Abstract
Hepatitis B virus (HBV) infection is a major risk factor for hepatocellular carcinoma (HCC), but its pathogenic mechanism remains to be explored. The RNA N6-methyladenosine (m6A) reader, YTH (YT521-B homology) domain 2 (YTHDF2), plays a critical role in the HCC progression. However, the function and regulatory mechanisms of YTHDF2 in HBV-related HCC remain largely elusive. Here, we discovered that YTHDF2 O-GlcNAcylation was markedly increased upon HBV infection. O-GlcNAc transferase (OGT)-mediated O-GlcNAcylation of YTHDF2 on serine 263 enhanced its protein stability and oncogenic activity by inhibiting its ubiquitination. Mechanistically, YTHDF2 stabilized minichromosome maintenance protein 2 (MCM2) and MCM5 transcripts in an m6A-dependent manner, thus promoting cell cycle progression and HBV-related HCC tumorigenesis. Moreover, targeting YTHDF2 O-GlcNAcylation by the OGT inhibitor OSMI-1 significantly suppressed HCC progression. Taken together, our findings reveal a new regulatory mechanism for YTHDF2 and highlight an essential role of YTHDF2 O-GlcNAcylation in RNA m6A methylation and HCC progression. Further description of the molecular pathway has the potential to yield therapeutic targets for suppression of HCC progression due to HBV infection.
Subject terms: Tumour virus infections, Gastrointestinal cancer, Oncogenesis
Introduction
Chronic infection with hepatitis B virus (HBV) has long been recognized as one of the major pathogenic factors in the initiation and development of hepatocellular carcinoma (HCC), contributing to more than half of the HCC incidents worldwide.1,2 Recent findings indicate that metabolic reprogramming plays an important role in viral replication and carcinogenesis.3–5 Oncogenic viruses promote cancer progression not only by directly integrating viral genes into the host genome, but also by hijacking cellular physiology and metabolism to promote metabolic alterations associated with rapid cell proliferation and tumorigenesis. As a “metabolic virus”, HBV affects numerous hepatic metabolic pathways, including dysregulation of lipid metabolism and enhanced glycolysis. The latter phenomenon is associated with the Warburg phenotype of hepatic cells, which is a collection of cellular features characteristic of tumor cells.6,7 A recent study has showed that the hexosamine biosynthesis pathway (HBP), phosphatidylcholine biosynthesis, and nucleotide synthesis are all upregulated during HBV infection.8 The HBP converts glucose to UDP-N-acetylglucosamine (UDP-GlcNAc), a substrate for O-linked β-N-acetylglucosamine (O-GlcNAc) modification (also known as O-GlcNAcylation), which is catalyzed by O-GlcNAc transferase (OGT) and O-GlcNAcase (OGA).9,10 This dynamic O-GlcNAcylation modifies multitude of intracellular proteins, including transcription factors, signaling molecules, and metabolic enzymes. This process also plays an essential role in sustaining important cellular processes such as cellular proliferation, survival, and invasion.
O-GlcNAcylation is a post-translational modification (PTM) that links nutrient flux to gene transcription in virus replication and tumorigenesis.11,12 It affects intracellular protein–protein interactions, stability, localization, and activity.13 Human T-cell lymphotropic virus type 1 oncoprotein Tax inhibits OGA activity and enhances O-GlcNAcylation of CREB, thus promoting its binding to the viral promoter.14 The high-risk human papillomavirus 16 oncogene E6/E7 promotes cervical neoplasm progression through upregulation of OGT and O-GlcNAcylation, which further stabilizes c-MYC via O-GlcNAc modification on Thr58.15 Similarly, we found that HBP flux and O-GlcNAcylation levels were markedly elevated upon HBV infection.16 Among the host proteins modified by O-GlcNAc, the N6-Methyladenosine (m6A) reader YTH (YT521-B homology) domain 2 (YTHDF2) attracted our attention. As one of the first identified functional m6A readers, YTHDF2 has been widely reported to mediate the stability or translation of m6A transcripts.17–20 However, the function of O-GlcNAcylation on YTHDF2 has not yet been explored, and its role in HBV pathogenesis remains largely unknown.
m6A RNA modification is a dynamic and reversible epigenetic event that prevalent in eukaryotic mRNAs and lncRNAs.21 N6-methylation is mainly enriched in adenosine, with typical conserved sequence.22 It is deposited by the m6A methyltransferase complex (“writers”) containing methyltransferase (MTase) complex methyltransferase-like 3 (METTL3), METTL14 and Wilms’ tumor-1-associating protein (WTAP), and removed by demethylases (“erasers”) fat mass and obesity-associated gene (FTO) or AlkB homolog 5 (ALKBH5).23 m6A can influence the entire RNA life cycle, including RNA splicing, RNA export, RNA translation, and RNA decay, by binding with different “readers”, such as YTHDF2.18,24,25 Recent studies have demonstrated that YTHDF2 may play a contradictory role in tumorigenesis and malignant progression of HCC. YTHDF2 promotes the liver cancer stem cell phenotype and metastasis through stabilizing m6A modification of OCT4 transcript.20 On the contrary, YTHDF2 also performs as a tumor suppressor and inhibits HCC growth by accelerating the degradation of EGFR transcript.26 Thus, the specific functions and potential mechanism of the m6A reader YTHDF2 in HCC require further exploration.
In this study, we investigated the role of O-GlcNAcylation of the m6A reader YTHDF2 in HBV-related hepatocarcinogenesis and progression. We found that YTHDF2 O-GlcNAcylation was elevated upon HBV infection through upregulation of HBP. OGT-mediated YTHDF2 O-GlcNAcylation at Ser263 promoted the mRNA stabilization of MCM2 and MCM5 in an m6A-dependent manner in HCC. Importantly, our study proposes that targeting OGT-mediated YTHDF2 O-GlcNAcylation may be a novel strategy for the potential treatment of HBV-associated liver cancer.
Results
HBV infection enhances YTHDF2 O-GlcNAcylation
In our previous study, we screened putative O-GlcNAcylated proteins in the stable HBV-expressing hepatoma cell line HepAD38 cells (Tet-off) using liquid chromatography-tandem mass spectrometry (LC-MS/MS). In total, 1034 candidates were identified as potential O-GlcNAc-modified proteins. Gene ontology analysis suggested that m6A readers, such as YTHDF2/3, hnRNPA2B1, and others, are almost possible to be potentially O-GlcNAcylated (Supplementary Fig. 1a). We focused on the most concerned m6A reader YTHDF2 in our subsequent research.
To identify YTHDF2 O-GlcNAcylation in HBV-associated HCC, we first examined YTHDF2 protein expression in 48 paired clinical HBV-associated HCC and normal tissue samples. Immunoblotting showed that YTHDF2 protein levels were markedly higher in HCC tissues than in the corresponding non-tumor tissues (Fig. 1a, P < 0.001). Furthermore, we analyzed O-GlcNAcylation of YTHDF2 in paired liver tissues, using succinylated wheat germ agglutinin (sWGA) pull-down assay, a modified lectin that specifically binds to O-GlcNAc on proteins. YTHDF2 O-GlcNAcylation was found to be significantly upregulated in HBV-associated HCC tissues (Fig. 1b, P < 0.01). In addition, we extracted four paired liver tissues from HBV-transgenic (Tg) mice and normal C57BL/6 mice and found that both total O-GlcNAcylation and YTHDF2 O-GlcNAcylation levels were markedly increased in HBV-Tg tissues (Fig. 1c, n = 4).
