Transcriptional and Post-Transcriptional Regulation of Autophagy.

Autophagy is a widely conserved process in eukaryotes that is involved in a series of physiological and pathological events, including development, immunity, neurodegenerative disease, and tumorigenesis. It is regulated by nutrient deprivation, energy stress, and other unfavorable conditions through multiple pathways. In general, autophagy is synergistically governed at the RNA and protein levels. The upstream transcription factors trigger or inhibit the expression of autophagy- or lysosome-related genes to facilitate or reduce autophagy. Moreover, a significant number of non-coding RNAs (microRNA, circRNA, and lncRNA) are reported to participate in autophagy regulation. Finally, post-transcriptional modifications, such as RNA methylation, play a key role in controlling autophagy occurrence. In this review, we summarize the progress on autophagy research regarding transcriptional regulation, which will provide the foundations and directions for future studies on this self-eating process.

1. Introduction

Macroautophagy, hereafter referred to as autophagy, is the main type of autophagy, which is characterized by the formation of autophagosomes. Autophagosome biogenesis involves a series of autophagy-related (Atg) proteins that accompany the different steps of the autophagic process. Autophagosome initiation is mediated by the activity of the ULK1/Atg1-ATG13/Atg13 protein kinase complex. Nucleation of the autophagosome requires the BECN1/Beclin 1/ATG6-PIK3C3/Vps34 (catalytic subunit of the class III phosphatidylinositol 3-kinase (PtdIns3K)) complex. Elongation and maturation of the autophagosome involves two ubiquitin-like systems, i.e., Atg5–Atg12-Atg16 and LC3/Atg8–phosphatidylethanolamine (PE). Finally, the mature autophagosome fuses with the lysosome, leading to cargo degradation and completing the autophagic flux.

Autophagy is a well-regulated physiological process that is implicated in development, metabolism, immunity, neurodegenerative diseases, and tumorigenesis [1]. Induction of autophagy is accompanied by an increase in mRNA levels of certain Atg genes, WIPI1 (WD repeat protein interacting with phosphoinositides), p62/SQSTM1, and vacuolar (H+)-adenosine triphosphatases (V-ATPases), or by a variation of post-translational modifications of autophagy-associated proteins [2,3,4,5]. Nutrient deprivation, endoplasmic reticulum (ER) stress, hypoxia, lipotoxicity, cholesterol, and insect molting hormone can all affect the transcription of Atg genes. In response to starvation and circadian signals, FXR (farnesoid X receptor) and PPARα (peroxisome proliferator-activated receptor alpha) oppositely regulate the great variation of Ulk1 transcription in mammalian liver cells, accompanied by limited changes in mRNA levels of GABARAPL1, Bnip3, and LC3b [6]. ER stress and hypoxia increase the transcription of ULK1/ULK2, Atg5/ATG5, ATG4B, ATG13, LC3, and GABARAPL1 in several mammalian cancer cells [5,7]. In mouse liver fibrosis, insulin-like growth factor-binding protein-related protein 1 (IGFBPrP1) increases the expression of Atg9a, which encodes the sole transmembrane protein and delivers membrane to the expanding phagophore, and thereby formation of the autophagosome [8,9]. On the other hand, the transcription of ULK1 and ULK2 is repressed by the chromatin non-histone protein HMGA1 (high-mobility-group AT-hook 1) during the initiation and progression of malignant neoplasia such as skin cancer [10]. In addition, the transcription of V-ATPases from the V0 and V1 subunits are consistently unregulated during the induction of autophagy by upstream signals to facilitate the flux [3,4,5]. Autophagy regulates the homeostasis of cholesterol, whereas cholesterol and its derivatives, such as the insect-molting hormone 20-hydroxyecdysone (20E) and 27-hydroxycholesterol, are able to induce autophagy by promoting the transcription of Atg genes, as well as inducing the deacetylation of ATG proteins in both Bombyx mori and mammals [11,12]. Here, we summarize the most recent studies on the regulation of autophagy at the mRNA level, and provide a deep thinking and prospects in studies on autophagy.

