Epitranscriptomic RNA modifications in human disease: Cooperative networks, molecular mechanisms, and therapeutic opportunities

Epitranscriptomic RNA modifications form a dynamic regulatory layer that shapes gene expression and cellular function. While N6-methyladenosine (m<sup>6</sup>A) has been extensively studied, other modifications-including m<sup>5</sup>C, m<sup>1</sup>A, m<sup>3</sup>C, m<sup>7</sup>G, and Ψ-play critical roles in RNA folding, stability, translation, and stress responses. Initially, studies focused on each RNA modification individually, but recent evidence has revealed that these modifications oft