To further verify YTHDF2 O-GlcNAcylation, we performed immunoprecipitation (IP) in HBV-replicated hepatoma cell HepAD38 (Tet-off), HBV-infected HepG2-NTCP, and OGA inhibitor Thiamet G (TMG)-treated HepG2-HBV1.3 (AdHBV1.3 infected) and Huh7-HBV1.3 cells (Fig. 1d–g). Flag-tagged YTHDF2 exhibited a distinct O-GlcNAcylation signal in those cells. Moreover, sWGA pull-down assays in hepatoma cells and HEK293 cells indicated that HBV infection or TMG treatment significantly enhanced total O-GlcNAcylation and YTHDF2 O-GlcNAcylation (Supplementary Fig. 1b–g and Fig. 1h, i), whereas the OGT inhibitor OSMI-1 downregulated both processes (Supplementary Fig. 1h, i and Fig. 1j, k). These findings suggest that YTHDF2 O-GlcNAcylation is enhanced after HBV infection or in HBV-associated HCC, and modulated by intracellular O-GlcNAcylation levels.
Ser263 is the major O-GlcNAcylation site of YTHDF2
OGT is the sole enzyme responsible for the O-GlcNAcylation of thousands of proteins. To confirm that O-GlcNAcylation of YTHDF2 is mediated by OGT, co-immunoprecipitation (Co-IP) and confocal assays were performed to demonstrate the interaction between OGT and YTHDF2 in HEK293 and HBV-infected hepatoma cells (Fig. 2a–c and Supplementary Fig. 2a). We constructed two YTHDF2 deletion mutants (Fig. 2d) and found that the N-terminal region of YTHDF2 (amino acids 1-400) is required for its interaction with OGT (Fig. 2e). To identify the O-GlcNAcylation site(s) on YTHDF2, Flag-tagged YTHDF2 was immunoprecipitated from HBV-infected HepG2 cells and analyzed by MS. The results showed that Ser263 (S263) was the major O-GlcNAcylation site on YTHDF2 (Fig. 2f). Interestingly, YTHDF2 S263 is well conserved among vertebrates (Fig. 2g). Mutation of Ser263 to Ala (S263A) largely reduced the O-GlcNAc signal compared to the YTHDF2-WT, S262A or T524A mutants in HEK293 cells (Fig. 2h). Furthermore, we established cell lines that stably expressed a short hairpin RNA (shRNA) targeting 3’-untranslated region (UTR) of endogenous YTHDF2. Flag-tagged YTHDF2-WT or -S263A were overexpressed in HepAD38-shYTHDF2 cells or HepG2-HBV1.3-shYTHDF2 cells, and the S263A mutant markedly decreased YTHDF2 O-GlcNAcylation, which could not be increased after HBV infection or TMG treatment (Fig. 2i, j). The results of the experiments described above indicate that S263 is the major O-GlcNAcylation site in YTHDF2.
OGT-mediated O-GlcNAcylation on Ser263 enhances YTHDF2 protein stability by counteracting its ubiquitination
O-GlcNAcylation is involved in many cellular processes and signaling pathways by regulating the localization, stability, and protein–protein interactions of targeted proteins. To explore the effect of O-GlcNAcylation on YTHDF2, endogenous YTHDF2 was examined firstly in HBV-infected HepAD38 and HepG2 cells after treatment with an OGA inhibitor (Supplementary Fig. 2b, c). Immunoblotting showed that YTHDF2 protein expression was greatly increased upon HBV infection and TMG treatment; however, no significant change was observed in YTHDF2 mRNA levels (Supplementary Fig. 2d). Furthermore, YTHDF2 protein level was significantly downregulated by OGT knockdown, and this inhibition cannot be entirely rescued by HBV infection (Supplementary Fig. 2e), indicating that HBV-induced upregulation of YTHDF2 was mainly dependent on OGT-mediated O-GlcNAcylation. The protein degradation pathways in eukaryotic cells mainly include the ubiquitin-proteasome and lysosome pathways. We found that the proteasome inhibitor MG132 could alone significantly reverse the downregulation of YTHDF2 induced by OSMI-1 treatment (Supplementary Fig. 2f). Therefore, we consider that O-GlcNAcylation may regulate YTHDF2 expression through the ubiquitin-proteasome pathway.
Subsequently, Flag-tagged YTHDF2 was transfected into HepG2-HBV1.3 cells after treatment with shOGT or shOGA. Cycloheximide (CHX) chase analysis showed that OGT knockdown accelerated the degradation of the YTHDF2 protein, while silencing of OGA decelerated its rate of decay (Supplementary Fig. 2g). In addition, endogenous YTHDF2 protein was more stable after HBV infection in HepAD38 cells, exhibiting a half-life of more than 24 h (Fig. 3a, b). However, knockdown of OGT greatly shortened YTHDF2 lifespan, regardless of HBV infection status. Furthermore, in comparison with YTHDF2-WT, S263A also significantly reduced YTHDF2 half-life; while TMG treatment only extended YTHDF2-WT lifespan but had minimal effect on S263A (Fig. 3c, d). These findings indicate that HBV infection enhances YTHDF2 protein stability through upregulation of its O-GlcNAcylation.
We further investigated the effect of O-GlcNAcylation on YTHDF2 ubiquitination. Treatment with the OGT inhibitor OSMI-1 or shOGT significantly increased total and K48-linked ubiquitination of YTHDF2, while HBV infection had the opposite effect (Supplementary Fig. 2h, i and Fig. 3e). Additionally, compared to YTHDF2-WT, the S263A mutation enhanced YTHDF2 ubiquitination, whereas TMG or OSMI-1 only influenced WT ubiquitination, but had minimal effects on S263A (Fig. 3f and Supplementary Fig. 2j). To further verify the regulation of O-GlcNAcylation on YTHDF2 ubiquitination, an in vitro ubiquitination assay (Fig. 3g) was performed with E3-ubiquitin ligase F-box and WD repeat domain-containing 7 (FBW7), which has been reported to mediate proteolytic degradation of YTHDF2.27 When compared to YTHDF2-WT, the S263A mutant significantly increased its ubiquitination level mediated by FBW7. These findings suggest that O-GlcNAcylation of YTHDF2 at Ser263 stabilizes YTHDF2 by counteracting its ubiquitination.
In addition, we assessed the potential effect of YTHDF2 O-GlcNAcylation on its subcellular localization. The nuclear/cytosolic fractionation assay and immunofluorescence assay demonstrated that TMG or OSMI-1 mainly changed YTHDF2 expression, but had minimal effects on its localization (Fig. 3h, i and Supplementary Fig. 3a–f). Moreover, Flag-tagged YTHDF2-WT or S263A was re-expressed in Huh7-shYTHDF2 cells or HepG2-shYTHDF2 cells (Fig. 3j, k and Supplementary Fig. 3a–f). Similarly, no differences were observed in subcellular location between WT and S263A. Considering that YTHDF2 is an important m6A reader, we further performed m6A Co-IP to explore whether O-GlcNAcylation influences its binding affinity to m6A-modified RNA. YTHDF2 consists of a YTH domain that specifically recognizes the m6A motif, and we generated a W432A mutant (a known mutation with diminished affinity for m6A RNA17) as a positive control for the following study. The results showed that treatment of TMG or OSMI-1 had minimal effects on YTHDF2-binding affinity, and there was not much difference between WT and S263A (Supplementary Fig. 3g). These results indicate that O-GlcNAcylation of YTHDF2 enhances YTHDF2 protein stability, but has a minimal effect on its subcellular localization and binding affinity.
O-GlcNAcylation of YTHDF2 promotes HCC progression
Since YTHDF2 plays an important role in cancer progression and O-GlcNAcylation could enhance its protein stability, we wondered whether O-GlcNAcylation of YTHDF2 is involved in HCC progression. CCK-8 and colony formation assays indicated that depletion of YTHDF2 markedly inhibited cell proliferation in HBV-infected hepatoma cells (Fig. 4a–e and Supplementary Fig. 4a–d), which was rescued by re-expression of YTHDF2-WT but not YTHDF2-S263A. Furthermore, transwell and wound-healing assays also showed that YTHDF2 knockdown decreased the invasion and migration abilities of hepatoma cells. Re-expression of YTHDF2-WT, but not of S263A, obviously increased cell invasion and migration (Fig. 4f–i and Supplementary Fig. 4e). To further explore the role of YTHDF2 in HCC progression in vivo, xenograft tumor experiments were performed by subcutaneously injecting MHCC-97H cells into nude mice. We found that depletion of YTHDF2 greatly inhibited HCC growth, as reflected by the decrease in tumor volume, tumor weight, and immunohistochemical (IHC) staining of Ki67, which was recovered by re-expressing YTHDF2-WT but not YTHDF2-S263A (Fig. 4j–l and Supplementary Fig. 4f). Together, these data show that O-GlcNAcylation of YTHDF2 promotes HBV-related HCC progression.
