent with the functional analysis that exhibited human and murine expressed FTOs repair the 3mT preferentially in ssDNA over dsDNA and favorably demethylate the 3-methyluracil (3mU) in ssRNA over ssDNA (Jia et al., 2008).

The m⁶A was confirmed to be catalyzed by FTO both in vivo and in vitro (Jia et al., 2011; Wei et al., 2018; Zhang X. et al., 2019). Furthermore, the +1 position to 5'cap in the polyadenylated RNA was confirmed to be di-methylated at N6 and 2'-O-position (m⁶A_m) as a major substrate for FTO that regulates the 5' mRNA integrity, stability, and resistance to decapping enzyme (e.g., DCP2) (Mauer et al., 2017). Intriguingly, the latter study claimed that the m⁶A_m is the sole physiological substrate for demethylation than m⁶A by FTO. This finding diametrically opposes most compelling evidence stating the relevant substrates of FTO (Jia et al., 2011; Fu et al., 2013; Wei et al., 2018; Zhang X. et al., 2019). It is worth noting that the hepatitis C virus (HCV), an ssRNA virus that belongs to the Flaviviridae family, was confirmed to harbor m⁶A marks throughout the entire viral RNA and respond to demethylation activity of FTO despite lacking the 5'cap (Gokhale et al., 2016). Additionally, recent investigations have identified that lacking the m⁶A_m methyltransferase does not affect the cell growth kinetics and vital cellular processes (Akichika et al., 2019). In contrast, detrimental cellular alterations were observed in FTO knockdown cells (Zhao et al., 2014a; Li Z. et al., 2017). More recently, Sendinc et al. have illustrated that phosphorylated C-terminal domain (CTD) interacting factor-1 is an m⁶A_m methyltransferase and m⁶A_m is an evolutionarily conserved modification to the capped mRNAs. However, no crosstalk between the m⁶A and m⁶A_m was detected in the whole transcriptome mapping. Additionally, m⁶A_m promotes gene regulation mainly through mediating protein translation but not the transcription or mRNA stability (Sendinc et al., 2019). Interestingly, another report emphasizes the non-significant effect of phosphorylated CTD interacting factor-1 on protein translation (Boulias et al., 2019).

Systematically, Wei et al. have investigated the differential FTO substrate preference along with their location in various cell lines. The FTO preferentially mediates methylation reversal of the internal m⁶A in both the cytoplasm and nucleus on the polyadenylated RNAs. The percent of demethylation differs according to the investigated cell line. In contrast, FTO-mediated m⁶A_m-polyA RNA demethylation was confined to the cytoplasm (Wei et al., 2018). Moreover, the biochemical studies have identified additional RNA substrates to FTO in the various forms of RNA, including N1-methyladenosine (m¹A) in tRNA located in both nucleus and cytoplasm. It is important to note that m¹A-demethylated tRNAs have prominent action on translation efficiency (Liu et al., 2016; Wei et al., 2018). Moreover, it was confirmed that both m⁶A and cap m⁶A_m in small nuclear RNAs all found to be substrates for FTO that might control gene expression (Wei et al., 2018). Various physiological substrates for m6A-demethylases are summarized in Figure 1.

Figure 1.

Various physiological substrates of the m⁶A demethylases. A schematic diagram shows substrates of ALKBH5 and FTO and their distribution in both cytoplasm and nucleus to the different forms of RNAs inside the cell.

Structural Insights of the m⁶A Demethylases Determine Their Substrate Specificities

Our group has performed a recent comprehensive analysis of the m⁶A demethylases among various orders of animals, especially the avian species (Bayoumi et al., 2020). The study revealed multiple evolutionary changes when compared with Homo sapiens. We have revealed that m⁶A-erasers shared the lowest identity percent among the m⁶A-related machinery. However, the overall demethylases' structures were maintained through synonymous structural mutations (Bayoumi et al., 2020). The entire human AlkB-homolog-5 (hALKBH5) protein comprises a polypeptide chain of 394 amino acids (Zheng et al., 2013; Huang and Yin, 2018). Owing to technical challenges that have been experienced in the processing of the apo ALKBH5 enzyme in both in vitro enzymatic and crystallographic investigations, including those harboring different ligands, ALKBH5₆₆₋₂₉₂ truncated fragment was active for functional and structural studies as well (Aik et al., 2014; Feng et al., 2014). The 65 N-terminus- and 103 C-terminus-residues were not essential for ALKBH5 core oxidative demethylation activity to targeted substrates. However, the C-terminus multiple serine residues were supposed to mediate phosphorylation (Aik et al., 2014).

From the earlier mentioned eukaryotic ALKBH protein family, all shared basic scaffold structure dubbed as jelly-roll [or double-stranded β-helix (DSβH)] fold, which is composed of conserved eight anti-parallel β-sheets in almost all species (Jia et al., 2011; Aik et al., 2012, 2014; Bayoumi et al., 2020). Besides the basic jelly-roll fold, additional secondary structures (nucleotide recognition motifs) were characterized in most ALKBH protein family members. It can be concluded that the basic scaffold has no substrate specificity function, whereas the secondary structures carry some level of specificity. Notably, no secondary structures were identified in both the ALKBH-4 and−7. Therefore, no oxidative methylation activity was detected toward nucleic acids and was only confined to the protein substrates (Li et al., 2013; Wang et al., 2014). From the substrate specificities mentioned earlier, it seems that adenosine (A) is the sole nucleobase to ALKBH5 in ssRNA (Aik et al., 2014; Feng et al., 2014; Xu et al., 2014).