2. Regulation of Autophagy by Transcriptional and Post-Transcriptional Modifications

2.1. Transcription Factors Regulate Autophagy at RNA Level

Several transcription factors play critical roles in regulating autophagy. The transcription factor EB (TFEB), a basic helix loop helix (b-HLH) leucine zipper protein from the microphthalmia-associated family (MiT/TFE), is one of the key transcription factors first identified to mediate autophagosome formation and autophagosome–lysosome fusion under starvation, in addition to its role in lysosomal biogenesis [13]. In mice liver, the circadian pattern of Atg gene expression depends on nutrient-sensitive activation of TFEB and TFE3: in the absence of nutrients (supplied with light), TFEB and TFE3 translocate to the nucleus and upregulate the expression of Atg3, Atg5, Bnip3, and LC3, which are involved in autophagy [14]. TFEB positively regulates the expression of genes involved in lysosomal biogenesis and autophagy during starvation in mouse liver, so autophagy shuttles lipid droplets to the lysosome for hydrolysis. Moreover, TFEB overexpression rescues obesity syndrome and lipid metabolism in Atg7 liver-KO mice, in which autophagy is blocked and lipids accumulate in the liver. Thus, TFEB is proven to prevent diet-induced obesity in mice by mediating autophagy [15]. Interestingly, the zinc-finger-family DNA-binding protein (ZKSCAN3) inhibits starvation-induced autophagy, and knockdown of ZKSCAN3 can promote TFEB-induced autophagy [16].

Members of FOXO (forkhead Box O) family can regulate autophagy induction at the transcriptional level. Notably, adenovirus-mediated expression of constitutively active FOXO3 (ca-FOXO3) causes dramatic atrophy in mouse muscles and myotubes, since FOXO3 increases the autophagic flux by binding to the promoters of LC3b, Atg12L, and Gabarapl1 and directly increasing their transcription [17,18]. In lung cancer cells, acetylated FOXO1 activates ATG7 expression to enhance autophagy, and it is thus implicated in the suppression of tumor growth through autophagy activation [19]. AMPK (AMP-activated protein kinase) is activated by glucose starvation. Subsequently, activated AMPK phosphorylates FOXO3a and leads to its nuclear translocation, followed by the upregulation of CARM1 (co-activator-associated arginine methyltransferase 1), which coactivates autophagy with TFEB by increasing the transcription of autophagy- and lysosome-related genes [20].

Nuclear receptors sensitive to metabolism play key roles in autophagy occurrence. PPARα is activated by fatty acids to promote their oxidation under starvation conditions, whereas FXR is activated by bile acids returning to the liver under nutrient-rich conditions. Consistently, PPARα is required for the full induction of autophagy by starvation, whereas FXR is needed for the suppression of autophagy in the liver of fed mice. PPARα and FXR competitively bind to shared sites in the promoters of autophagy-associated genes and control the expression of Atg7, Beclin1, Bnip3, and LC3 [6]. Small heterodimer partner (SHP), which is an orphan nuclear receptor responsible for maintaining the homeostasis of bile acids, is required for hFGF19 (bile acid-induced fibroblast growth factor-19, mFGF15)-mediated inhibition of hepatic autophagy, and plays a negative role in autophagy induction through FGF19-SHP-LSD1 axis by repressing the expression of most autophagy-associated genes, including Atg3, Atg5, Atg7, Atg10, WIPI1, Uvrag, and Tfeb. [21,22]. In preadipocyte 3T3-L1 cells, adipogenic transcription factors C/EBPβ (CCAAT/enhancer binding protein beta) and PPARγ (peroxisome proliferator-activated receptor gamma) directly bind to the promoter region of autophagy genes, leading to the expression of LC3, Beclin1, and Atg4b, to facilitate autophagy. C/EBPβ and PPARγ directly bind to the promoters of TFEB and FOXO1, too, to indirectly control the expression of autophagy-associated genes [23]. The transcription factor E2F1 (E2 transcription factor 1) not only mediates apoptosis, but also enhances autophagy by binding to the promoters of LC3, ATG1, ATG5, and DRAM (damage-regulated autophagy modulator) to upregulate their expression, showing a positive role for E2F1 in DNA damage-induced autophagy [24]. In LNCaP and HeLa cells, the ER stressor tunicamycin induces the transcription of ATG16L1, GABARAP, ATG12, ATG5, ATG3, and BECN1 to upregulate autophagy through the activation of ATF4 (transcription factor 4) [5]. Furthermore, Atg gene expression is also linked to the status of histone acetylation: the inhibition of histone deacetylase sirtuin1/2 increases the expression of ATF4 to induce autophagy, playing a pro-survival role in human NSCLC (non-small cell lung cancer) cells [25].