Identification of YTHDF2 targets by high-throughput m6A-seq and RIP-seq
YTHDF2 is one of the major m6A readers, that can recognize dynamic m6A modifications to regulate the stability and translation status of methylated mRNA.23 To identify the potential targets regulated by YTHDF2, RNA sequencing (RNA-seq) was performed in HBV-infected HepG2 cells (Supplementary Fig. 5a). Dysregulated gene expression was caused by YTHDF2 depletion, with 168 elevated and 465 downregulated genes (Fig. 5a), including many oncogenes such as TRAF5, FOS, MYCL, CDK1, etc. Subsequently, the m6A methylome of HBV-infected HepG2 cells was mapped using m6A-seq, and 27,346 m6A peaks in 12940 genes were identified. These m6A modifications were preferentially enriched in 3’-UTRs (26.5%), stop codons (24.6%) and protein-coding transcripts (15.3%) (Fig. 5b and Supplementary Fig. 5b). Consistent with previous studies,18 GGAC [U/A] was identified as the consensus sequence of m6A in HepG2 cells (Supplementary Fig. 5c). By combining m6A-seq and RNA-seq data, we observed that 336 m6A-modified genes were consistently downregulated upon YTHDF2 knockdown (Supplementary Fig. 5d). Gene ontology and KEGG analyses revealed that differentially expressed genes (DEGs) were mainly enriched in cancer-related programs or pathways, such as processes of DNA replication, apoptosis, cell cycle, and the NF-κB signaling pathway (Supplementary Fig. 5e, f). These results indicate that YTHDF2 is a potent regulator of HBV-related HCC in an m6A-dependent manner.
To explore YTHDF2 downstream targets, we further conducted RNA immunoprecipitation sequencing (RIP-seq) in HBV-infected HepG2 cells, and found 6530 genes that were directly bound by YTHDF2 (Fig. 5c). After looking for overlaps between YTHDF2 RIP-seq, m6A-seq, and RNA-seq data from HBV-infected HepG2 cells, we identified 111 m6A-modified genes directly bound by YTHDF2 that were downregulated upon depletion of YTHDF2 (Fig. 5d). In addition, KEGG analysis suggested that DEGs were generally involved in DNA replication and the cell cycle (Fig. 5e). Subsequently, we screened the mRNA of DNA replication-related genes MCM2 and MCM5 (MCM2/5) and found that they were significantly downregulated upon YTHDF2 knockdown in HepG2-HBV1.3 and Huh7-HBV1.3 cells by RT-qPCR (Fig. 5f and Supplementary Fig. 5g). Moreover, m6A peak was significantly enriched in the transcripts of MCM2 and MCM5 (Fig. 5g). To further validate that MCM2/5 were direct targets of YTHDF2, RIP-qPCR was performed in HepG2 and Huh7 cells with anti-YTHDF2 (Fig. 5h and Supplementary Fig. 5h). The results confirmed the direct interactions between YTHDF2 protein and MCM2 or MCM5 mRNA, which were enhanced upon treatment with TMG. Correlation analysis also suggested that YTHDF2 was positively correlated with MCM2/5 in the TCGA-LIHC database (Fig. 5i). Therefore, we focused on MCM2/5 for their potential roles in mediating YTHDF2-regulated HBV-associated HCC.
YTHDF2 O-GlcNAcylation promotes HCC proliferation by preserving the stability of MCM2 and MCM5 transcripts in an m6A-dependent manner
To explore the mechanism by which YTHDF2 O-GlcNAcylation regulates MCM2/5 expression, HepG2 and Huh7 cells were treated with the OGA inhibitor TMG, and then by YTHDF2 shRNA. The results showed that TMG treatment increased MCM2/5 mRNA levels, whereas YTHDF2 knockdown reversed the effects of TMG (Fig. 6a and Supplementary Fig. 6a). On the contrary, treatment with the OGT inhibitor OSMI-1 decreased MCM2/5 mRNA levels; this was rescued by the overexpression of YTHDF2 (Fig. 6b and Supplementary Fig. 6b). In addition, the protein levels of MCM2/5 treated as described above showed the similar results (Fig. 6c, d, and Supplementary Fig. 6c, d). In order to investigate whether YTHDF2 regulates the stability of these two transcripts, mRNA stability profiling was performed in HepG2 cells treated with actinomycin D. The median half-lives of MCM2/5 were significantly extended after TMG treatment, but reduced due to shYTHDF2 treatment (Fig. 6e and Supplementary Fig. 6e). In contrast, the decay rates of MCM2/5 mRNAs were increased upon OSMI-1 treatment, but decreased by overexpression of YTHDF2 (Fig. 6f and Supplementary Fig. 6f). Moreover, the S263A mutant compromised YTHDF2’s ability to stabilize MCM2/5 mRNAs in HepG2-shYTHDF2 cells (Fig. 6g, h). The luciferase reporter assay further implied that the activities of the 3’ UTRs of MCM2/5 were increased by YTHDF2 O-GlcNAcylation (Fig. 6i, j). The results collectively suggest that MCM2/5 expressions are regulated by O-GlcNAcylation of YTHDF2.
YTHDF2 consists of a YTH domain that specifically recognizes the m6A motif, and the W432A mutation could greatly reduce its affinity for binding methylated RNA.17 To further establish the unique role of m6A in YTHDF2 function, we performed experiments with the W432A mutant. Flag-RIP-qPCR showed that m6A-recognition defective YTHDF2-W432A was unable to enrich MCM2/5 mRNAs, when compared to YTHDF2-WT (Fig. 6k). Furthermore, unlike WT, W432A failed to increase the mRNAs and protein levels of MCM2/5 in HepG2-shYTHDF2 cells (Fig. 6l and Supplementary Fig. 6g, h). Moreover, YTHDF2-W432A had minimal effects on mRNA decay and the 3’ UTR activities of MCM2/5 (Supplementary Fig. 6i–k). RNA pull-down assay also suggested that the W432A mutation greatly weakened the MCM2/5-YTHDF2 interaction (Supplementary Fig. 6l). In addition, YTHDF2 failed to upregulate MCM2/5 mRNAs in the main m6A writer METTL3-depleted HepG2 cells, while sgMETTL3 reduced the enrichment of MCM2/5 mRNAs by YTHDF2 (Supplementary Fig. 6m–o). These data indicate that YTHDF2 regulates MCM2/5 mRNAs in an m6A-dependent manner.
To determine the role of MCM2 and MCM5 in mediating the biological effects of YTHDF2 on HBV-related HCC progression, we generated MCM2/5 overexpressed constructs and shRNA vectors. It has been reported that MCM2/5 are key subunits of the MCM2-7 complex, a replicative helicase important for initiating DNA replication and promoting cell cycle progression, and silencing of MCM2 or MCM5 causes G1/S transition arrest.28,29 First, we found that knockdown of MCM2/5 significantly suppressed cellular proliferation, colony formation abilities and caused G1/S arrest, similar to the knockdown of YTHDF2 (Fig. 6m–o and Supplementary Fig. 7a–e). Subsequently, the simultaneous overexpression of MCM2/5-rescued cell proliferation in YTHDF2-depleted HCC cells. Moreover, re-expression of YTHDF2-WT in MCM2/5-rescued cells (YTHDF2-depleted), rather than S263A mutant, further promoted HCC proliferation and cell cycle progression. In addition, invasion and migration abilities were partially recovered by restoration of MCM2/5 and YTHDF2-WT in YTHDF2-depleted Huh7 cells (Supplementary Fig. 7f, g). Collectively, the above data indicate that YTHDF2 O-GlcNAcylation promotes HCC proliferation largely by preserving the stability of MCM2/5 transcripts in an m6A-dependent manner.
