Article

ALKBH5 deficiency suppresses hepatocarcinogenesis in mice via m6A-dependent STAT1 restoration

Kai-ting Wang1,2, Shuai Yang1, Zi-han Zhao3, Chun-hua Rui4, Si-yun Shen3,5, Dan Cao3,5, Lin-na Guo3,5, Shan-hua Tang3,5, Lei Chen3,5,6,7, Hong-yang Wang1,2,5, Xin-yao Qiu1
1 Department of Oncology, Fudan University Shanghai Cancer Center, Shanghai 200032, China
2 School of Life Sciences, Institute of Metabolism and Integrative Biology, Fudan University, Shanghai 200438, China
3 The International Cooperation Laboratory on Signal Transduction, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai 200438, China
4 Institute of Molecular Medicine (IMM), Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Jiao Tong University, Shanghai 200240, China
5 National Center for Liver Cancer, Shanghai 200441, China
6 Key Laboratory of Signaling Regulation and Targeting Therapy of Liver Cancer (SMMU), Ministry of Education, Shanghai 200438, China
7 Shanghai Key Laboratory of Hepatobiliary Tumor Biology (EHBH), Shanghai 200438, China
Correspondence to: Lei Chen: chenlei@smmu.edu.cn, Hong-yang Wang: hywangk@vip.sina.com, Xin-yao Qiu: xinyao_qiu@fudan.edu.cn,
DOI: 10.1038/s41401-025-01631-6
Received: 16 March 2025
Accepted: 3 July 2025
Advance online: 21 August 2025

Abstract

RNA m6A methylation, as the most prevalent modification in mRNA, is a dynamic and reversible process primarily regulated by m6A methyltransferases (“writers”), m6A demethylases (“erasers”), and m6A recognition proteins (“readers”). It has been shown that N6-methyladenosine (m6A) plays a pivotal role in hepatocellular carcinoma (HCC). In this study we investigated the contribution of the m6A eraser AlkB homolog 5 (ALKBH5) to hepatocarcinogenesis, particularly during the early stages of liver cancer development. We found that liver-specific Alkbh5 conditional knockout (Alkbh5-cKO) profoundly suppressed DEN/CCl4-induced HCC tumorigenesis and development in mice. We further showed that exogenous ALKBH5 expression drove the malignant transformation of immortal normal hepatocytes (HHL5, BNL), whereas ALKBH5 depletion in HCC cells restored hepatocyte-specific functions and suppressed malignancy. By conducting integrated MeRIP-seq/RNA-seq analyses, we identified STAT1 as a key target of ALKBH5-mediated m6A demethylation. ALKBH5 directly bound to STAT1 mRNA and reduced its m6A modification, thereby decreasing mRNA stability and suppressing STAT1 expression. Downregulated STAT1 inactivated the hepatocyte nuclear factor FOXA3, blocking hepatic differentiation and promoting malignancy. In 42 pairs of clinical HCC samples analyzed, STAT1 was negatively correlated with ALKBH5, and HCC patients with high ALKBH5 and low STAT1 expression exhibited worse clinical outcomes. We conclude that ALKBH5 is a critical oncogene in hepatocarcinogenesis. These results provide novel insights into the epigenetic regulation of hepatocarcinogenesis.

Keywords: hepatocellular carcinoma; m6A; ALKBH5; STAT1; FOXA3; epigenetic regulation

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