In insects, several transcription factors have been documented to mediate autophagy. In Drosophila melanogaster, E93, a downstream transcription factor of 20E signaling induces both autophagy and caspase activity by blocking PI3K-MTORC1 signaling [26]. The transcription factor FOXO prevents the aggregation of damaged proteins by promoting the expression of Atg1, Atg5, Atg6, and Atg8 in D. melanogaster [27]. Zika virus (ZIKV) triggers NF-κB-dependent inflammatory signaling in the fly brain and induces the expression of Atg5 and Atg7, leading to autophagy activation in neurons and limiting the infection and proliferation of ZIKV in this organ [28]. In B. mori, 20E upregulates the downstream transcription factors BmBr-C, BmE74, BmHR3, and Bmβ-ftz-F1 and thus determines the transcriptional induction of most of Atg genes to promote autophagy, which is essential for larval tissue remodeling during metamorphosis [11,29]. Recent studies have shown that 20E and starvation are both able to activate BmTFEB in B. mori to promote the transcription of BmV-ATPases and the assembly of the subunits, thus triggering lysosomal acidification and the autophagic flux [4]. Moreover, ACSS2 (acyl-CoA synthetase short-chain family member 2) forms a complex with TFEB, which facilitates the acetylation of histone using acetyl-CoA as an acetyl donor, and then promotes the transcription of TFEB-targeted genes in the nucleus, enhancing lysosomal biogenesis and autophagy [30].

Transcriptional regulation of autophagy is evolutionarily conserved between insects and mammals [12]. Notably, transcription factors have been reported to regulate autophagy in plants, too. In Arabidopsis thaliana, the transcription factor TGA9 (TGACG motif-binding protein 9) is confirmed to be a positive regulator of autophagy. The overexpression of TGA9 upregulates the mRNA levels of Atg genes and induces autophagy [31]. Transcription factors and their function in the regulation of autophagy are listed in Table 1.

Table 1

Transcription factors and their function in autophagy.

Transcription Factor	Function
Leucine zipper transcription factors (MiT/TFE)	MiT/TFE recognize promoters of lysosomal and Atg genes and represent transcriptional controllers of lysosomal biogenesis and autophagy [4,13].
Nuclear receptors PPARα and FXR	PPARα and FXR oppositely control the expression of Atg7, Beclin1, Bnip3, and LC3 and autophagic vesicle formation [6].
Small heterodimer partner (SHP)	SHP decreases mRNA levels of Atg genes and inhibits autophagy [21].
Transcription factors FOXO/FOXA	Activation of FOXO/FOXA induces the expression of multiple Atg genes and lysosomal genes [17,32].
CCAAT/enhancer binding protein beta (C/EBPβ)	C/EBPβ targets key Atg genes and induces the expression of Atg genes [23,33].
Activating transcription factor 4(ATF4)	ATF4 is involved in the cellular stress response and autophagosome formation [5,34].
Nuclear factor-kappa B (NF-κB)	NF-κB activates the expression of Atg genes and induces autophagy [28,35].
Zinc-finger-family DNA-binding protein, ZKSCAN3	ZKSCAN3 decreases mRNA levels of Atg genes and inhibits autophagy [16].
Tumor suppressor p53	In the nucleus, P53 transactivates Atg genes and induces autophagy by inhibiting mTOR; in the cytoplasm, P53 suppresses autophagy [36,37].
Signal transducer and activator of transcription (STAT)	STAT3 phosphorylation upregulates BNIP3 expression; STAT1 suppresses the expression of Atg genes [38,39].
Transcription factor E2F	Activation of E2F1 upregulates the expression of Atg genes [24].
TGA9 (TGACG motif-binding protein 9)	TGA9 activates autophagy by upregulating the expression of Atg genes [31].
E93	Knockdown of E93 reduces the expression of several Atg genes in B. mori [40].
EcR-USP	20E-EcR-USP upregulates the transcription of Atg genes to induce autophagy [11].