Targeting OGT-mediated YTHDF2 O-GlcNAcylation suppresses HBV-associated hepatocarcinogenesis in vivo
Next, we used diethylnitrosamine and carbon tetrachloride (DEN/CCl4)-induced HCC models in HBV-transgenic mice and spontaneous HCC mice models (Alb-Cre Pten(flox/flox) mice with HBV Ad/rcccDNA transduction) to further validate our results in vivo (Fig. 7a and Supplementary Fig. 8a). HBV infection was identified by serum HBeAg, HBsAg and HBV DNA levels (Supplementary Fig. 8b–e). According to our in vitro results, HBV infection or OGA inhibitor TMG treatment promoted HCC progression by upregulating YTHDF2 O-GlcNAcylation, whereas the OGT inhibitor OSMI-1 had the opposite effect. Therefore, HBV-transgenic mice were treated with DEN and CCl4 to induce HBV-associated liver cancer, followed by intraperitoneal injection of OSMI-1 or intravenous injection of pSECC lentiviruses expressing sgRNA targeting Ythdf2. Administration of OSMI-1 or pSECC-sgYthdf2 resulted in decelerated liver tumorigenesis, as indicated by smaller tumor masses and nodules, as well as lower serum levels of ALT and AST (Fig. 7b-f). Furthermore, IHC staining indicated that YTHDF2, MCM2, MCM5 and Ki67 expressions were greatly decreased upon OSMI-1 treatment or upon injection of pSECC-sgYthdf2 (Fig. 7g). Consistent with the in vitro results, total O-GlcNAcylation and YTHDF2 O-GlcNAcylation levels were significantly reduced after OSMI-1 treatment, thereby leading to decreased MCM2/5 mRNA and protein levels (Fig. 7h and Supplementary Fig. 8f, g).
Similar results were observed in HBV-infected spontaneous HCC mice. Specifically, HBV Ad/rcccDNA was intravenously injected to Alb-Cre Pten(flox/flox) mice, followed by pSECC-sgYthdf2 or OSMI-1 administration as described above. The results indicated that HBV infection upregulated MCM2/5 expression through enhanced YTHDF2 O-GlcNAcylation to accelerate tumor formation, whereas OSMI-1 treatment or pSECC-sgYthdf2 exhibited the opposite effect (Supplementary Fig. 8h–o). Moreover, MCM2/5 mRNAs levels, IHC staining and correlation analysis between YTHDF2 O-GlcNAcylation and MCM2/5 in clinical HBV-associated HCC tissues, proved that MCM2/5 were significantly upregulated with high expression of YTHDF2 and O-GlcNAcylation (Supplementary Fig. 9a–e). Finally, survival analysis also showed that patients with higher levels of both YTHDF2 and MCM2/MCM5 had poorer overall survival (Fig. 7i, j). Collectively, these findings suggest that YTHDF2 O-GlcNAcylation increases susceptibility to HBV-related hepatocarcinogenesis via YTHDF2-mediated upregulation of MCM2/5. Targeting OGT-mediated YTHDF2 O-GlcNAcylation may be a promising treatment strategy for suppressing HBV-associated HCC.
Discussion
Accumulating evidence has shown that m6A modification widely participates in various biological processes, especially tumorigenesis and cancer progression. As the major reader of m6A, YTHDF2 has been reported to promote malignancy of gliomas through facilitating mRNA decay of UBXN1 and subsequent activation of NF-kB.30 In addition, YTHDF2 was found to cooperate with METTL3 and promoted HCC progression by destabilizing mRNA of SOCS2.31 Previous studies have mostly focused on the role of YTHDF2 in mediating mRNA metabolism and tumor progression through m6A methylation; however, the specific functional regulation of YTHDF2, especially post-translational modification, remains largely unexplored. Here, we demonstrate that YTHDF2 O-GlcNAcylation is upregulated during HBV infection and plays a critical role in HCC progression. O-GlcNAcylation at Ser263 maintains its protein stability and oncogenic activity. Targeting YTHDF2 significantly suppresses tumor growth and progression by downregulating MCM2 and MCM5. These findings provide a link between protein O-GlcNAcylation and m6A-dependent mRNA regulation in HBV-associated HCC tumorigenesis (Fig. 8).
Recently, post-translational modifications of YTHDF2 have attracted increasing attention. SUMOylation of YTHDF2 at K571 significantly enhanced its direct affinity with m6A-modified transcripts, and subsequently led to tumor progression, which resulted from dysregulation of downstream genes.32 In addition, phosphorylation of YTHDF2 by EGFR activation at S39/T381, stabilized YTHDF2 protein to accelerate the degradation of LXRA and HIVEP2 mRNA, which further contributed to glioblastoma tumorigenesis.33 Moreover, FBW7 promoted proteolytic degradation of YTHDF2 and consequently stabilized m6A-modified pro-apoptotic BMF mRNA, thereby suppressing ovarian cancer development.27 Our study revealed a previously unrecognized O-GlcNAcylation of YTHDF2 upon HBV infection. Furthermore, we found that YTHDF2 was O-GlcNAcylated at Ser263 and emphasized its oncogenic activity in liver cancer. Our findings highlight the crucial role of O-GlcNAcylation in tumorigenesis, as well as the mechanism responsible for YTHDF2 upregulation in HBV-associated HCC. These findings also further clarify the regulatory network that exists between protein PTM and RNA m6A modification in the pathogenesis of HBV-induced HCC.
O-GlcNAcylation has been proved to influence protein’s functional activities, such as stability, transcriptional activity, localization and protein–protein interactions.34 O-GlcNAcylation of c-MYC at Thr58 stabilized its protein and inhibited proteasomal degradation by competing with its phosphorylation.35,36 Increased YAP O-GlcNAcylation by an OGA inhibitor extended its half-life by inhibiting the SCFβ-TRCP E3-ubiquitin ligase.37 Here, we found that O-GlcNAcylation of YTHDF2 did not change its intracellular localization or binding affinity to m6A-modified RNAs upon HBV infection or treatment with TMG (an OGA inhibitor), but enhanced YTHDF2 protein stability. Loss of O-GlcNAcylation by the S263A mutation shortened YTHDF2 half-life by increasing its K48-linked ubiquitination, thereby promoting its degradation. Furthermore, the S263A mutant largely dampened the carcinogenic role of YTHDF2 in HBV-related HCC. Interestingly, the S263A mutant could not completely abolish O-GlcNAcylation of YTHDF2, implying that other O-GlcNAc sites may exist. Further studies are needed to identify and draw a complete O-GlcNAc modification site map of YTHDF2.
Although RNA and DNA methylation are distinctly regulated, the experience gained from DNA methylation studies cautions against oversimplifying methylation events to univocal carcinogenesis or tumor suppression. As an m6A reader, YTHDF2 is reported to play dual roles in HCC,20,26,31,38,39 highlighting the complexity of the role of m6A modification. Although it is widely known to promote RNA degradation, YTHDF2 also has a positive effect on m6A RNA preservation. For example, YTHDF2 was identified as a glioblastoma stem cell-specific m6A effector that promotes tumor growth by stabilizing MYC transcripts.40 In addition, YTHDF2 has been reported to promote HSP70, OCT4 and 6PGD mRNA translation and participate in cancer progression.20,41,42 Interestingly, our results support a similarly non-canonical function of m6A methylation. By overlapping data of RNA-seq and m6A-seq, we observed that m6A modified transcripts tended to be downregulated after silencing of YTHDF2. These results suggest that the exact nature between YTHDF2 and the fate of m6A-modified transcripts might be modulated by certain regulators in a cell type-specific manner. More recently, researchers have performed integrative network analysis to identify cell-specific trans regulators of m6A.43 Therefore, the spatial and temporal dynamics regulation of m6A methylation may shed new light on the diverse roles of YTHDF2 in different cells or tissues. The underlying mechanisms by which m6A selectively functions in specific physiological and pathological processes remain to be elucidated using large-scale m6A-seq or single-cell imaging of m6A-modified RNA.