Several groups have worked independently to illustrate the crystallographic analysis of the human ALKBH5 harboring various substrates and inhibitors (Aik et al., 2014; Feng et al., 2014; Xu et al., 2014). All of these groups have identified three unique amino acid motifs (Figure 2A). The motif 1, the position of this motif in relation to the active catalytic site, provides a widening surface compared with FTO and ALKBH2 (Feng et al., 2014), which proposes that the ALKBH5 can tolerate bulker three-dimensional structure substrates for targeted oxidative demethylation (Aik et al., 2014). Additionally, motif 2 was identified as a long motif that provides flexibility compared with other AlkB proteins (Feng et al., 2014). Notably, motif 3 has been confirmed to impede the double-stranded nucleic acid substrates that confirms ALKBH5 selectivity to an only single-stranded nucleic acid (Feng et al., 2014).

Figure 2.

Structural comparison between ALKBH5 and FTO. (A) Overall three-dimensional structure of ALKBH5 (PDB ID: 4NRO); the overall jelly-roll fold is colored in polycyan; the secondary recognition motifs-1,−2, and−3 are colored red, yellow, and magenta, respectively; disulfide bond depicted by an arrow; conserved HxD..H motifs are represented by green residues; motif-3 F234 is represented by limon residue; C227 is represented by firebrick residue; alpha-ketoglutaric acid (α-KG) is represented by orange residue; manganese atom is represented by cyan circle. N: N-terminus, C: C-terminus. (B) Overall three-dimensional structure of FTO (PDB ID: 5ZMD); C-terminal domain (CTD) is colored polycyan; N-terminal domain (NTD) is colored light orange; unique loop (L1) is colored magenta; conserved HxD..H motifs are represented by green residues; K216 is represented by limon residue; 2-oxoglutarate analog (NOG) is represented by yellow residue; 6-methyladenine substrate (6mA) is represented by blue color; manganese atom is represented by firebrick circle. (C) ALKBH5 active site residues (PDB ID: 4NRO) (yellow carbon residues identified by their numbers); alpha-ketoglutaric acid (α-KG) is represented by green carbon residue, attached by active site residues by magenta covalent bonds; manganese atom is represented by cyan circle. (D) FTO active site residues (PDB ID: 5ZMD) (yellow carbon residues identified by their numbers); 2-oxoglutarate analog (NOG) is represented by green carbon residue; and the 6-methyladenine nucleobase (6 mA) is represented by red color attached to the active site residues by magenta covalent bonds; manganese atom is represented by firebrick circle.

In addition to the conserved active site coordinated residues (HXD…H, motif), the basic residues adjacent to active sites (in motif 1) were also found to be crucial for enzymatic activity, including K132 (Figure 2C). This was identified to interact with m⁶A and can also accept additional post-translational modifications (e.g., acetylation) that helps the enzymatic oxidative demethylation (Choudhary et al., 2009; Aik et al., 2014). The mutant K132A was identified to severely impair the ALKBH5 activity (Feng et al., 2014). Furthermore, ALKBH5 R130 residue, which was located in the unique motif 1 (Figures 2A,C), was supposed to interact directly with the single-stranded phosphate backbone (Aik et al., 2014). This interaction was confirmed by complete abrogation of the catalytic activity through targeted-mutational studies (Feng et al., 2014).

Likewise, within the long motif 2, unique amino acids were also identified to interact with m⁶A single-stranded substrate that confers substrate specificity, including Q146, K147, and R148 residues. Additionally, this is characterized by reduced demethylation activities (40%) upon their targeted mutations (Sundheim et al., 2006; Yang et al., 2008; Han et al., 2010; Feng et al., 2014). Most importantly, ALKBH5 motif 3 (Figure 2A) was implicated as the main secondary structure in the outer wall of DSβH; however, this motif is also present in other AlkB members (McDonough et al., 2010). The motif specifically flips in a way to impede with double-stranded substrates displaying steric hindrance by covalent disulfide bonding. This bond is conserved among various species of ALKBH5 between C230 and C267 or alternatively connects the C227 thiol group through redox shuffle mechanism generating C227-C267 linkage (Figure 2A). This mechanistically confers single stranded substrates selectivity. Moreover, F234 residue has been found to interact and direct the m⁶A-containing substrate toward the active catalytic site. The residues mentioned earlier were detected to be evolutionary conserved when tested by site-directed mutagenesis to ALKBH5 that specifically ensure strand specificity and secondary structure confirmation. Furthermore, the electrostatic map around the active catalytic site is important for the substrate binding. Mutational analysis found that more basic surfaces mainly to the active sites and the grooves made by the protrusion of the long motif 2 was pivotal for binding with the negative phosphate backbone form single-stranded substrates for optimal oxidative demethylation (Aik et al., 2014; Feng et al., 2014). Collectively, structural insights and the unique motifs and residues could be exploited to provide a better understanding of the substrate- and nucleotide-specificity for upcoming biomedical basic researches and development of ALKBH5 selective inhibitors.

Similar to the AlkB member family, FTO has the conserved jelly-roll motif (DSβH) harboring the active catalytic site in its N-terminal domain (NTD) (1-326). However, a novel fold designated as CTD (from 327 to 498 aa) has been structurally determined and is supposed to strengthen the NTD (Figure 2B). The publicly available crystal structure of FTO lacking the first 31 amino acids still retains the full enzymatic functionality indicating the active site buried in NTD and stabilized by CTD (Han et al., 2010). Likewise, the selectivity of ALKBH5 against the unmethylated strand of double-stranded nucleic acid, FTO, was also identified to harbor an evolutionary stretch of amino acid residues named long loop 1 (L1; residues from 210 to 223) (Figure 2B). We and others have confirmed that the L1 loop is identified in H. sapiens and avian species and unidentified in the rest of AlkB members; this unique loop selectively blocks dsDNA/RNA to serve as a physiological substrate for FTO (Han et al., 2010; Feng et al., 2014; Zhang X. et al., 2019; Bayoumi et al., 2020).

