Department of Obstetrics and Gynecology, The First Affiliated Hospital of Soochow University, Suzhou, China.
Clinical Research Center of Obstetrics and Gynecology, Jiangsu Key Laboratory of Clinical Immunology of Soochow University, Suzhou, China.
Cancer Control. 2024 Jan-Dec;31:10732748241256819. doi: 10.1177/10732748241256819.
Ovarian cancer (OC) is the most lethal gynecological tumor, characterized by its insidious and frequently recurring metastatic progression. Owing to limited early screening methods, over 70% of OC cases are diagnosed at advanced stages, typically stage III or IV. Recently, N6-methyladenosine (m6A) modification has emerged as a hotspot of epigenetic research, representing a significant endogenous RNA modification in higher eukaryotes. Numerous studies have reported that m6A-related regulatory factors play pivotal roles in tumor development through diverse mechanisms. Moreover, recent studies have indicated the aberrant expression of multiple regulatory factors in OC. Therefore, this paper comprehensively reviews research advancements concerning m6A in OC, aiming to elucidate the regulatory mechanism of m6A-associated regulators on pivotal aspects, such as proliferation, invasion, metastasis, and drug resistance, in OC. Furthermore, it discusses the potential of m6A-associated regulators as early diagnostic markers and therapeutic targets, thus contributing to the diagnosis and treatment of OC.
卵巢癌 (OC) 是最致命的妇科肿瘤,其特征为隐匿性和频繁复发的转移性进展。由于早期筛查方法有限,超过 70%的 OC 病例在晚期诊断,通常为 III 期或 IV 期。最近,N6-甲基腺苷 (m6A) 修饰已成为表观遗传研究的热点,代表了高等真核生物中一种重要的内源性 RNA 修饰。大量研究报道 m6A 相关调节因子通过多种机制在肿瘤发展中发挥关键作用。此外,最近的研究表明,多个调节因子在 OC 中异常表达。因此,本文全面综述了 m6A 在 OC 中的研究进展,旨在阐明 m6A 相关调节剂在 OC 中增殖、侵袭、转移和耐药等关键方面的调控机制。此外,还讨论了 m6A 相关调节剂作为早期诊断标志物和治疗靶点的潜力,从而为 OC 的诊断和治疗做出贡献。