N6‐methyladenosine modification contributes to arecoline‐mediated oral submucosal fibrosis.

Background: Oral submucosal fibrosis (OSF) is a precancerous condition that closely related to the habit of chewing betel nut. The OSF patients of 3%–19% may develop cancer, and this probability is increasing year by year. Epigenetics modifications have been reported as part of the pathogenesis of OSF. However, in OSF field, the role and mechanism of arecoline‐induced activation of transforming growth factor β (TGF‐β) signaling on N6‐methyladenosine (m6A) modification remain unclear. In this study, we investigated the effect and mechanism of arecoline on m6A modification. Methods: MeRIP‐Seq and RNA‐seq were performed in arecoline‐stimulated cells. Quantitative polymerase chain reaction and western blot were performed to detect the expression of m6A writers and erasers. CCK‐8 and flow cytometry analyses were performed to measure the cell viability and apoptosis. Results: m6A level was increased in OSF tissues compared to normal tissues; arecoline promoted the m6A methyltransferase Mettl3 and Mettl14 through TGF‐β. MeRIP‐seq and RNA‐seq analyses found that MYC was the target gene of Mettl14. In addition, Mettl14 silence reversed the effects of arecoline on cell proliferation and apoptosis in Hacat cells. Conclusion: TGF‐β‐METTL14‐m6A‐MYC axis was crucially implicated in arecoline‐mediated OSF and may be an effective therapeutic strategy for OSF treatment. [ABSTRACT FROM AUTHOR]