2.2. Regulation of Autophagy by Non-Coding RNAs

In addition to the transcription factors reported above, non-coding RNAs represent key regulators of autophagy. Non-coding RNAs mainly include microRNA, circRNA, and lncRNA. A series of non-coding RNAs are able to mediate the occurrence of human diseases and drug sensitivity in therapy by modulating autophagy [41]. MicroRNAs (miRNAs), about 22 nucleotides long, are conserved in evolution and expressed in almost all eukaryotes. Interestingly they have been identified as sequence-specific post-transcriptional regulators of gene expression, including Atg genes [42]. miRNA-101 inhibits autophagy by targeting RAB5A, a member of the RAS oncogene family, and ATG4d, leading to the suppression of tumor formation [43]. Moreover, miRNA-101 and miRNA-376b inhibit the expression of ATG4c and ATG4d, respectively [44]. Finally, miRNA-103a-3p directly targets Atg5 to inhibit autophagy and protect cardiomyocytes [45]. In Caenorhabditis elegans, miRNA-83 disrupts autophagy in multiple tissues by inhibiting cup-5 (autophagy regulator), whereas miRNA-34 inhibits the autophagic flux in vitro and affects the protein levels of Atg9, which is evolutionarily conserved in mammals [46,47]. In summary, according to the current literature, all microRNAs negatively regulate autophagy by directly inhibiting the expression of Atg genes, which are involved in the occurrence of diseases such as cancer and aging.

CircRNAs, formed by head-to-tail splicing of exons, are naturally generated from the family of non-coding RNAs, and show a regulatory role in gene expression at the post-transcriptional level [48,49]. In astrocytes, circRNA NF1-419 upregulates the expression of ULK1, BECLIN1, ATG5, ATG12, and ATG13 by binding to Dynamin-1 and adaptor protein 2 B1(AP2B1) [50], whereas circRNA PABPN1 blocks the binding of human antigen R (HuR) to ATG16L1 mRNA and thus inhibits autophagy in human intestinal epithelial cells [51]. HuR is reported to upregulate ATG7, LC3II, and ATG16L1 expression to enhance autophagosome formation [52]. Thus, autophagy is differentially regulated by multiple circRNAs.

In mammals, genomic transcription produces a large number of long non-coding RNAs (lncRNA), which can regulate Atg genes expression and thus mediate autophagy occurrence [42]. In mouse, lncRNA NEAT1 directly binds to miR-29b and then upregulates Atg9a expression to activate autophagy; similarly, LncRNAXIST enhances ethanol-induced autophagy by binding to miRNA-29b [8,53]. In human gallbladder cancer tissues, lncRNA GBCDRlnc1 increases the expression of phosphoglycerate kinase 1 (PGK1), which upregulates ATG5 and ATG12 expression. Moreover, PGK1 phosphorylates BECLIN1 to induce autophagy [54,55]. Antisense intronic l lncRNA eosinophil granule ontogeny transcript (Ai-lncRNAEGOT) enhances autophagosome formation, as well as paclitaxel sensitivity in human cancer [56]. However, lncRNA HOX transcript antisense RNA (HOTAIR) downregulates the expression of LC3B, BECLIN1, ATG3, and ATG7 to inhibit autophagy, which suppresses the invasion of oral squamous cell carcinoma cells [57]. Non-coding RNAs participating in autophagy are listed in Table 2.

Table 2

Non-coding RNAs involved in autophagy.

Non-Coding RNAs	Target Genes	Species	Impact on Autophagy
miR30b	Atg12, Beclin-1	Helicobacter pylori	↓[58]
miR-17	Ulk1	Mouse	↓[59]
miR-30a	Beclin1, Atg12, Atg5	Mouse	↓[44,60]
miR-188-3p	Atg7	Mouse	↓[61]
miR-93, miR106b, miR142-3p	ULK1, ATG16L	Human	↓[44,62,63]
miR-101	ATG4D, LC3	Human	↓[43,44]
miR-155	ATG3	Human	↓[64]
miR-214-3p	ATG5, ATG12	Human	↓[65]
miR-216b	BECLIN1	Human	↓[66]
miR-103a-3p	ATG5	Human	↓[45]
miR-183, miR-204	LC3B1/LC3-II	Human	↓[44,67]
miR-83, miR-29	atg-4.2 / ATG4D, ATG9a	Caenorhabditis elegans/Human	↓[8,46]
miR-34	Atg9a/ATG9a	Caenorhabditis elegans/Human	↓[47]
miR-4459	ATG13	Human	↓[68]
miR-23b	ATG12	Human	↓[69]
miR-19a	BECLIN1, LC3	Human	↓[70]
miR-376b	ATG4C, BECLIN1	Human	↓[44]
miR-15a, miR-16	Rictor (mTORC1)	Human	↑[71]
circNF1-419	Dynamin-1	Mouse	↑[50]
circHIPK2	ATG5, BECLIN1-1	Human	↑[72]
circPABPN1	ATG16l1	Human	↓[51]
lncRNA APF	Atg7	Mouse	↑[61]
lncRNA NEAT1, lncRNA XIST	Atg9a	Mouse	↑[8,53]
lncRNA HAGLROS	PI3K-AKT-NF-κB	Human	↑[73]
lncRNA TGFB2-OT1	ATG3, ATG7, ATG13	Human	↑[74]
lncRNA CA7-4	AMPK	Human	↑[75]
lncRNA GBCDRlnc1	BECLIN1, ATG5, ATG12	Human	↑[54,55]
lncRNA MALAT1	Beclin1, LC3	Mouse	↓[76]
lncRNA LINC00470	BECLIN1, ATG3, ATG7	Human	↓[77]
lncRNA CTA	Unknown	Human	↓[78]
lncRNA HOTAIR	BECLIN1, LC3, ATG3, ATG7	Human	↓[57]