In our study, we identified MCM2 and MCM5 as YTHDF2 downstream targets using m6A-seq and RIP-seq. O-GlcNAcylation of YTHDF2 increased MCM2 and MCM5 mRNA stability in an m6A-dependent manner, whereas S263A mutation of YTHDF2 failed to extend mRNA lifespan. MCM proteins are indispensable for DNA replication initiation and cell cycle progression, and are thought to be proliferation markers in cancers.28,44–46 Our studies showed that MCM2/5 overexpression largely restored YTHDF2 knockdown-induced cell cycle blockage, and upregulated activities of CDKs and cyclins. Moreover, MCM-rescued experiments also showed the potential role of MCM2/5 in YTHDF2-mediated HCC metastasis. These findings suggest that O-GlcNAcylation of YTHDF2 enhances its ability to stabilize MCM2 and MCM5 transcripts, thus promoting HBV-related HCC tumorigenesis. However, overexpression of MCM2/5 could not entirely restore tumor growth arrest caused by YTHDF2 depletion, which warrants further studies to identify additional targets of YTHDF2 that participate in HBV-related HCC progression.
In summary, we revealed a link between YTHDF2 O-GlcNAcylation and post-transcriptional regulation of gene expressing upon HBV infection. We demonstrated the regulatory role of HBV-induced O-GlcNAcylation in YTHDF2 overexpression. OGT-mediated YTHDF2 O-GlcNAcylation at Ser263 stabilizes its protein expression and oncogenic activity. Furthermore, we found that YTDHF2 preserved the stability of MCM2/5 transcripts to promote HBV-related HCC tumorigenesis. HCC progression inhibition by targeting YTHDF2 or YTHDF2 O-GlcNAcylation could be a novel treatment strategy for the intervention of HBV-related HCC.
Materials and methods
Ethics statements
The study protocol for clinical patient samples was approved by the Medical Ethics Committee of Chongqing Medical University. Experimental animals were handled according to guidelines approved by the Institutional Animal Care and Use Committee of Chongqing Medical University (license number: 2022050). A pathogen-free environment was provided to keep all mice in the Laboratory Animal Center of the Chongqing Medical University.
Cell culture
HepAD38, HepG2, and PLC/PRF/5 cells were obtained from the American Type Culture Collection (HB-8065, ATCC, Manassas, VA, USA); MHCC-97H and Huh7 cells were from the Cell Bank of the Chinese Academy of Sciences (Shanghai, China); HEK293 and HEK293T cells were stored in our laboratory. Cells were cultured in Dulbecco’s modified Eagle’s medium (DMEM, SH30243.01, HyClone, Logan, UT, USA) supplemented with 10% fetal bovine serum (FBS, Gibco, Rockville, MD, USA), 100 mg/mL streptomycin (SV30010, HyClone), and 100 units/mL penicillin.
Animal studies
HBV-transgenic (HBV-Tg) mice (6–8 weeks old, male C57BL/6 mice) were kindly provided by Prof. Ning-shao Xia (Xiamen University, Xiamen, China).47 A combination of DEN (50 mg/kg) and CCl4 (2 mL/kg, twice per week for 12 weeks) was given to induce HCC in HBV-Tg mice, which were divided into three groups. One group was intravenously injected with pSECC lentiviruses expressing sgYthdf2 when mice were aged 6–8 weeks, the other group was intraperitoneally administered with 5 mg/kg OSMI-1 (HY-119738, MedChemExpress (MCE), Monmouth Junction, USA) twice a week for 12 weeks, and the third group was a control group (injection of PBS and pSECC-sgControl lentiviruses). At 28 weeks of age, mice were euthanized for subsequent assessment.
Alb-Cre Pten(flox/flox) mice were kindly provided by Prof. Yu-jun Shi (Sichuan University, Sichuan, China). A total of 1.5 × 109 plaque-forming units (PFU) HBV Ad/rcccDNA was intravenously injected to Alb-Cre mice (aged 6–8 weeks, male), followed by administration with pSECC lentiviruses expressing sgYthdf2 or OSMI-1 for 18 weeks as described above. At 40 weeks of age, the mice were sacrificed for the relevant experiments.
For the xenograft implantation model, 2 × 106 MHCC-97H cells were subcutaneously injected into the flank of nude mice. Cells were infected with shYTHDF2 lentivirus, followed by AdYTHDF2-WT or AdYTHDF2-S263A. The tumor volume (V) was calculated as follows: V [cm3] = (length [cm]) × (width [cm]) × (width [cm])/2. Mice were euthanized after implantation for 4–6 weeks, and tumor tissues were excised for analysis.
Clinical specimens
HBV-associated HCC samples and paired, adjacent normal liver tissues were obtained from the Second Affiliated Hospital of Chongqing Medical University between 2015 and 2020, approved by the Institutional Review Board of Chongqing Medical University.
Plasmid constructs
The full-length cDNA of Human YTHDF2 (NM_016258.3), OGT (NM_181672.2), FBW7 (NM_033632.3), the C-terminal and N-terminal truncated mutants of YTHDF2 (containing amino-terminal region (1–400aa) and YTH domain (401–579aa), respectively) were amplified by PCR and subcloned into the pBudCE4.1-3HA or pSEB-3Flag. YTHDF2-S262A, YTHDF2-S263A, YTHDF2-T524A, YTHDF2-W432A were constructed by overlapping PCR. Human MCM2 (NM_004526.4) and MCM5 (NM_006739.4) were amplified and subcloned into the pAdTrack-TO4 vector. All the specific primers are provided in Supplementary Table 1.
Antibodies
Antibodies against YTHDF2 (ab220163), O-GlcNAc (ab2739), OGA (ab124807), OGT (ab96718), K48 (ab271911) and p-Rb (ab173289) were obtained from Abcam (Cambridge, UK). Antibodies against MCM2 (10513-1-AP), MCM5 (11703-1-AP), and β-Tubulin (66240-1-Ig) were obtained from Proteintech (Rosemont, IL, USA). Antibody against HA (26183) was from Invitrogen (Carlsbad, CA, USA). Antibody against FLAG (F3165) was from Sigma-Aldrich (Germany). Antibody against H3 (H0164) was from Millipore (Massachusetts, USA). Antibodies against Rb (A16966), p21 (A21749), cyclinD1 (A2708) and CDK4 (A0366) were from ABclonal Technology (Wuhan, China). Antibodies against β-actin (TA-09), Goat rabbit IgG/TRITC, secondary (ZF-0316), and Goat mouse IgG/FITC, secondary (ZF-0312) were purchased from ZSGB-BIO (Beijing, China). Antibody against OGT (sc-74546, for immunofluorescence) was from Santa Cruz (CA, USA).
YTHDF2 O-GlcNAcylation site mapping
Liquid chromatography-tandem mass spectrometry (LC-MS/MS) was performed to identify the YTHDF2 O-GlcNAcylation sites, as previously described.48 In brief, HepG2-HBV1.3 cells were overexpressed with Flag-YTHDF2, and then YTHDF2 was immunoprecipitated and stained with Coomassie blue. Gel containing YTHDF2 was excised and entrusted to the Shanghai Applied Protein Technology Co., Ltd (Shanghai, China) for analysis. Potential O-GlcNAcylation sites included Ser262, Ser263 and Thr524.
