Deciphering the pseudouridine nucleobase modification in human diseases: From molecular mechanisms to clinical perspectives

Abstract RNA pseudouridylation, a dynamic and reversible post‐transcriptional modification found in diverse RNA species, is crucial for various biological processes, including tRNA homeostasis, tRNA transport, translation initiation regulation, pre‐mRNA splicing, enhancement of mRNA translation, and...

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Main Authors: Shiheng Jia, Xue Yu, Na Deng, Chen Zheng, Mingguang Ju, Fanglin Wang, Yixiao Zhang, Ziming Gao, Yanshu Li, Heng Zhou, Kai Li
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Clinical and Translational Medicine
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Online Access:https://doi.org/10.1002/ctm2.70190
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author Shiheng Jia
Xue Yu
Na Deng
Chen Zheng
Mingguang Ju
Fanglin Wang
Yixiao Zhang
Ziming Gao
Yanshu Li
Heng Zhou
Kai Li
author_facet Shiheng Jia
Xue Yu
Na Deng
Chen Zheng
Mingguang Ju
Fanglin Wang
Yixiao Zhang
Ziming Gao
Yanshu Li
Heng Zhou
Kai Li
author_sort Shiheng Jia
collection DOAJ
description Abstract RNA pseudouridylation, a dynamic and reversible post‐transcriptional modification found in diverse RNA species, is crucial for various biological processes, including tRNA homeostasis, tRNA transport, translation initiation regulation, pre‐mRNA splicing, enhancement of mRNA translation, and translational fidelity. Disruption of pseudouridylation impairs cellular homeostasis, contributing to pathological alterations. Recent studies have highlighted its regulatory role in human diseases, particularly in tumourigenesis. Cellular stresses trigger RNA pseudouridylation in organisms, suggesting that pseudouridylation‐mediated epigenetic reprogramming is essential for maintaining cellular viability and responding to stress. This review examines the regulatory mechanisms and pathological implications of pseudouridylation in human diseases, with a focus on its involvement in tumourigenesis. Additionally, it explores the therapeutic potential of targeting pseudouridylation, presenting novel strategies for disease treatment. Highlights Methods to detect pseudouridine were introduced from classic mass spectrometry‐based methods to newer approaches such as nanopore‐based technologies and BID sequencing, each with its advantages and limitations. RNA pseudouridylation is crucial for various biological processes, including tRNA homeostasis, tRNA transport, translation initiation regulation, pre‐mRNA splicing, enhancement of mRNA translation, and translational fidelity. Increased pseudouridylation is frequently associated with tumour initiation, progression, and poor prognosis, whereas its reduction is predominantly implicated in non‐tumour diseases. A comprehensive understanding of the inducing factors for RNA pseudouridylation will be essential for elucidating its role in diseases. Such insights can provide robust evidence for how pseudouridylation influences disease progression and offer new avenues for therapeutic strategies targeting pseudouridylation dysregulation. The therapeutic potential of RNA pseudouridylation in diseases is enormous, including inhibitors targeting pseudouridine synthases, the application of RNA pseudouridylation in RNA therapeutics, and its role as a biological marker.