Note: ↓: downregulation ↑: upregulation.

2.3. Regulation of Autophagy by RNA Methylation

N6-methyl-adenosine (m6A) modification of mRNAs is pervasive and highly conserved in eukaryotic cells. m6A modification is mediated by methyltransferases (writers) consisting of methyltransferase-like 3 (METTL3), METTL14, Wilms tumor 1-associated protein (WTAP), RNA-binding motif protein 15 (RBM15), and zinc-finger CCCH domain-containing protein 13 (ZC3H13) [79]. The demethylases (erasers) reported in m6A modification are represented by fat mass and obesity-associated protein (FTO), flavin mononucleotide (FMN), and α-ketoglutarate-dependent dioxygenase alkB homolog 5 (ALKBH5) [80]. m6A modification also indirectly affects RNA processing by recruiting reader proteins, which harbor the YT521-B homology (YTH) domain (Figure 1) [79].

Figure 1

Schematic diagram of m6A modification and its regulation of autophagy. m6A modification is mediated by the methyltransferases (writers) METTL3, METTL14, WTAP, RBM15, and ZC3H13 and the demethylases (erasers) FTO, FMN, and ALKBH5. m6A indirectly affects RNA processing by recruiting reader proteins, which contain the YTH domain [79,80]. FTO upregulates UKL1, ATG5, and ATG7 expression to induce autophagy by YTHDF2-dependent targeting of their mRNA. ALKBH5 demethylates TFEB, FOXO, and AMPK mRNAs to activate autophagy. FOXO, TFEB, and AMPK are the targets of m6A reader protein YTHDF1. METTL3 increases m6A levels of UKL1, ATG5, and ATG7 to upregulate autophagy, whereas METTL3 and METTL14 negatively regulate autophagy through m6A methylation of TFEB, FOXO, or AMPK mRNAs, which are responsible for the expression of Atg genes or ULK1 phosphorylation. P indicates phosphorylation.

METTL3 positively regulates autophagy by increasing the expression of ATG5, ATG7, and LC3B through m6A modification of their mRNA, whereas β-elemene reverses gefitinib resistance in gefitinib-resistant PC9GR and HCC827GR derived from NSCLC cells by inhibiting METTL3-mediated autophagy [81]. Moreover, METTL3 suppresses autophagy by methylating FOXO3 (in an 800 bp region of FOXO3 3′UTR containing the m6A modification site), which subsequently downregulates the expression of ULK1, ATG5, ATG7, ATG12, ATG16L1, and MAP1LC3B in human sorafenib-resistant hepatocellular carcinoma [82]. Similarly, METTL3 methylates the 3’ UTR of TFEB mRNA and thus inhibits autophagy [83].

Demethylase FTO increases the autophagic flux in patients with chronic kidney disease [84,85]. In particular, FTO upregulates ULK1 expression by demethylating the adenine residues 3335, 3397, and 3784 at 3’ UTR of ULK1, thus promoting autophagy in Hela cells. In a mouse preadipose cell line, mRNAs of Atg5 and Atg7 are the targets of m6A reader protein YTHDF2, and FTO upregulates Atg5 and Atg7 expression in a YTHDF2-mediated manner to promote autophagy [86]. There is a close interaction between demethylases or methyltransferases and the autophagic pathway. In melanoma, FTO is induced by metabolic starvation through autophagy, whereas knockdown of ATG5 or ATG7 in turn attenuates the expression of FTO [87]. In Leydig cells, human chorionic gonadotropin (HsCG) promotes the binding of the transcriptional factor C/EBPβ and TFEB to the promoter of ALKBH5, inducing its expression, whereas HsCG decreases METTL14 expression, leading to the activation of AMPK-ULK1 axis and autophagy occurrence [83,88] (Figure 1).