Concerning the putative physiological substrates, it seems that the FTO outperforms the ALKBH5 in the number of physiological substrates to demethylate their methylated nucleobases. FTO promotes oxidative methylation to m⁶A and m⁶A_m in both mRNA and snRNA, and m¹A in tRNA. Furthermore, FTO demethylates 6mA, 3mT, and m3U (Han et al., 2010; Jia et al., 2011; Wei et al., 2018; Zhang X. et al., 2019). This array of substrates toward an AlkB member emphasizes the distinctiveness of the catalytic activity to accommodate various nucleobases. Besides the selectivity to hinder the double-stranded nucleic acids, the L1 loop has been investigated through biochemical and structural analysis to contribute to nucleobases recognition and stabilization of the single-stranded substrate in the FTO active site (Figure 2B; Zhang X. et al., 2019). Comprehensively, the L1 loop represented by K216 from one side and the short loop (residues 86–88) represented by K88 form hydrogen bonds with the phosphate backbones of the nucleotides adjacent to the methylated nucleobase. These lysine residues act as a pincer-like structure in twisting and accommodating the target nucleobase in the catalytic pocket (Figure 2B). Moreover, inside the catalytic pocket, the methylated base is stabilized by the hydrophobic interaction with the surrounding residues: I85, L109, Y108, V228, S229, W230, and H231. In contrast, the N6-methyl group specifically is stabilized in the pocket by the hydrophobic interaction with Y106, L203, and R322 residues (Figure 2D). Importantly, the methylated purine ring interacts with R96 and E234 predominantly by hydrogen bonding, whereas the ribose ring interacts mostly with A229 (Zhang X. et al., 2019). Therefore, the targeted mutations to these hydrogen bonding interacting residues abrogated the demethylation activity (Zhang X. et al., 2019). The same findings were also observed in other ALKBH homologs to residues corresponding to the R96. The site-directed mutation of M61 residue in AlkB and Q112 in ALKBH2 diminished their enzymatic functions (Han et al., 2010), suggesting highly conserved demethylation among various AlkB family members. Albeit, we reported the lowest identity percent of the avian FTO compared with the H. sapiens. A higher degree of conservation to the residues surrounding the methylated base in both H. sapiens and avian species was noticed, indicating a highly conserved catalytic mechanism even in various organisms exhibiting evolutionary changes. Moreover, we have found that the pincer-like structure in avian species suggests a higher binding affinity with more stabilizing property compared with H. sapiens (Bayoumi et al., 2020).

Considering the challenge of the similarity that could affect m⁶A antibody mismatching with m⁶A_m, high-throughput sequencing can differentiate them throughout the transcriptome (Linder et al., 2015). Compared with the m⁶A distribution across the mRNA, the m⁶A_m was documented to be located less frequently (Molinie et al., 2016). At least a 10-fold higher m⁶A level than that of the cap m⁶A_m in mRNA was confirmed (Wei et al., 2018; Zhang X. et al., 2019). Because the same nucleobase (i.e., adenosine) between m⁶A and m⁶A_m were noticed, FTO superimposition studies exhibited the same oxidative demethylation activity in the same RNA sequence, with no significant effect to the ribose sugar on the enzymatic activity. However, the N6-methyl adenine group was confirmed to surpass other nucleobases to accommodate the active site of FTO, and 3meT was the lowest. Unequivocally, all mentioned substrates contain all the pivotal structural determinants for FTO physiological substrates to accommodate the active site. Moreover, the wide pincer-like structure formed by the unique loop one in FTO can accommodate higher numbers of substrates rather than ALKBH5 with bulkers secondary and tertiary structures such as the cap, stem-loop, and hairpin structures (Zhang X. et al., 2019).

Zou and co-workers have adopted detailed biophysical and biochemical analyses to determine the specificity of m⁶A demethylases in the nucleotide perspectives. They confirmed that both ALKBH5 and FTO do not exhibit strict sequence requirements for their substrates as other m⁶A-recognizing proteins; writers and readers do. Moreover, m6A demethylases can recognize and differentiate m⁶A marks in the highly similar nucleotide sequences, even having the same consensus motif, with superiority to the FTO. Notably, erasers can induce different outcomes in different RNA sequences, with different secondary structure conformation (duplex to hairpin transition), concluding that m⁶A itself is considered as a conformational marker (Zou et al., 2016).

Biological Functions of the m⁶A Demethylases

The m⁶A demethylases (ALKBH5 and FTO) modulate various aspects of cell life cycles that can diverge from the regulation of normal metabolic and differentiation functions, which aggravates numerous pathological conditions. In the past few decades, multiple tumor processes were documented across the literature with poor underlying molecular genetic justifications. After that, the field of epigenetics has become a relevant topic to provide possible explanations for several human diseases (Pinello et al., 2018; Chen X. Y. et al., 2019; Huang et al., 2020; Melstrom and Chen, 2020; Zhao et al., 2020).