YTHDF2 protein stability assay
For stability detection of endogenous YTHDF2 protein, HepAD38 cells were treated with 100 μM cycloheximide (CHX, MCE, Monmouth Junction, NJ, USA) and collected at 0, 12, 24 and 36 h. For protein stability detection of exogenous YTHDF2 (WT and S263A mutant), HepG2-shYTHDF2 cells were re-expressed with Flag-WT or Flag-S263A mutant, respectively. Then, cells were collected at 0, 12, 24, and 36 h following 100 μM CHX treatment. The basal levels of Flag-YTHDF2 expression (WT or S263A) at 0 h were adjusted to a similar level for comparison. YTHDF2 protein expression was examined with anti-YTHDF2 or anti-FLAG antibody (Sigma-Aldrich, Germany).
Immunoprecipitation (IP)
Cells were overexpressed with Flag-YTHDF2, then harvested with lysis buffer (50 mM Tris-HCl, pH 7.4, 1 mM EDTA, 150 mM NaCl, and 1% Triton X-100) containing 1× Protease Inhibitor Cocktail (4693159001, Roche, Switzerland) and 1× Phosphatase Inhibitor (Beyotime Biotechnology). After centrifugation, the supernatants were incubated with anti-FLAG M2 affinity gel (A2220, Sigma-Aldrich, Germany) overnight at 4 °C. For Co-IP, cells were co-transfected with HA-tagged or Flag-tagged OGT and YTHDF2 full-length, or truncated mutants ΔC or ΔN. Pre-cleared cell lysates were incubated with anti-HA antibody overnight at 4 °C, and subsequently incubated with protein A/G agarose beads (Millipore, USA) for 4 h. Immunoprecipitates were washed and immunoblotted with the indicated antibodies, respectively.
In vivo ubiquitination assay
Cells were transfected with HA-Ubiquitin (HA-Ub) or co-transfected with HA-Ub and Flag-tagged YTHDF2 (WT or S263A). MG132 (10 μM) was applied to prevent degradation before harvesting. At 48 h post-transfection, cells were harvested with lysis buffer containing 1% SDS and boiled for denaturation. After immunoprecipitated with anti-Flag or anti-YTHDF2 antibodies, the supernatants were incubated with protein A/G agarose beads for 4 h. Then beads-captured complexes were washed four times and analyzed by Western blotting. YTHDF2 ubiquitination levels were examined with anti-K48 and anti-HA antibodies.
In vitro ubiquitination assay
In vitro ubiquitination assay was performed as described previously.49,50 Briefly, HEK293 cells were transfected with Flag-tagged YTHDF2 (WT or S263A) to purify various YTHDF2 by anti-FLAG M2 affinity gel. To purify the SCFFBW7 E3 ligase complex, HEK293 cells were transfected with plasmids encoding HA-FBW7, Myc-Cullin-1, Myc-SKP1, and Myc-RBX1 (obtained from Tsingke Biotechnology Co., Ltd, Beijing, China). The SCFFBW7 E3 complexes were purified from the whole cell lysates by HA affinity precipitation. Afterward, cell-purified Flag-YTHDF2, SCFFBW7 complexes and bacterially purified His-OGT were incubated with E1, E2, ubiquitin, ATP and UDP-GlcNAc (HY-112174, MCE, USA) in the reaction buffer (20 mM Tris-HCl pH = 7.4, 5 mM MgCl2, 1 mM DTT) according to manufacturer’s instructions (Abcam, ab139469). The reaction was performed at 37 °C for 2 h and stopped by 2×SDS-PAGE buffer. After that, the complexes were immunoblotted with anti-YTHDF2 antibody to detect YTHDF2 ubiquitination.
sWGA pull-down assay
Human and mouse liver tissues and hepatoma cells were lysed in lysis buffer (125 mM NaCl, 50 mM Tris pH 7.4, 5 mM EDTA, and 0.1% NP-40) containing protease and phosphatase inhibitors. The supernatant was denatured in glycoprotein denaturing buffer and digested with PNGase (P0704S; New England Biolabs, USA) to remove N-linked glycoproteins. After centrifugation, the supernatants were incubated with sWGA-conjugated agarose beads (AL-1023S, Vector Laboratories, Burlingame, USA) overnight at 4 °C. Precipitated complexes were washed and subjected to immunoblotting with anti-YTHDF2 or anti-Flag antibodies. All the presented input was adjusted to a similar level for the following sWGA-binding assay.
Immunofluorescence (IF)
Cell slides were fixed with 4% paraformaldehyde for 25 min, and then incubated with indicated primary antibody overnight. Subsequently, the slides were incubated with fluorescence-labeled secondary antibody, and nuclear staining was mounted with DAPI (10236276001, Roche Diagnostics GmbH, Mannheim, Germany). Images were taken using a Leica confocal microscope (Leica TCS SP8, Leica Microsystems, Wetzlar, Germany).
mRNA stability assay
HepG2 cells were treated with 5 μg/mL actinomycin D (S8964, Selleck, TX, USA) for 0, 4, 8, and 12 h, and total RNA was extracted using the TRIzol. Quantitative real-time PCR (RT-qPCR) was performed to analyze mRNA levels. The specific primers are provided in Supplementary Table 1. The mRNA half-life (t1/2) was calculated using the following equation, as previously described: t1/2 = In 2/kdecay.33
RNA pull-down assay
HepG2-HBV1.3 cells were transfected with Flag-YTHDF2 (WT, S263A and W432A). Pull-down assays were carried out by incubating biotin-MCM2 or biotin-MCM5 (synthesized by GeneCreate Biological Engineering Co., Ltd, Wuhan, China) with the HepG2 cell lysates for 0.5 h at 25 °C. The reaction products were precipitated using Pierce™ streptavidin agarose beads, followed by immunoblotting with anti-YTHDF2 antibodies.
RNA immunoprecipitation and sequencing (RIP and RIP-seq)
RNA immunoprecipitation was performed using the Magna RIP™ RNA-Binding Protein Immunoprecipitation Kit (17-700, Millipore, USA), according to manufacturer’s instructions. Briefly, the cells were lysed with RIP lysis buffer and prepared by freeze-thawing. After centrifugation, the supernatant was incubated with anti-Flag or anti-YTHDF2 antibody conjugated protein A/G magnetic beads for 4–6 h. Next, immunoprecipitates were eluted and subjected to proteinase K treatment, followed by RNA extraction using TRIzol. The relative interaction between YTHDF2 and target RNA was determined by RT-qPCR and normalized to input. For RIP-seq, rRNAs were depleted using the NEBNext rRNA Depletion Kit (New England BioLabs). cDNA libraries were produced by employing NEBNext UltraRNALibrary Prep Kit for Illumina (New England BioLabs) and sequenced on Illumina Novaseq™ 6000 platform at LC-BIO Technology Co., Ltd. (Hangzhou, China) following the vendor’s recommended protocol.
Methylated RNA immunoprecipitation sequencing (m6A-seq)
m6A-Seq was performed by LC-Bio Technology Co., Ltd. (Hangzhou, China), according to manufacturer’s instructions. Total RNA from HBV-infected HepG2 cells was isolated, purified and subjected to m6A RNA immunoprecipitation. Eluted m6A-containing fragments (IP) and untreated input control fragments were converted to the final cDNA library following strand-specific library preparation using the dUTP method. The average insert size for the paired-end libraries was approximately 100 ± 50 bp. Paired-end sequencing (PE150) was performed on an Illumina Novaseq™6000 platform.