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spelling doaj-art-2275f0eca6dc4503bda1dae919a059e32025-01-25T04:00:38ZengWileyClinical and Translational Medicine2001-13262025-01-01151n/an/a10.1002/ctm2.70190Deciphering the pseudouridine nucleobase modification in human diseases: From molecular mechanisms to clinical perspectivesShiheng Jia0Xue Yu1Na Deng2Chen Zheng3Mingguang Ju4Fanglin Wang5Yixiao Zhang6Ziming Gao7Yanshu Li8Heng Zhou9Kai Li10Department of Surgical Oncology and General Surgery The First Hospital of China Medical University Shenyang Liaoning ChinaDepartment of Surgical Oncology and General Surgery The First Hospital of China Medical University Shenyang Liaoning ChinaDepartment of Hematology The Fourth Affiliated Hospital of China Medical University Shenyang Liaoning ChinaDepartment of Surgical Oncology and General Surgery The First Hospital of China Medical University Shenyang Liaoning ChinaDepartment of Surgical Oncology and General Surgery The First Hospital of China Medical University Shenyang Liaoning ChinaDepartment of Surgical Oncology and General Surgery The First Hospital of China Medical University Shenyang Liaoning ChinaDepartment of Surgical Oncology and General Surgery The First Hospital of China Medical University Shenyang Liaoning ChinaDepartment of Surgical Oncology and General Surgery The First Hospital of China Medical University Shenyang Liaoning ChinaDepartment of Cell Biology Key Laboratory of Cell Biology National Health Commission of the PRC and Key Laboratory of Medical Cell Biology Ministry of Education of the PRC China Medical University Shenyang Liaoning ChinaDepartment of Surgical Oncology and General Surgery The First Hospital of China Medical University Shenyang Liaoning ChinaDepartment of Surgical Oncology and General Surgery The First Hospital of China Medical University Shenyang Liaoning ChinaAbstract RNA pseudouridylation, a dynamic and reversible post‐transcriptional modification found in diverse RNA species, is crucial for various biological processes, including tRNA homeostasis, tRNA transport, translation initiation regulation, pre‐mRNA splicing, enhancement of mRNA translation, and translational fidelity. Disruption of pseudouridylation impairs cellular homeostasis, contributing to pathological alterations. Recent studies have highlighted its regulatory role in human diseases, particularly in tumourigenesis. Cellular stresses trigger RNA pseudouridylation in organisms, suggesting that pseudouridylation‐mediated epigenetic reprogramming is essential for maintaining cellular viability and responding to stress. This review examines the regulatory mechanisms and pathological implications of pseudouridylation in human diseases, with a focus on its involvement in tumourigenesis. Additionally, it explores the therapeutic potential of targeting pseudouridylation, presenting novel strategies for disease treatment. Highlights Methods to detect pseudouridine were introduced from classic mass spectrometry‐based methods to newer approaches such as nanopore‐based technologies and BID sequencing, each with its advantages and limitations. RNA pseudouridylation is crucial for various biological processes, including tRNA homeostasis, tRNA transport, translation initiation regulation, pre‐mRNA splicing, enhancement of mRNA translation, and translational fidelity. Increased pseudouridylation is frequently associated with tumour initiation, progression, and poor prognosis, whereas its reduction is predominantly implicated in non‐tumour diseases. A comprehensive understanding of the inducing factors for RNA pseudouridylation will be essential for elucidating its role in diseases. Such insights can provide robust evidence for how pseudouridylation influences disease progression and offer new avenues for therapeutic strategies targeting pseudouridylation dysregulation. The therapeutic potential of RNA pseudouridylation in diseases is enormous, including inhibitors targeting pseudouridine synthases, the application of RNA pseudouridylation in RNA therapeutics, and its role as a biological marker.https://doi.org/10.1002/ctm2.70190cancerdiseasepost‐transcriptional modificationpseudouridylation
spellingShingle Shiheng Jia
Xue Yu
Na Deng
Chen Zheng
Mingguang Ju
Fanglin Wang
Yixiao Zhang
Ziming Gao
Yanshu Li
Heng Zhou
Kai Li
Deciphering the pseudouridine nucleobase modification in human diseases: From molecular mechanisms to clinical perspectives
Clinical and Translational Medicine
cancer
disease
post‐transcriptional modification
pseudouridylation
title Deciphering the pseudouridine nucleobase modification in human diseases: From molecular mechanisms to clinical perspectives
title_full Deciphering the pseudouridine nucleobase modification in human diseases: From molecular mechanisms to clinical perspectives
title_fullStr Deciphering the pseudouridine nucleobase modification in human diseases: From molecular mechanisms to clinical perspectives
title_full_unstemmed Deciphering the pseudouridine nucleobase modification in human diseases: From molecular mechanisms to clinical perspectives
title_short Deciphering the pseudouridine nucleobase modification in human diseases: From molecular mechanisms to clinical perspectives
title_sort deciphering the pseudouridine nucleobase modification in human diseases from molecular mechanisms to clinical perspectives
topic cancer
disease
post‐transcriptional modification
pseudouridylation
url https://doi.org/10.1002/ctm2.70190
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