Pathological Regulatory Aspects of m6A Demethylases

Epigenetically, the m⁶A demethylases dictate the fate of various cancerous conditions. In the thoracic cancers, Forristal et al. have investigated the effects of reduced O₂ tension (5%) on the upregulation of certain hypoxia-inducible factors (HIFs) in comparison with human embryonic stem cell control maintained in normoxic condition (20%). They have noticed the translocation of HIFs to the nucleus to reduce O₂ tension condition (Forristal et al., 2010). The translocated HIF-1α protein transcriptionally activates multiple targets as a cellular response to the hypoxia, chief among them was the human ALKBH5 gene (Thalhammer et al., 2011). The ALKBH5 plays an important role in controlling breast cancer progression through the HIF-ALKBH5-dependent pathway. ALKBH5 demethylates m⁶A marks from NANOG, a master pluripotency factor; the oxidative demethylation activity of the ALKBH5 increases the NANOG transcript and protein expression that enriches breast cancer stem cells in the reduced oxygen tumor microenvironment promoting cancer progression (Zhang et al., 2016a). After that, Zhang et al. have also reported that knockdown of ALKBH5 from breast cancer cells could suppress breast-to-lung metastasis in mice model (Zhang et al., 2016b). Furthermore, FTO contributes to breast cancer development. It has been found that FTO overexpression was associated with a higher incidence of human breast cancer. FTO m⁶A-mediated demethylation of 3'- untranslated region BNIP3 transcript, which is a proapoptotic protein belonging to the Bcl-2 tumor suppressor family, promoting its degradation via YTHDF2 independent pathways and specific upregulation of BNIP3 retards breast cancer proliferation and metastasis (Niu et al., 2019). Collectively, it seems that thoracic cancer progression is controlled negatively by specific mRNA methylation reversal (Deng et al., 2018a,c; Mauer and Jaffrey, 2018; Pinello et al., 2018; Rajecka et al., 2019; Melstrom and Chen, 2020). More recently, the elevation of the ALKBH5 level was also confirmed to be involved in lung adenocarcinoma proliferation and invasion under intermittent hypoxia conditions. ALKBH5 demethylates Forkhead box M1 (FOXM1), which is one of the main tumor inducers. Upon m⁶A demethylation, the FOXM1 transcript provides stabilization of the expressed protein (Chao et al., 2020). The ALKBH5 has also been demonstrated to regulate the tumorigenic progression of oral squamous cell carcinoma that antagonizes the utilized chemotherapeutics for the intervention of proliferation and metastasis (Shriwas et al., 2020). The ALKBH5-dependent demethylation of FOXM1 and NANOG transcripts (main regulators of cancer stem cells) promotes chemoresistance of platinum-based drugs through negative regulation of human DEAD-box RNA helicase (DDX3), which are primarily involved in the innate immunity, multiple cell signal processes, and numerous aspects of RNA metabolism (Shriwas et al., 2020).

Despite ALKBH5 has been identified to contribute significantly to physiological osteogenesis (Yu et al., 2020), ALKBH5 mediates osteosarcoma (OS) tumorigenesis via demethylation of plasmacytoma variant translocation one, a tumorigenic lncRNA. Mechanistically, ALKBH5 removes the m⁶A marks, increases the stability of mRNA, and enhances the expression of plasmacytoma variant translocation one through inhibiting its YTHDF2 binding, resulting in increased OS cell proliferation rates both in vitro and in vivo (Int et al., 2020). Similar to the OS tumorigenesis, ALKBH5 possesses a negative regulatory impact in gastric cancer (GC) via acting on another lncRNA named nuclear paraspeckle assembly transcript one that results in enhancement of EZH2 expression (a component of the polycomb repressive complex) and ultimately affects the invasion and metastasis in GC tissues (Zhang J. et al., 2019; Zhu et al., 2020). The same fate was identified in FTO overexpression in GC cancer tissues compared with adjacent non-tumorous tissue (Xu et al., 2017; Zhang C. et al., 2019). Taken together, it seems that m⁶A erasers demethylate both mRNA and lncRNA to promote carcinogenesis and have a negative oncogenic signature in multiple cancers.

Likewise, m⁶A demethylases modulate sex-specific tumors. Marked expression of ALKBH5 has been detected in ovarian cancer, which mediates the EGFR-PIK3CA-AKT-mTOR-signaling pathway, a key regulatory pathway in autophagy-induced stress response and nutrient deprivation. Additionally, ALKBH5 enhances the stability of the BCL-2 transcript (which increased in the epithelial ovarian cancer as well) and enhances the interaction between BCL-2 and Beclin1 that inhibit the autophagy from the other side, suggesting that the ALKBH5 controls tumor progression and autophagy flux via BCL-2 demethylation (Zhu et al., 2019). In contrast, in males, the ALKBH5 was found to control testicular germ cell tumors type II (Nettersheim et al., 2019).

Not only that soft tissue tumors are controlled epigenetically, but FTO has also been incriminated in the progression of the solid tumor, including melanoma. Two mechanisms were proposed, through single-nucleotide polymorphisms outside of intron one (body mass index-related region), as rs16953002, the variant of intron 8 of FTO that has been reported to be associated with a high risk of melanoma (Iles et al., 2013; Deng et al., 2018b). Additionally, the FTO was identified as a pro-tumorigenic factor in melanoma. The FTO negatively regulates the response to anti-programmed death 1, an immunotherapeutic agent, through the action of melanoma-intrinsic genes including PD-1, C-X-CR-4, and SOX10; those are the major potential gene targets for demethylation by FTO (Yang S. et al., 2019; Melstrom and Chen, 2020; Zhao et al., 2020).