Sequencing data analysis
All sequencing analyses were performed with the help of LC-Bio Technology Co., Ltd and deposited at the Gene Expression Omnibus (GEO) repository under accession number GSE200261. We used hisat2 software (v2.0.4) to map high quality trimmed reads to the genome of Homo sapiens (Version: GRCh38) with default parameters. For m6A-seq, peak calling and different peak analyses were performed using the R package exomePeak2, and peaks were annotated by intersection with the gene architecture using the R package ANNOVAR. MEME and HOMER were used for de novo and known motif finding, followed by localization of the motif with respect to the peak summit. StringTie was used to determine expression levels for all transcripts and genes from input libraries by calculating FPKM (total exon fragments /mapped reads (millions) × exon length (kB)). Differentially expressed transcripts and genes were selected with log2 (fold-change) ≥1 or log2 (fold-change) ≤ –1 and P-value < 0.05, using the R package edgeR. For RIP-seq, RPKM (reads per kilobase per million reads) was used to measure the expression of all genes. The RIP targets were defined as different genes of IP/Input with log2 (fold-change) ≥1 and P-value < 0.05.
Statistical analysis
Data are shown as mean ± SD. Statistical analyses were performed with GraphPad Prism 7 (GraphPad Software Inc.). Student’s t-test or paired t-test was used for the comparison of two groups. One-way ANOVA followed by Tukey’s test was used for all other variables. Pearson’s correlation coefficient (R) was used for the comparison of linear correlations. P-value < 0.05 was regarded as significant. *P < 0.05, **P < 0.01, ***P < 0.001.
Supplementary information
Acknowledgements
This work was supported by the China National Natural Science Foundation (grant no. 82272975, U20A20392, 82072286, 82073251), the 111 Project (No. D20028), the Innovative and Entrepreneurial Team of Chongqing Talents Plan, the Natural Science Foundation Project of Chongqing (cstc2019jscx-dxwtBX0019, cstc2021jcyj-bsh0017), Chongqing Medical Scientific Research Project (Joint project of Chongqing Health Commission and Science and Technology Bureau, 2023DBXM007), the Kuanren talents program of the second affiliated hospital of Chongqing Medical University, the Program for Youth Innovation in Future Medicine of Chongqing Medical University (W0036, W0101), the Science and Technology Research Program of Chongqing Municipal Education Commission (HZ2021006, KJZD-M202000401), and the Postgraduate research and innovation projects of Chongqing Municipal Education Commission (CYB21174).
Author contributions
Y. Yang, Y. Yan, J.X.Y., N.T., and K.W. contributed equally to this work. A.H. conceptualized the idea and designed the study; Y. Yang, Y. Yan, J.X.Y., N.T., and K.W. performed the experiments; Y. Yang, Y. Yan, J.X.Y., N.T., and K.W. analyzed and explained the data; L.Y.H., J.H., Z.Q.F., and Q.Z.G. provided the materials and technical support; A.H. and Y. Yang wrote the manuscript; A.H., Y. Yang, N.T., K.W., and J.X.Y. revised the manuscript; A.H. provided supervision of the study. All authors have read and approved the article.
Data availability
Full details are available in the manuscript and the supplementary materials. All the raw data and processed files have been deposited in the Gene Expression Omnibus (http://www.ncbi.nlm.nih.gov/geo) under accession number GSE200261. The Cancer Genome Atlas (TCGA) PanCancer Atlas dataset referenced during the study are available in a public repository from the cBioPortal website (https://www.cbioportal.org/).
Competing interests
The authors declare no competing interests.
Footnotes
These authors contributed equally: Yang Yang, Yu Yan, Jiaxin Yin, Ni Tang, Kai Wang
Supplementary information
The online version contains supplementary material available at 10.1038/s41392-023-01316-8.
References
- 1.Sung H, et al. Global Cancer Statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. Ca. Cancer J. Clin. 2021;71:209–249. doi: 10.3322/caac.21660. [DOI] [PubMed] [Google Scholar]
- 2.Jia L, Gao Y, He Y, Hooper JD, Yang P. HBV induced hepatocellular carcinoma and related potential immunotherapy. Pharmacol. Res. 2020;159:104992. doi: 10.1016/j.phrs.2020.104992. [DOI] [PubMed] [Google Scholar]
- 3.Mills EL, et al. Itaconate is an anti-inflammatory metabolite that activates Nrf2 via alkylation of KEAP1. Nature. 2018;556:113–117. doi: 10.1038/nature25986. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 4.Zhang W, et al. Lactate is a natural suppressor of RLR signaling by targeting MAVS. Cell. 2019;178:176–189.e15. doi: 10.1016/j.cell.2019.05.003. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 5.Thaker SK, Ch’ng J, Christofk HR. Viral hijacking of cellular metabolism. BMC Biol. 2019;17:59. doi: 10.1186/s12915-019-0678-9. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 6.Liu B, et al. Hepatitis B virus stimulates G6PD expression through HBx-mediated Nrf2 activation. Cell Death Dis. 2015;6:e1980–e1980. doi: 10.1038/cddis.2015.322. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 7.Shin H-J, et al. Hepatitis B virus X protein regulates hepatic glucose homeostasis via activation of inducible nitric oxide synthase. J. Biol. Chem. 2011;286:29872–29881. doi: 10.1074/jbc.M111.259978. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 8.Li H, et al. The metabolic responses to hepatitis B virus infection shed new light on pathogenesis and targets for treatment. Sci. Rep. 2015;5:8421. doi: 10.1038/srep08421. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 9.Hart GW, Housley MP, Slawson C. Cycling of O-linked β-N-acetylglucosamine on nucleocytoplasmic proteins. Nature. 2007;446:1017–1022. doi: 10.1038/nature05815. [DOI] [PubMed] [Google Scholar]
- 10.Lee JB, Pyo K-H, Kim HR. Role and function of O-GlcNAcylation in cancer. Cancers. 2021;13:5365. doi: 10.3390/cancers13215365. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 11.Ferrer CM, Sodi VL, Reginato MJ. O-GlcNAcylation in cancer biology: linking metabolism and signaling. J. Mol. Biol. 2016;428:3282–3294. doi: 10.1016/j.jmb.2016.05.028. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 12.Parker MP, Peterson KR, Slawson C. O-GlcNAcylation and O-GlcNAc cycling regulate gene transcription: emerging roles in cancer. Cancers. 2021;13:1666. doi: 10.3390/cancers13071666. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 13.Nagel AK, Ball LE. Intracellular protein O-GlcNAc modification integrates nutrient status with transcriptional and metabolic regulation. Adv. Cancer Res. 2015;126:137–166. doi: 10.1016/bs.acr.2014.12.003. [DOI] [PubMed] [Google Scholar]
- 14.Groussaud D, et al. Hijacking of the O-GlcNAcZYME complex by the HTLV-1 Tax oncoprotein facilitates viral transcription. PLOS Pathog. 2017;13:e1006518. doi: 10.1371/journal.ppat.1006518. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 15.Zeng Q, et al. O-linked GlcNAcylation elevated by HPV E6 mediates viral oncogenesis. Proc. Natl Acad. Sci. USA. 2016;113:9333–9338. doi: 10.1073/pnas.1606801113. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 16.Hu J, et al. Hexosamine biosynthetic pathway promotes the antiviral activity of SAMHD1 by enhancing O-GlcNAc transferase-mediated protein O-GlcNAcylation. Theranostics. 2021;11:805–823. doi: 10.7150/thno.50230. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 17.Zhu T, et al. Crystal structure of the YTH domain of YTHDF2 reveals mechanism for recognition of N6-methyladenosine. Cell Res. 2014;24:1493–1496. doi: 10.1038/cr.2014.152. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 18.Wang X, et al. N6-methyladenosine-dependent regulation of messenger RNA stability. Nature. 2014;505:117–120. doi: 10.1038/nature12730. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 19.Du H, et al. YTHDF2 destabilizes m6A-containing RNA through direct recruitment of the CCR4–NOT deadenylase complex. Nat. Commun. 2016;7:12626. doi: 10.1038/ncomms12626. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 20.Zhang C, et al. YTHDF2 promotes the liver cancer stem cell phenotype and cancer metastasis by regulating OCT4 expression via m6A RNA methylation. Oncogene. 2020;39:4507–4518. doi: 10.1038/s41388-020-1303-7. [DOI] [PubMed] [Google Scholar]