3. Conclusions

Autophagy protects organisms against various pathologies, including pathogen infections, cancer, neurodegeneration, aging, and heart disease [1]. Many studies have unveiled that several transcription factors, including MIT/TFE, PPARα, ATF4, E2F1, C/EBPβ, FOXO, NF-κB, E93, STAT, and p53, are critical for autophagy induction in response to various upstream signal cascades [13,16,23,33,70]. TFEB acts as a master regulator of lysosomal biogenesis and autophagic flux with a dual role in nutrient deprivation and tumorigenesis [15]. Under nutrient-rich conditions, mTOR phosphorylates TFEB at the lysosomal surface, causing the retention of TFEB in the cytosol in mammals [89]. The removal of MiT/TFE factors from inhibition by mTORC1 promotes autophagy and lysosomal catabolism to maintain intracellular amino acids, playing the pro-survival role of cells in pancreatic ductal adenocarcinoma [90]. However, TFEB also acts as a negative regulator of autophagy since Rac1 selectively interacts with phosphorylated TFEB, preventing nuclear translocation of TFEB and thus inhibiting autophagy in HEK293 cells. Thus, the overexpression of the dephosphorylated form of TFEB delays tumor growth driven by Rac1, showing a positive activation of the Rac1-TFEB axis in tumorigenesis [91].

NF-κB is an important regulator of cellular immunity that is involved in the control of autophagy. NF-κB serves as a transcription factor with a dual effect on autophagy in different species. In the fly brain, NF-κB induces the expression of Atg5 and Atg7, and thus triggers autophagy activation against infection with Zika virus [27]. However, TNFα upregulates mTOR activity in an NF-κB-dependent manner and inhibits autophagy in the human breast cancer MCF7 cell line [92]. FOXO3 coordinately activates protein degradation through the autophagic and proteasomal pathways in atrophying muscle cells; autophagy also helps protect cells by enhancing their capacity to destroy toxic protein aggregates. Therefore, activation of FOXO3, similarly to rapamycin treatment, stimulates autophagy and helps cells withstand the threat [16]. In summary, the molecular mechanisms of transcription factors in regulating autophagy are complex and usually condition specific.

An increasing number of non-coding RNAs are reported to regulate Atg genes [42]. The expression of genes encoding core autophagy-related proteins is regulated by RNA-binding proteins (RBPs) and certain non-coding RNAs, enriching the regulatory mechanisms of autophagy by epigenetics [93]. All microRNAs directly regulate Atg gene expression to affect autophagy, whereas in a series of tumors circRNAs serve as sponges of autophagy-related miRNAs to regulate autophagy [94]. LncRNAs directly regulate the expression of miRNAs through microRNA recognition elements (MREs) in lncRNA [95]. In addition, lncRNAs regulate the expression of Atg genes through competitive binding to microRNAs [70]. Information on microRNAs and lncRNAs that mediate autophagy can provide a starting platform to develop therapeutic strategies for cancer and neurodegenerative diseases [92]. Recently, a novel ncRNA regulator, called vault RNA (vtRNA), was reported to directly bind to autophagy receptor p62/SQSTM1 and change its function, acting as a riboregulator of key cellular processes such as autophagy [96]. The novel functions of microRNAs, circRNAs, and lncRNA, as well as their cooperative mechanisms in regulating autophagy, are worthy of further investigation.

Modifications of histone proteins and DNA methylation are two common epigenetic regulatory mechanisms of gene expression [97]. Recently, RNA modifications, such as RNA methylation, have attracted great attention. mRNA methylation occurs during pathophysiological processes of cell death and survival [79]. In particular, METTL3-mediated m6A methylation modification plays a critical role in autophagy and drug resistance of tumors [81]. However, the regulation of methyltransferases, e.g., METTL3, on autophagy are inconsistent in different cell types or physiological conditions, and the precise mechanism of mRNA methylation in regulating autophagy still needs further investigation [81]. m6A modification is a novel process able to regulate autophagy. Whether other RNA modifications are involved in this scenario is still unknown and deserves further research.