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MINI REVIEW article

Front. Immunol.

Sec. Molecular Innate Immunity

Volume 16 - 2025 | doi: 10.3389/fimmu.2025.1693336

This article is part of the Research TopicThe Diversity of Macrophage in Inflammation and CancerView all articles

m6A RNA modification in tumor-associated macrophages: emerging roles in cancer immunity

Provisionally accepted
Xi  ChenXi Chen1Shanrui  PuShanrui Pu2Kun  LianKun Lian1Lihua  LiLihua Li1Xiulin  JiangXiulin Jiang3*
  • 1Kunming Medical University, Kunming, China
  • 2University of Birmingham, Birmingham, United Kingdom
  • 3Department of Cancer Genetics and Epigenetics, Beckman Research Institute, City of Hope, Duarte, United States

The final, formatted version of the article will be published soon.

N6-methyladenosine (m6A) is the most prevalent internal modification of eukaryotic mRNA and has emerged as a pivotal regulator of gene expression at the post-transcriptional level. In the tumor immune microenvironment, tumor-associated macrophages (TAMs) represent a highly plastic and heterogeneous population that profoundly influences cancer progression, immune evasion, and therapeutic response. Recent studies have uncovered that m6A modification, mediated by dynamic "writers," "erasers," and "readers," exerts critical regulatory effects on TAM differentiation, polarization, and functional reprogramming. By modulating the stability, translation, and decay of transcripts involved in inflammatory signaling, metabolic adaptation, and immune checkpoints, m6A shapes the balance between tumor-promoting (M2-like) and tumor-suppressive (M1-like) macrophage phenotypes. Moreover, dysregulation of m6A machinery in TAMs has been linked to the suppression of anti-tumor immunity and resistance to immunotherapy, highlighting its translational potential as a therapeutic target. This review summarizes current advances in understanding the roles and mechanisms of m6A modification in TAM biology, discusses its implications in tumor immunity, and outlines the challenges and opportunities of targeting the m6A–TAM axis for cancer treatment.

Keywords: m6A RNA modification, Tumor-associated macrophages, Tumor Microenvironment, cancer immunotherapy, YTHDF2

Received: 26 Aug 2025; Accepted: 19 Sep 2025.

Copyright: © 2025 Chen, Pu, Lian, Li and Jiang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Xiulin Jiang, xiujiang@coh.org

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