- 21.Roundtree IA, Evans ME, Pan T, He C. Dynamic RNA modifications in gene expression regulation. Cell. 2017;169:1187–1200. doi: 10.1016/j.cell.2017.05.045. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 22.Dominissini D, et al. Topology of the human and mouse m6A RNA methylomes revealed by m6A-seq. Nature. 2012;485:201–206. doi: 10.1038/nature11112. [DOI] [PubMed] [Google Scholar]
- 23.Huang H, Weng H, Chen J. m6A MOdification in Coding and Non-coding RNAs: Roles and Therapeutic Implications in Cancer. Cancer Cell. 2020;37:270–288. doi: 10.1016/j.ccell.2020.02.004. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 24.Chai R-C, et al. RNA processing genes characterize RNA splicing and further stratify lower-grade glioma. JCI Insight. 2019;5:e130591. doi: 10.1172/jci.insight.130591. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 25.Cao G, Li H-B, Yin Z, Flavell RA. Recent advances in dynamic m6A RNA modification. Open Biol. 2016;6:160003. doi: 10.1098/rsob.160003. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 26.Zhong L, et al. YTHDF2 suppresses cell proliferation and growth via destabilizing the EGFR mRNA in hepatocellular carcinoma. Cancer Lett. 2019;442:252–261. doi: 10.1016/j.canlet.2018.11.006. [DOI] [PubMed] [Google Scholar]
- 27.Xu F, et al. FBW7 suppresses ovarian cancer development by targeting the N6-methyladenosine binding protein YTHDF2. Mol. Cancer. 2021;20:45. doi: 10.1186/s12943-021-01340-8. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 28.Petropoulos M, Champeris Tsaniras S, Taraviras S, Lygerou Z. Replication licensing aberrations, replication stress, and genomic instability. Trends Biochem. Sci. 2019;44:752–764. doi: 10.1016/j.tibs.2019.03.011. [DOI] [PubMed] [Google Scholar]
- 29.Yu S, et al. MCMs in cancer: prognostic potential and mechanisms. Anal. Cell. Pathol. 2020;2020:1–11. doi: 10.1155/2020/3750294. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 30.Chai R-C, et al. YTHDF2 facilitates UBXN1 mRNA decay by recognizing METTL3-mediated m6A modification to activate NF-κB and promote the malignant progression of glioma. J. Hematol. Oncol. 2021;14:109. doi: 10.1186/s13045-021-01124-z. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 31.Chen M, et al. RNA N6-methyladenosine methyltransferase-like 3 promotes liver cancer progression through YTHDF2-dependent posttranscriptional silencing of SOCS2. Hepatology. 2018;67:2254–2270. doi: 10.1002/hep.29683. [DOI] [PubMed] [Google Scholar]
- 32.Hou G, et al. SUMOylation of YTHDF2 promotes mRNA degradation and cancer progression by increasing its binding affinity with m6A-modified mRNAs. Nucleic Acids Res. 2021;49:2859–2877. doi: 10.1093/nar/gkab065. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 33.Fang R, et al. EGFR/SRC/ERK-stabilized YTHDF2 promotes cholesterol dysregulation and invasive growth of glioblastoma. Nat. Commun. 2021;12:177. doi: 10.1038/s41467-020-20379-7. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 34.Chatham JC, Zhang J, Wende AR. Role of O-linked N -acetylglucosamine protein modification in cellular (patho)physiology. Physiol. Rev. 2021;101:427–493. doi: 10.1152/physrev.00043.2019. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 35.Chou TY, Dang CV, Hart GW. Glycosylation of the c-Myc transactivation domain. Proc. Natl Acad. Sci. USA. 1995;92:4417–4421. doi: 10.1073/pnas.92.10.4417. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 36.Itkonen HM, et al. O-GlcNAc transferase integrates metabolic pathways to regulate the stability of c-MYC in human prostate cancer cells. Cancer Res. 2013;73:5277–5287. doi: 10.1158/0008-5472.CAN-13-0549. [DOI] [PubMed] [Google Scholar]
- 37.Zhang X, et al. The essential role of YAP O-GlcNAcylation in high-glucose-stimulated liver tumorigenesis. Nat. Commun. 2017;8:15280. doi: 10.1038/ncomms15280. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 38.Hou J, et al. YTHDF2 reduction fuels inflammation and vascular abnormalization in hepatocellular carcinoma. Mol. Cancer. 2019;18:163. doi: 10.1186/s12943-019-1082-3. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 39.Kim G, et al. HBV‐induced increased N6 methyladenosine modification of PTEN RNA affects innate immunity and contributes to HCC. Hepatology. 2021;73:533–547. doi: 10.1002/hep.31313. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 40.Dixit D, et al. The RNA m6A reader YTHDF2 maintains oncogene expression and is a targetable dependency in glioblastoma stem cells. Cancer Disco. 2021;11:480–499. doi: 10.1158/2159-8290.CD-20-0331. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 41.Zhou J, et al. Dynamic m6A mRNA methylation directs translational control of heat shock response. Nature. 2015;526:591–594. doi: 10.1038/nature15377. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 42.Sheng H, et al. YTH domain family 2 promotes lung cancer cell growth by facilitating 6-phosphogluconate dehydrogenase mRNA translation. Carcinogenesis. 2020;41:541–550. doi: 10.1093/carcin/bgz152. [DOI] [PubMed] [Google Scholar]
- 43.An S, et al. Integrative network analysis identifies cell-specific trans regulators of m6A. Nucleic Acids Res. 2020;48:1715–1729. doi: 10.1093/nar/gkz1206. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 44.Bochman ML, Schwacha A. The Mcm complex: unwinding the mechanism of a replicative helicase. Microbiol. Mol. Biol. Rev. 2009;73:652–683. doi: 10.1128/MMBR.00019-09. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 45.Lau K-M, et al. Minichromosome maintenance proteins 2, 3 and 7 in medulloblastoma: overexpression and involvement in regulation of cell migration and invasion. Oncogene. 2010;29:5475–5489. doi: 10.1038/onc.2010.287. [DOI] [PubMed] [Google Scholar]
- 46.Zhang L, et al. MCM5 aggravates the HDAC1-mediated malignant progression of lung cancer. Front. Cell Dev. Biol. 2021;9:669132. doi: 10.3389/fcell.2021.669132. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 47.Wang S-H, et al. Identification of androgen response elements in the enhancer I of hepatitis B virus: a mechanism for sex disparity in chronic hepatitis B. Hepatology. 2009;50:1392–1402. doi: 10.1002/hep.23163. [DOI] [PubMed] [Google Scholar]
- 48.Peng C, et al. Regulation of the Hippo-YAP pathway by glucose sensor O-GlcNAcylation. Mol. Cell. 2017;68:591–604.e5. doi: 10.1016/j.molcel.2017.10.010. [DOI] [PubMed] [Google Scholar]
- 49.Inuzuka H, et al. SCFFBW7 regulates cellular apoptosis by targeting MCL1 for ubiquitylation and destruction. Nature. 2011;471:104–109. doi: 10.1038/nature09732. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 50.Popov N, Schülein C, Jaenicke LA, Eilers M. Ubiquitylation of the amino terminus of Myc by SCFβ-TrCP antagonizes SCFFbw7-mediated turnover. Nat. Cell Biol. 2010;12:973–981. doi: 10.1038/ncb2104. [DOI] [PubMed] [Google Scholar]
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Supplementary Materials
Data Availability Statement
Full details are available in the manuscript and the supplementary materials. All the raw data and processed files have been deposited in the Gene Expression Omnibus (http://www.ncbi.nlm.nih.gov/geo) under accession number GSE200261. The Cancer Genome Atlas (TCGA) PanCancer Atlas dataset referenced during the study are available in a public repository from the cBioPortal website (https://www.cbioportal.org/).