Published online Nov 21, 2021. doi: 10.3748/wjg.v27.i43.7530
Peer-review started: May 19, 2021
First decision: June 22, 2021
Revised: June 23, 2021
Accepted: September 15, 2021
Article in press: September 15, 2021
Published online: November 21, 2021
Processing time: 183 Days and 19.7 Hours
Severe acute pancreatitis (SAP) is a lethal inflammatory disease with mortality up to 30%. But the genetic pathological mechanism of SAP remains unclear and SAP is still lack of effective therapeutic options. N6-methyladenosine (m6A) modification of circular (circ)RNAs plays a key role in many diseases and physiological processes through regulating the metabolism and function of circRNAs. However, the role of m6A circRNA in SAP has been unexplored yet.
The pathophysiology of SAP at the level of gene regulation is complex and remains unclear. circRNAs are found to participate in many physiological processes and play key roles in pathological processes during SAP. m6A modification can affect the “fate” of m6A modified circRNAs, thereby participating in the regulation of diseases. Therefore, we want to explore whether the m6A modification of circRNAs is related to the pathophysiological mechanism of SAP, and determine their biological significance and potential mechanisms.
The present study aims to determine the transcriptome-wide map of m6A circRNAs and explore their biological significance and its possible mechanisms in SAP.
The SAP C57BL/6 mice model was induced by retrograde injection of 4% sodium taurocholate salt. m6A-modified RNA immunoprecipitation sequencing was used to determine the transcriptome-wide map of m6A circRNAs. The biological significance of circRNAs with differentially expressed m6A peaks was identified by GO and KEGG analysis. m6A circRNA-microRNA networks was constructed to explore the underlying mechanism of m6A circRNAs in SAP. The expression of demethylases was measured by western blot and qPCR. H&E staining and measurement of serum lipase and amylase were performed to assess the establishment of SAP mice model.
In the identified transcriptome-wide map of m6A circRNAs, there were 57 circRNAs with differentially expressed m6A peaks; among which, 32 were upregulated and 25 downregulated. Important pathways in the pathogenetic process during SAP were found by functional analysis of these m6A circRNAs, such as protein digestion and regulation of autophagy. m6A circRNA–miRNA networks showed that several important miRNAs in pathogenesis of SAP were bind to these m6A circRNAs, such as miR-24-3p, miR-26a, miR-92b, miR-216b, miR-324-5p and miR-762. To be note, the total m6A level of circRNAs was reduced in SAP, accompanied by the upregulated demethylase ALKBH5.
The transcriptome-wide profiling of m6A circRNAs in SAP was identified, and the biological significance and possible potential mechanisms of m6A circRNAs in SAP were predicted, providing new insights into exploring the possible pathophysiological mechanism of SAP and new potential therapeutic targets.
This present study for the first time identified transcriptome-wide map of m6A circRNAs and determined their biological significance and potential mechanisms. However, the m6A circRNA-mediated precise regulatory mechanisms are need to be explore further in vivo and vitro experiments. What’s more, further studies are needed to reveal the precise mechanism of ALKBH5 in m6A circRNAs during SAP. In the future, we will explore them and investigate these m6A circRNAs in SAP patients.