Great focus has been dedicated to deciphering the oncogenic role of FTO in hematopoietic disorders. These include acute myeloid leukemia through promoting leukemogenesis via FTO-mediated m⁶A demethylation of core transcripts as ASB2 and RARA mRNAs promoting decreased stability of the target transcripts (Li Z. et al., 2017; Huang et al., 2019; Weng et al., 2019; Zhao et al., 2020). Additionally, ALKBH5 was found to be linked with the devastating malignant brain tumor glioblastoma through the ALKBH5-FOXM1-mediated pathway; in this milieu, ALKBH5 enhances glioblastoma tumorigenesis (Dixit et al., 2017; Zhang et al., 2017; Malacrida et al., 2020).

Unlike the fate of the cancers mentioned earlier, the m⁶A demethylases alleviate the outcome of additional biological processes. ALKBH5 expression was noticed to be downregulated in pancreatic tumors. ALKBH5 targets a lncRNA named KCNK15-AS1 via direct demethylation and is associated with inhibition of the pancreatic cancer metastasis, which might serve as a potential therapeutic target for pancreatic cancer patients (He et al., 2018). More recently, mechanistic investigations have documented another ALKBH5-mediated inhibition of the most common form of pancreatic cancers, the pancreatic ductal adenocarcinoma, through the ALKBH5 dependent-Wnt inhibitory factor one pathway (Tang et al., 2020). To conclude, ALKBH5 carries suppressive effects on certain tumors to provide mounting evidence to be an excellent new prognostic marker for pancreatic cancers (Cho et al., 2018; Melstrom and Chen, 2020).

Similar findings were noticed with bladder cancer repression through the action of the ALKBH5 and METTL3 in a reciprocal manner on integrin alpha-6 transcript, which enhances various cellular motility and signaling events. The ALKBH5 inhibits the translation of integrin alpha-6 in the m⁶A-dependent pathway and decreases bladder cancer adhesion, migration, and invasion (Jin et al., 2019). Moreover, colon cancer was suppressed upon overexpression of the ALKBH5 in both cell invasion in vitro and metastasis in vivo (Yang P. et al., 2019). Thus, ambitious therapeutic candidates have also been proposed in head and neck squamous cell carcinoma via overexpression of ALKBH5 and FTO (PilŽys et al., 2019). To conclude, various actions of m⁶A demethylases were noticed to either suppress or enhance cancer development and progression through direct oxidative demethylation on either specific mRNAs or lncRNAs. Additionally, accumulating evidence suggests using m⁶A demethylases or their gene targets for either prognostic and diagnostic markers for specific tumors as indicated earlier, and improving specific inhibitors for future use could open a new frontier in alleviating multiple cancerous conditions.

Metabolic and Physiological Regulatory Roles of m6A Demethylases

It is well-documented that m⁶A-containing mRNA regulates various biological processes, including autophagy, which is an evolutionarily conserved degradation pathway in the cell. A critical association between the autophagy from one side and METTL3-ALKBH5 interplay from the other side has been found to control hypoxia/reoxygenation-treated cardiomyocytes (in vitro and in an animal model) in which the ALKBH5 acted as a positive regulator in the autophagy via regulating m⁶A level on the transcription factor EB mRNA and its subsequent protein expression. Transcription factor EB is the main regulator of autophagy-related genes and ultimately regulates the fate of ischemic heart diseases (Song et al., 2019).

Additionally, the obesity problem in humans has been linked to the FTO. Albeit, obesity is concomitant to various inherited and behavioral determinants that further predisposes to other chronic diseases; the FTO is also incriminated in adipogenesis. FTO single-nucleotide polymorphisms, which are mostly located in intron-1, were found to be linked with obesity in humans (Zhao et al., 2014b). There are multiple proposed mechanistic regulatory roles of FTO in the development and progression of obesity (Gulati et al., 2013). In contrast, others suggested that the FTO gene is under the control of nearby associated genes, chief among them IRX3 to be the main regulator in obesity (Smemo et al., 2014). However, the obesity–FTO associations are reviewed well elsewhere (Zhou et al., 2017; Deng et al., 2018b; Mauer and Jaffrey, 2018).

Vis-à-vis eraser's physiological roles, the ALKBH5 has been found to play a pivotal role in the regulation of the enrichment of the human placenta during pregnancy via the action on trophoblasts that seems to affect the recurrent miscarriage patients. Mechanistic studies have revealed that ALKBH5 mediates the action by affecting the half-life of cysteine-rich angiogenic inducer-61 mRNA that possesses differentiation, migration, and adhesion roles, which are important for normal embryogenesis (Li et al., 2019). Furthermore, FTO was found to be involved in premature ovarian insufficiency-mediated infertility. The reduction of FTO protein expression was concomitant with elevated m⁶A level in ovarian tissue of premature ovarian insufficiency patients (Ding et al., 2018). A similar finding reported in male mice has a deficiency in ALKBH5. Those mice were identified to have increased levels of m⁶A in their transcripts, consequently impaired fertility and apoptosis along with the ultimate negative effect on the meiotic metaphase stage of the spermatocytes (Zheng et al., 2013). Tang et al. (2017) have unveiled the mechanistic insights of ALKBH5-mediated m⁶A's role in male infertility and revealed that ALKBH5 ensured the production of longer 3′-untranslated region transcripts coupled with correct splicing (Tang et al., 2017). Regarding differentiation functions of demethylases, the ALKBH5 regulates multiple metabolic processes as adipogenesis and myogenesis through modulating the early differentiation markers such as CEBPb and myogenin, respectively (Choi et al., 2019). The FTO was also found to play roles in differentiating the neuronal stem cells in adult mice (Cao et al., 2019). The various pathological and physiological regulatory roles of m6A-demethylases are summarized in Table 1.

Table 1.

