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How ALKBH5 and NEAT1 Team Up to Fuel Head and Neck Cancer

Sunday, January 4, 2026
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ALKBH5, a protein that removes a specific chemical tag from RNA, is known to make head and neck squamous cell carcinoma (HNSCC) more aggressive. But how exactly it does this has been a mystery. Now, researchers have uncovered a new pathway involving ALKBH5, a long non-coding RNA called NEAT1, and two other molecules, miR-654-3p and HOXA10.

The Role of NEAT1 in Cancer Progression

First, let's talk about NEAT1. It's a type of RNA that doesn't code for proteins but plays a crucial role in cancer. In HNSCC, NEAT1 is found in high amounts. When scientists removed NEAT1, cancer cells grew slower, died more easily, and even started to clean up their own waste—a process called autophagy. This suggests that NEAT1 is a key player in cancer progression.

ALKBH5 and NEAT1 Stability

Now, here's where ALKBH5 comes in. It's like a scissors that cuts off a chemical tag called m6A from NEAT1. This tag usually marks RNA for degradation. So, when ALKBH5 removes m6A, NEAT1 becomes more stable and lasts longer in the cell. This means more NEAT1 is available to promote cancer growth. In fact, when ALKBH5 was removed, cancer cells became less aggressive. But when NEAT1 was added back, it canceled out the effect of ALKBH5 removal. This shows that ALKBH5 works through NEAT1 to drive cancer.

NEAT1, miR-654-3p, and HOXA10 Axis

But the story doesn't end there. NEAT1 also interacts with miR-654-3p, a tiny RNA that usually suppresses cancer growth. NEAT1 acts like a sponge, soaking up miR-654-3p and preventing it from doing its job. This allows HOXA10, a gene that promotes cancer, to be expressed more. When NEAT1 was removed, cancer cells became less aggressive. But when miR-654-3p was inhibited or HOXA10 was overexpressed, it canceled out the effect of NEAT1 removal. This shows that NEAT1 promotes cancer through the miR-654-3p/HOXA10 axis.

Summary and Potential Implications

In summary, ALKBH5 removes m6A from NEAT1, making it more stable. NEAT1 then sponges up miR-654-3p, allowing HOXA10 to promote cancer growth. This pathway could be a potential target for the diagnosis, treatment, and prognosis of HNSCC.

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