Abstract

It is well established that somatic mutations and escape of immune disruption are two essential factors in cancer initiation and progression. With an increasing number of second-generation sequencing data, transcriptomic modifications, so called RNA mutations, are emerging as significant forces that drive the transition from normal cell to malignant tumor, as well as providing tumor diversity to escape an immune attack. Editing of adenosine to inosine (A-to-I) in double-stranded RNA, catalyzed by adenosine deaminases acting on RNA (ADARs), is one dynamic modification that in a combinatorial manner can give rise to a very diverse transcriptome. Since the cell interprets inosine as guanosine (G), A-to-I editing can result in non-synonymous codon changes in transcripts as well as yield alternative splicing, but also affect targeting and disrupt maturation of microRNAs. ADAR-mediated RNA editing is essential for survival in mammals, however, its dysregulation causes aberrant editing of its targets that may lead to cancer. ADAR1 is commonly overexpressed, for instance in breast, lung, liver and esophageal cancer as well as in chronic myelogenous leukemia, where it promotes cancer progression. It is well known that ADAR1 regulates type I interferon (IFN) and its induced gene signature, which are known to operate as a significant barrier to tumor formation and progression. Adding to the complexity, ADAR1 expression is also regulated by IFN. In this review, we discussed the regulatory mechanisms of ADAR1 during tumorigenesis through aberrant editing of specific substrates. Additionally, we hypothesized that elevated ADAR1 levels play a role in suppressing an innate immunity response in cancer cells.

Highlights

  • Editing of adenosine-to-inosine (A-to-I) in double stranded RNA [1,2,3], a common posttranscriptional modification in mammals, is mediated through adenosine deaminases acting on RNA (ADARs)

  • We hypothesized that elevated ADAR1 levels play a role in suppressing an innate immunity response in cancer cells

  • Acute myeloid leukemia (AML) was the first tumor type where altered mRNA editing was shown to be connected to the disease [13]

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Summary

Introduction

Editing of adenosine-to-inosine (A-to-I) in double stranded RNA [1,2,3], a common posttranscriptional modification in mammals, is mediated through adenosine deaminases acting on RNA (ADARs). Editing can lead to codon changes with the consequence of altered protein function, alternative splicing or affect targeting and maturation of microRNAs, depending on where it happens It has been shown in several studies that the transcriptomic as well as the proteomic diversity introduced by A-to-I editing is exploited by tumor cells to promote cancer progression [10,11,12]. Adar is frequently amplified with elevated activity in many different cancer types, consistent with the elevated editing levels of its substrates [11,12] These alternations found in cancer are mainly explained by the IFN response and gains in Adar copy number [34,35].

RNA Editing Dependent Role of ADAR1 in Modulating Specific Editing Substrates
RNA Editing Independent Roles of ADAR1 in Modulating Specific Substrates
A Possible Role of ADAR1 as an Immune Repressor during Cancer Progression
Clinical Application of ADAR1 Editing in Cancer
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