Regulatory aspects of m⁶A demethylases.

m6A demethylase	Regulatory aspect	Tissue involved	Regulatory Gene(s) & their expression level	References
ALKBH5	Cancer type	Breast cancer	↑NANOG	Zhang et al., 2016a,b
		Glioblastoma	↑FOXM1	Dixit et al., 2017; Zhang et al., 2017; Malacrida et al., 2020
		Lung adenocarcinoma	↑FOXM1	Chao et al., 2020
		Pancreatic cancer	↑KCNK15-AS1 ↑WIF- 1	He et al., 2018 Tang et al., 2020
		Bladder cancer	↓ITGA6	Jin et al., 2019
		Oral squamous cell carcinoma	↑FOXM1 / NANOG	Shriwas et al., 2020
		Osteosarcoma	↑PVT1	Int et al., 2020
		Gastric cancer	↑NEAT1	Zhang J. et al., 2019; Zhu et al., 2020
		Colon cancer		Yang P. et al., 2019
		Ovarian cancer	↑Bcl2	Zhu et al., 2019
		Male germ cell tumor		Nettersheim et al., 2019
	Metabolic disorder	Male infertility	↑Correct spliced/longer transcripts	Tang et al., 2017
		Autophagy (ischemic heart disease)	↑TFEB	Song et al., 2019
	Differentiation	Placenta	↓CYR61	Li et al., 2019
		Adipogenesis	↓CEBPb	Choi et al., 2019
		Myogenesis	↓Myogenin	Choi et al., 2019
FTO	Cancer type	Breast cancer	↓BNIP3	Niu et al., 2019
		Melanoma	↑PD-1 CXCR4 SOX10	Yang S. et al., 2019; Melstrom and Chen, 2020; Zhao et al., 2020
		Acute myeloid leukemia	↓ASB2 and RARA	Li Z. et al., 2017; Huang et al., 2019; Weng et al., 2019; Zhao et al., 2020
		Gastric cancer		Xu et al., 2017; Zhang C. et al., 2019
	Metabolic disorder	Obesity	FTO gene Intron1 IRX3	Zhao et al., 2014b Smemo et al., 2014
		Premature ovarian insufficiency		Ding et al., 2018
	Differentiation	Neuronal stem cells		Cao et al., 2019

Viral Regulatory Aspects of m6A Demethylases

Similar to cellular transcripts, viral RNA can accept the decoration by m⁶A to regulate/dictate the viral life cycle and outcome of virus–host interactions (Dang et al., 2019). These include multiple viruses of medical importance as well as oncogenic viruses. The m⁶A-demethylase-mediated modification could control viral replication, pathogenesis, infection, and ultimately tumor formation (Imam et al., 2018; Tan et al., 2018; Tsai et al., 2018; Lang et al., 2019). The hepatitis B virus (HBV) is a DNA tumor-causing virus linked with chronic hepatitis, a high risk of liver cirrhosis, and hepatocellular carcinoma (Shepard et al., 2006). HBV intermediate transcripts have been confirmed to bear m⁶A marks from both hepatic tissues of chronic HBV patients and HBV-expressing cells (Imam et al., 2018). Furthermore, m6A machinery represented by METLL3, METTL14 from one side, and FTO from the other side mediates two major regulatory functions. Firstly, the viral gene expression and secondly the reverse transcription based on the m6A modified site on the epsilon loop of HBV that modulate the fate of HBV in the liver disease pathogenesis and tumor formation (Imam et al., 2018).

Moreover, Kaposi's sarcoma-associated herpesvirus (KSHV) is another salient example of a human oncogenic virus linked with different cancers, including Kaposi's sarcoma and primary effusion lymphoma; KSHV has latent and lytic replication stages in the lifecycle (Ye et al., 2011). Recent advances in epitranscriptome sequencing revealed that m⁶A could modulate the transition between the stages with altered m⁶A methylome, and erasers modulate the lytic gene expression that controls KSHV infection and KSHV-induced oncogenesis. Recent studies have reported that m⁶A modifications play different roles owing to various cell types during lytic replication of KSHV (Ye et al., 2017; Hesser et al., 2018; Tan et al., 2018).

Additionally, Epstein–Barr virus is another example of oncogenic herpes viruses caused by human herpesvirus-4, which is incriminated with 2% of human cancers. Through the interplay of METTL14, YTHDF2, and ALKBH5, Epstein–Barr virus latent protein EBNA3C is responsible for reprogramming the methylome that enhances tumorigenesis via the m⁶A-dependent pathway (Lang et al., 2019). Similarly, the Simian virus 40, a DNA oncogenic virus, and HCV, a major RNA tumor-causing virus, are impacted positively or negatively through the m6A-dependant pathways, respectively (Gokhale et al., 2016; Tsai et al., 2018). However, mechanistic action of FTO or ALKBH5 for tumor formation remains to be identified.

