METTL3 obstructs vascular smooth muscle cells osteogenic reprogramming by methylating Runx2 in chronic kidney disease

Abstract The reprogrammed osteogenic phenotype of vascular smooth muscle cells (VSMCs) is considered a critical mechanism of vascular calcification (VC) in chronic kidney disease (CKD). Currently, the RNA N6-methyladenosine (m6A) modification is deciphered to be dynamically and reversibly participat...

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Main Authors: Meijuan Cheng, Jingjing Jin, Dongxue Zhang, Mei Xiao, Hairong Zhao, Xiaoying Zhao, Shenglei Zhang, Yaling Bai, Jinsheng Xu
Format: Article
Language:English
Published: Nature Portfolio 2025-04-01
Series:Communications Biology
Online Access:https://doi.org/10.1038/s42003-025-07972-6
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author Meijuan Cheng
Jingjing Jin
Dongxue Zhang
Mei Xiao
Hairong Zhao
Xiaoying Zhao
Shenglei Zhang
Yaling Bai
Jinsheng Xu
author_facet Meijuan Cheng
Jingjing Jin
Dongxue Zhang
Mei Xiao
Hairong Zhao
Xiaoying Zhao
Shenglei Zhang
Yaling Bai
Jinsheng Xu
author_sort Meijuan Cheng
collection DOAJ
description Abstract The reprogrammed osteogenic phenotype of vascular smooth muscle cells (VSMCs) is considered a critical mechanism of vascular calcification (VC) in chronic kidney disease (CKD). Currently, the RNA N6-methyladenosine (m6A) modification is deciphered to be dynamically and reversibly participated in functional regulation of VSMCs. Here, we discover that serum m6A levels in RNA are dramatically reduced as VC progressed in patients with CKD, and this m6A demethylation is mainly due to the downregulation of methyltransferaselike-3 (METTL3). Functionally, METTL3 depletion exacerbates, whereas its overexpression attenuates calcification progression and osteogenic reprogramming. Mechanistically, Runx2, a crucial osteogenic gene, is identified as a key downstream target of METTL3-mediated m6A methylation. METTL3 negatively regulates Runx2 expression through the m6A modification. Overexpression of METTL3 exacerbates Runx2 mRNA degradation, which is orchestrated by the m6A reader YT521-B homology domain family 2 (YTHDF2) through specifically recognizing its m6A sites in the 3′UTR region. Finally, in vivo METTLs inhibitor SAH treatment aggravates VC and osteogenic conversion in aortas of CKD rats, accompanied by Runx2 expression upregulation. These above data reveal an underlying mechanism by which the m6A writer METTL3 regulates Runx2 expression through YTHDF2-mediated mRNA degradation and suggest a potential therapeutic strategy to reverse the osteogenic reprogramming of VSMCs.
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spelling doaj-art-4b3ce28e967448348f7721d9f682a75a2025-08-20T03:10:10ZengNature PortfolioCommunications Biology2399-36422025-04-018111510.1038/s42003-025-07972-6METTL3 obstructs vascular smooth muscle cells osteogenic reprogramming by methylating Runx2 in chronic kidney diseaseMeijuan Cheng0Jingjing Jin1Dongxue Zhang2Mei Xiao3Hairong Zhao4Xiaoying Zhao5Shenglei Zhang6Yaling Bai7Jinsheng Xu8Department of Nephrology, The Fourth Hospital of Hebei Medical UniversityDepartment of Nephrology, The Fourth Hospital of Hebei Medical UniversityDepartment of Nephrology, The Fourth Hospital of Hebei Medical UniversityDepartment of Nephrology, The Fourth Hospital of Hebei Medical UniversityDepartment of Nephrology, The Fourth Hospital of Hebei Medical UniversityDepartment of Nephrology, The Fourth Hospital of Hebei Medical UniversityDepartment of Nephrology, The Fourth Hospital of Hebei Medical UniversityDepartment of Nephrology, The Fourth Hospital of Hebei Medical UniversityDepartment of Nephrology, The Fourth Hospital of Hebei Medical UniversityAbstract The reprogrammed osteogenic phenotype of vascular smooth muscle cells (VSMCs) is considered a critical mechanism of vascular calcification (VC) in chronic kidney disease (CKD). Currently, the RNA N6-methyladenosine (m6A) modification is deciphered to be dynamically and reversibly participated in functional regulation of VSMCs. Here, we discover that serum m6A levels in RNA are dramatically reduced as VC progressed in patients with CKD, and this m6A demethylation is mainly due to the downregulation of methyltransferaselike-3 (METTL3). Functionally, METTL3 depletion exacerbates, whereas its overexpression attenuates calcification progression and osteogenic reprogramming. Mechanistically, Runx2, a crucial osteogenic gene, is identified as a key downstream target of METTL3-mediated m6A methylation. METTL3 negatively regulates Runx2 expression through the m6A modification. Overexpression of METTL3 exacerbates Runx2 mRNA degradation, which is orchestrated by the m6A reader YT521-B homology domain family 2 (YTHDF2) through specifically recognizing its m6A sites in the 3′UTR region. Finally, in vivo METTLs inhibitor SAH treatment aggravates VC and osteogenic conversion in aortas of CKD rats, accompanied by Runx2 expression upregulation. These above data reveal an underlying mechanism by which the m6A writer METTL3 regulates Runx2 expression through YTHDF2-mediated mRNA degradation and suggest a potential therapeutic strategy to reverse the osteogenic reprogramming of VSMCs.https://doi.org/10.1038/s42003-025-07972-6
spellingShingle Meijuan Cheng
Jingjing Jin
Dongxue Zhang
Mei Xiao
Hairong Zhao
Xiaoying Zhao
Shenglei Zhang
Yaling Bai
Jinsheng Xu
METTL3 obstructs vascular smooth muscle cells osteogenic reprogramming by methylating Runx2 in chronic kidney disease
Communications Biology
title METTL3 obstructs vascular smooth muscle cells osteogenic reprogramming by methylating Runx2 in chronic kidney disease
title_full METTL3 obstructs vascular smooth muscle cells osteogenic reprogramming by methylating Runx2 in chronic kidney disease
title_fullStr METTL3 obstructs vascular smooth muscle cells osteogenic reprogramming by methylating Runx2 in chronic kidney disease
title_full_unstemmed METTL3 obstructs vascular smooth muscle cells osteogenic reprogramming by methylating Runx2 in chronic kidney disease
title_short METTL3 obstructs vascular smooth muscle cells osteogenic reprogramming by methylating Runx2 in chronic kidney disease
title_sort mettl3 obstructs vascular smooth muscle cells osteogenic reprogramming by methylating runx2 in chronic kidney disease
url https://doi.org/10.1038/s42003-025-07972-6
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