Evidence map›Paper›PMID 41586584›Full record

ArticleMicrobiology spectrum2026

Epitranscriptomic signatures of m5C, m6A, and pseudouridine in COVID-19 reveal host RNA modifications involved in viral pathogenesis.

Mateusz A Maździarz, Katarzyna Krawczyk, Ewa Lepiarczyk, Łukasz Paukszto, Jakub Sawicki, Marta Majewska

Abstract read
In one paragraph

Article in Microbiology spectrum, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Mateusz A MaździarzDepartment of Botany and Evolutionary Ecology, Faculty of Biology and Biotechnology, University of Warmia and Mazury in Olsztyn, Olsztyn, Poland.ORCID 0000-0002-7278-4604
Katarzyna KrawczykDepartment of Botany and Evolutionary Ecology, Faculty of Biology and Biotechnology, University of Warmia and Mazury in Olsztyn, Olsztyn, Poland.ORCID 0000-0001-9019-0490
Ewa LepiarczykDepartment of Human Physiology and Pathophysiology, School of Medicine, Collegium Medicum, University of Warmia and Mazury in Olsztyn, Olsztyn, Poland.ORCID 0000-0003-2998-9468
Łukasz PauksztoDepartment of Botany and Evolutionary Ecology, Faculty of Biology and Biotechnology, University of Warmia and Mazury in Olsztyn, Olsztyn, Poland.ORCID 0000-0002-3618-1064
Jakub SawickiDepartment of Botany and Evolutionary Ecology, Faculty of Biology and Biotechnology, University of Warmia and Mazury in Olsztyn, Olsztyn, Poland.ORCID 0000-0002-4759-8113
Marta MajewskaDepartment of Human Physiology and Pathophysiology, School of Medicine, Collegium Medicum, University of Warmia and Mazury in Olsztyn, Olsztyn, Poland.ORCID 0000-0001-5856-6929

Funding

Department of Botany and Evolutionary Ecology 12.610.002-110School of Medicine, Collegium Medicum 61.610.011-110
6 · The paper itself

Abstract

RNA modifications represent a critical layer of post-transcriptional gene regulation, shaping RNA fate and function through modulation of splicing, stability, translation, and immune signaling. Their role in viral infections remains insufficiently explored. We applied direct RNA sequencing to profile three key RNA modifications, 5-methylcytosine (m5C), N6-methyladenosine (m6A), and pseudouridine (psU), in whole blood samples from COVID-19 patients and healthy controls. Using CHEUI and NanoSPA, we identified condition-specific modification sites, their positional distribution, and associated functions. We detected 689 m5C, 738 m6A, and 1,201 psU sites, many uniquely enriched in infected individuals. These modifications localized predominantly to 3' UTRs and final exons. Codon-level and motif analysis revealed distinct enrichment patterns. Functional annotation indicated involvement in immune response, viral defense, inflammation, and stress. Several immune-regulatory genes, including IMPORTANCE: RNA modifications are increasingly recognized as critical regulators of host-virus interactions, yet their specific roles in human viral infections remain largely unexplored. Here, we provide the first comprehensive epitranscriptomic map of 5-methylcytosine (m5C), N6-methyladenosine (m6A), and pseudouridine (psU) in the host transcriptome during SARS-CoV-2 infection. By combining direct RNA sequencing with advanced modification-calling algorithms, we identify hundreds of condition-specific sites, reveal their positional preferences within transcripts, and uncover their functional association with immune defense and viral entry pathways. These findings demonstrate that host RNA modifications are dynamically remodeled during infection and define molecular signatures with potential diagnostic and therapeutic value. Our work establishes RNA modification profiling as a powerful tool for dissecting viral pathogenesis and opens new avenues for targeted antiviral strategies.

Indexed as

5-MethylcytosineAdenosineCOVID-19PseudouridineSARS-CoV-2EpitranscriptomeEpitranscriptomicsHumansRNA MethylationRNA Processing, Post-Transcriptional5-MethylcytosineAdenosineN-methyladenosinePseudouridineCOVID-19m5Cm6ApsUSARS-CoV-2

Identifiers

PMID41586584
PMCPMC12955425

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.