Oncogenic snoRNA <i>SNORD78</i> fuels colorectal cancer by protecting the m <sup>6</sup> A reader IMP2 to enhance phospholipid metabolism

Y Yingqi Zhao (Department of Pharmacology, School of Pharmacy, China Medical University) X Xiaoyun Hu (Department of Pharmacology, School of Pharmacy, China Medical University) Y Yalun Li (Department of Anorectal Surgery, First Affiliated Hospital of China Medical University) J Jing Zhang H Hao Guo Y Yuying Zhang (School of Medicine) T Ting Wu (Children’s Hospital, Zhejiang University School of Medicine) J Jinyu Guo (Department of Pharmacology, School of Pharmacy, China Medical University) Y Yi Peng (Department of Pharmacology, School of Pharmacy, China Medical University) Y Ying Che (Department of Pharmacology, School of Pharmacy, China Medical University) X Xianglong Zhu (Department of Pharmacology, School of Pharmacy, China Medical University) Q Qiuchen Chen (Department of Pharmacology, School of Pharmacy, China Medical University) D David Grieve (Wellcome-Wolfson Institute for Experimental Medicine, Queen’s University Belfast) M Minjie Wei (Department of Pharmacology, School of Pharmacy, China Medical University) H Huizhe Wu (Department of Pharmacology, School of Pharmacy, China Medical University)

Abstract

Small nucleolar RNAs (snoRNAs) play crucial regulatory roles in various cancers. However, the mechanisms by which snoRNAs regulate N6-methyladenosine (m 6 A) modifications in colorectal cancer (CRC) remain unclear. This study systematically deciphered the precise interaction mechanism between SNORD78 and the m 6 A reader IMP2 in CRC. We demonstrate that SNORD78 specifically stabilizes IMP2 to activate the PIK3CD-CHKA-Kennedy pathway in an m 6 A-dependent manner, promoting endoplasmic reticulum stress (ERS) and phosphatidylcholine (PC) biosynthesis, thereby driving CRC. Conversely, the SNORD78 -targeting antisense oligonucleotide (ASO), ASO-78, effectively suppresses ERS and PC levels, inhibiting CRC progression. Mechanistically, SNORD78 , relying on the “UAAUGA” element in its C-D box region, specifically binds to the Lys221 ubiquitination site of IMP2, blocking TRIM25-mediated degradation of IMP2 and maintaining its stability. IMP2 enhanced the stability and translation of the target mRNAs PIK3CD and CHKA by recognizing their corresponding m 6 A positions, m 6 A-3208 and m 6 A-1619, respectively, to reshape the phosphatidylcholine metabolite profile in CRC cells. In terms of potential therapeutic strategies, the ASO-78 can significantly inhibit CRC cell proliferation, reduce ERS levels, and decrease phosphatidylcholine content. The combination of ASO-78 and IMP2 inhibitor IMP2-IN1, by dual blocking of the SNORD78 –IMP2 axis, exhibits an excellent proliferation-inhibiting effect in CRC organoids. This study not only reveals a mechanism by which the SNORD78 –IMP2 interaction regulates CRC occurrence and development but also provides theoretical basis for innovative therapeutic strategies for precise targeting of tumor snoRNA-m 6 A reader interactions.

Article Details

Volume / Issue Vol. 123, Issue 29
Published July 21, 2026
ISSN 0027-8424
Publisher National Academy of Sciences

Authors (15)

Y

Yingqi Zhao

Department of Pharmacology, School of Pharmacy, China Medical University

X

Xiaoyun Hu

Department of Pharmacology, School of Pharmacy, China Medical University

Y

Yalun Li

Department of Anorectal Surgery, First Affiliated Hospital of China Medical University

J

Jing Zhang

H

Hao Guo

Y

Yuying Zhang

School of Medicine

T

Ting Wu

Children’s Hospital, Zhejiang University School of Medicine

J

Jinyu Guo

Department of Pharmacology, School of Pharmacy, China Medical University

Y

Yi Peng

Department of Pharmacology, School of Pharmacy, China Medical University

Y

Ying Che

Department of Pharmacology, School of Pharmacy, China Medical University

X

Xianglong Zhu

Department of Pharmacology, School of Pharmacy, China Medical University

Q

Qiuchen Chen

Department of Pharmacology, School of Pharmacy, China Medical University

D

David Grieve

Wellcome-Wolfson Institute for Experimental Medicine, Queen’s University Belfast

M

Minjie Wei

Department of Pharmacology, School of Pharmacy, China Medical University

H

Huizhe Wu

Department of Pharmacology, School of Pharmacy, China Medical University