Additionally, the non-oncogenic viruses are m⁶A decorated as well, and the m⁶A demethylases have an intriguing role in different virus life cycles. During virus infection, the ALKBH5 only induces a regulatory role in virus replication and protein expression as reported previously in human immunodeficiency virus-1 (HIV-1) and vesicular stomatitis virus (VSV) (Lichinchi et al., 2016a; Tirumuru et al., 2016; Liu et al., 2019). In contrast, in others, the FTO only modulates viral infection, including HCV (Gokhale et al., 2016) and enterovirus-71 (Hao et al., 2019). However, in the case of the Zika virus and respiratory syncytial virus, both demethylases have regulatory functions (Lichinchi et al., 2016b; Xue et al., 2019). Cumulatively, it is plausible that m⁶A demethylases display various regulatory functions in different cell contexts (even those infected with the same virus model), likely through regulating distinct sets of targets, suggesting more detailed analysis for the near future and for designing the correct specific inhibitor. Additionally, future systematic studies will determine the biological function of each of the m⁶A regulatory genes in various cancer settings and the critical target genes to unveil the underlying molecular mechanisms.

m⁶A Demethylases' Inhibitors

Unraveling m⁶A demethylases structures along with a better understanding of their physiological and tumorigenic regulatory roles inspired various groups to develop different types of inhibitors to impede the enzymatic activity. Modulating the m⁶A level inside cells is an ambitious target to control various cancerous condition invasion and metastasis as discussed earlier. Therefore, inhibition of the prototype E. coli AlkB was the proof-of-concept to this notion using a natural product named quercetin (Chen et al., 2012). Importantly, with the availability of the FTO crystallographic structure (Han et al., 2010), a comprehensive mechanistic study to utilize cell-active, natural products (rhein) was confirmed to reversibly bind to the nucleotide-binding pocket in vitro and inside cells with reduced cell toxicity. Structurally, the positively charged active site (R316) of FTO was found to interact with the negatively charged carboxyl group of the rhein to hinder m⁶A repair (Figures 3B,D; Chen et al., 2012). Additional wide arrays of FTO small-inhibitor molecules were suggested to abolish FTO catalytic activity via either interacting with the nucleotide-binding and/or 2OG binding sites (Figure 3; Aik et al., 2013).

Figure 3.

Specific recognition of inhibitors within FTO. (A) Meclofenamic acid (MA) binds to the deep pocket on the surface of FTO (PDB ID: 4QKN) (represented by gray semitransparent surface); MA represented by yellow residue binds to both H₂O yellow circle and S229 yellow residue by blue covalent bonds. (B) Rhein RHN binds to the deep pocket on the surface of FTO (PDB ID: 4IE7) (represented by gray semitransparent surface); RHN is represented by yellow residue binds to the active site residues by blue covalent bonds. (C) Detailed view of meclofenamic acid (MA) within FTO (PDB ID: 4QKN) active residues (gray carbon residues identified by their numbers); MA is represented by yellow color residue, attached to the active site residues by blue covalent bonds; 2-oxoglutarate analog (NOG) is represented by red carbon residues; nickel (Ni) atom is represented by a pink circle. H₂O is represented by a pink circle. (D) Detailed view of Rhein (RHN) within FTO (PDB ID: 4IE7) active residues (gray carbon residues identified by their numbers); RHN is represented by yellow color residue, attached by active site residues by blue covalent bonds; citrate molecule (CIT) is represented by red residue; zinc (Zn) atom is represented by a dark gray circle.

After that, fluorescence polarization studies with chemical displacement have been utilized to validate the use of meclofenamic acid (MA), an anti-inflammatory drug, to provide temporal intervention of mRNA methylation. The MA competes with the m⁶A-binding site (Figures 3A,C) and inhibits FTO over ALKBH5 (Huang et al., 2015). It is worth noticing that MA was reported to be successfully used for inhibition of FTO demethylation activity in the KSHV lifecycle and has been confirmed to enhance the lytic gene expression in comparable results with FTO loss-of-function experiments (Ye et al., 2017). Despite the potent activity of the rhein and MA, inhibiting other essential cellular enzymes were noticed to shut down their activities (Chen et al., 2012; Flanagan et al., 2012; Li et al., 2016; Huang et al., 2019). Wang et al. have utilized the structural similarity between some fluorescein compounds to MA to selectively inhibit FTO activity and provide additional labeling simultaneously (Wang et al., 2015).

Additionally, MO-I-500, a pharmacologically tested FTO inhibitor, was also reported reducing the survival rate of inflammatory breast cancer cell lines selectively (Singh et al., 2016). Moreover, a robust tool has been recognized depending on the difference in both substrate and nucleotide specificities, which provides compounds that occupy both nucleotide and 2OG binding pockets. This method is named the two-component inhibitor tethering strategy (Toh et al., 2015).

Rational drug design through the scaffold hopping approach was also adopted to identify new candidates for FTO inhibitors. These candidates were tested using docking simulations. Structural analysis of MU06-bounded-FTO revealed interaction of R96 and H231 of FTO catalytic pocket with MU06 inhibitor via H bonding (Padariya and Kalathiya, 2016). Recently, fluorescent RNA aptamers were utilized as a tool for studying FTO inhibitors in a high-throughput screening format (Svensen and Jaffrey, 2016). Additional natural compounds were identified as putative FTO inhibitors such as radicicol (Wang et al., 2018) and clausine E (Wang et al., 2019). Other compounds have additional medicinal advantages, such as the anti-epileptic effect (Zheng et al., 2014) and the anti-leukemic activity of the R-2HG (Su et al., 2018).

More recently, promising FTO inhibitors such as FB23 and FB23-2 were selected and tested in an animal model. It was found to impede FTO in a way mimicking FTO depletion in acute myeloid leukemia cell lines. Structurally, these inhibitors have complementarity with the substrate-binding pocket via binding with the critical residues in the active site, including S229, R96, and E234 (Huang et al., 2019; Figures 3C,D).

Although most of the compound, as mentioned earlier, can totally or partially inhibit FTO, the MV1035, an imidazobenzoxazin-5-thione, was initially synthesized as a Na⁺ channel blocker, using structural-based in silico screening in the wide-scale proteome. MV1035 was found to interact with ALKBH5 as an off-target molecule. After that, the functional analysis was confirmed to fight the glioblastoma aggressiveness (Malacrida et al., 2020).

