YTHDF2: a key RNA reader and antitumor target

Trends Immunol. 2025 Jun;46(6):485-498. doi: 10.1016/j.it.2025.04.003. Epub 2025 May 20.

Abstract

N6-methyladenosine (m6A) is a key mRNA modification influencing mRNA stability and translation. YTHDF2, a major m6A 'reader', was initially recognized for promoting mRNA decay but is now also known to enhance translation by binding to methylated mRNAs. YTHDF2 maintains the function of immune suppressive cells, including tumor-associated macrophages (TAMs), myeloid-derived suppressor cells (MDSCs), and regulatory T cells (Tregs), while also supporting cytotoxic immune cells, including natural killer (NK) and CD8+ T cells. Additionally, YTHDF2 acts as a tumor-intrinsic regulator orchestrating tumor immune evasion. Its multifaceted roles in tumor immunity make YTHDF2 a promising yet challenging therapeutic target. This review explores the complex roles and mechanisms of YTHDF2 in cancers, immune regulation, and tumor immune evasion and highlights emerging therapeutic strategies that target YTHDF2.

Keywords: RNA metabolism; YTHDF2; immunotherapy; m(5)C; m(6)A; tumor immunology; tumor microenvironment.

Publication types

  • Review

MeSH terms

  • Adenosine / analogs & derivatives
  • Adenosine / metabolism
  • Animals
  • Humans
  • Neoplasms* / genetics
  • Neoplasms* / immunology
  • Neoplasms* / therapy
  • RNA, Messenger / genetics
  • RNA, Messenger / metabolism
  • RNA-Binding Proteins* / genetics
  • RNA-Binding Proteins* / immunology
  • RNA-Binding Proteins* / metabolism
  • Tumor Escape
  • Tumor Microenvironment

Substances

  • RNA-Binding Proteins
  • YTHDF2 protein, human
  • Adenosine
  • N-methyladenosine
  • RNA, Messenger