Concluding Remarks: How Viruses Can Provide More Information for A Better Understanding of Epigenetics in The Future

Methylation of viral RNA has recently been considered as a hallmark in virus–host interactions. Viral epitranscriptome allows us to underpin molecular mechanisms of m⁶A modification and its impact on cellular and viral RNAs behaviors. It has been concluded that the activity of the writers and the readers were associated with restraining the viral replication capacity. In contrast, the demethylases exert an opposite effect in virus-infected cells, suggesting an overall negative regulation of viral replication (Brocard et al., 2017).

Furthermore, m⁶A is proposed to negatively regulate interferon (IFN) responses in virus–host interaction. Significant reduction in various dsDNA viruses (including human cytomegalovirus, HCMV) titers was reported in m⁶A-writers and readers knockout (KO) cells, and marked elevation to viral titers were noticed in FTO- or ALKBH5-KO cells along with the fast turnover of IFN transcripts, hence facilitating viral propagation (Winkler et al., 2019). Mechanistically, cellular RNA helicase (DDX46) inhibits the innate immune response through the DDX46-ALKBH5-dependant pathway, leading to the demethylation of IFN transcripts. Demethylation of these mRNAs enforces their retention in the nucleus and inhibits IFN production and consequently enhances viral propagation (Zheng et al., 2017).

However, this is not the case for all viruses investigated so far. Interestingly, m⁶A has a positive regulatory outcome of certain viruses such as HIV-1. The depletion of the METTL3 and/or METTL14 (writers) has been confirmed to inhibit HIV-1 replication, whereas knockdown of the ALKBH5 enhances the replication (Kennedy et al., 2016, 2017; Tirumuru et al., 2016). The same findings were consistent in enterovirus-71, which is another ssRNA virus. In the enterovirus-71 replication model, the viral RNA copy number and protein expression were regulated mainly by the FTO. Intriguingly, the ALKBH5 does not affect the virus lifecycle (Hao et al., 2019). Moreover, the enhanced viral gene expression and replication have also been reported in the influenza A virus (Courtney et al., 2017) and SV-40 (Tsai et al., 2018). However, the m6A demethylases' roles in viral replication have not been investigated in greater detail.

In contrast, the negative impact of m⁶A demethylases was noticed in the HCV (Gokhale et al., 2016), Zika (Lichinchi et al., 2016b), and VSV (Liu et al., 2019). It is important to note that depletion of FTO was concomitant with a reduced infectious virus and HCV RNA release. Interestingly, ALKBH5 does not influence the HCV life cycle (Gokhale et al., 2016). ALKBH5 and FTO enhance the titer and the protein synthesis of the Zika virus, which is another member of the Flaviviridae family (Lichinchi et al., 2016b; Tan and Gao, 2018). Notably, it was also confirmed that knockdown of ALKBH5 significantly reduced VSV RNA levels (Liu et al., 2019). Despite intensive studies of epitranscriptome to cellular RNA, the molecular events illustrating virus–cell epitranscriptome interactions are in their infancy, and several fundamental questions need to be answered. Especially, m⁶A demethylases, as the focal point of this review, must understand differences between FTO and ALKBH5 in their pattern of recognition to closely related viral RNA.

Considering the m6A mark as a conformational marker, the sequence variation and secondary and tertiary structures between two viruses, which belong to the same family, could be the cause of preferential target to one demethylase compared with another. However, detailed structural and functional studies warrant further investigation that might reveal aspects in understanding the mechanistic action toward viruses to provide efficacious antivirals in the near future.

Moreover, detailed studies of all m⁶A-related proteins (writers, readers, and erasers) could explain the various outcomes against different viruses. This was not surprising, as loss-of-function studies of m⁶A-demethylases have different outcomes in various cancerous conditions, as discussed earlier. Additionally, certain viruses were found to accept the variant of m⁶A modification (i.e., m⁶A_m), which can affect the fate of virus replication (Lichinchi et al., 2016b; Tirumuru et al., 2016; Tan et al., 2018). Interestingly, FTO is the unique demethylase that interacts and responds to m⁶A_m. However, detailed crystallographic analysis of FTO harboring m⁶A and/or m⁶A_m could provide more answers in both cellular and viral epitranscriptomic field.

Considering the splicing function regulated by both demethylases (Zheng et al., 2013; Bartosovic et al., 2017), their role in the splicing process of viruses (DNA viruses, HIV, and influenza A virus) warrants further investigation. Besides, the discrepancies in the various reports in cellular and/or viral epitranscriptome might be owing to variation cell type, site of modifications, the utilized technique for sequencing (Tan et al., 2018; Dang et al., 2019). However, the viral epigenetic is at the stage of infancy and warrants exhaustive research in the near future.

Given the roles of m⁶A-demethylases in multiple virus life cycles and tumorigenic capacity shed light on the future potential use of inhibitors to fight a wide range of biological process simultaneously. The proof-of-concept has been provided from the data described in multiple studies. The use of various FTO inhibitors such as broad-spectrum m⁶A inhibitor named 3-deazaadenosine (DAA) in vitro and animal model (Kennedy et al., 2016; Courtney et al., 2017) and the specific FTO inhibitor (MA) in KSHV model (Ye et al., 2017) provide valuable insights. These proof of principle studies underline the applicability of m⁶A “demethylases” inhibitors in developing next-generation antiviral and cancer therapies.

Author Contributions

MM: conceptualization, supervision, writing—review, and editing. MB and MM: formal analysis, investigation, and resources. MB: writing—original draft preparation. All authors contributed to the article and approved the submitted version.

Conflict of Interest

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.