Evidence map›Paper›PMID 39589774›Full record

ArticleCancer research2025

A Potent, Selective, Small-Molecule Inhibitor of DHX9 Abrogates Proliferation of Microsatellite Instable Cancers with Deficient Mismatch Repair.

Jennifer Castro, Matthew H Daniels, David Brennan, Brian Johnston, Deepali Gotur, Young-Tae Lee, Kevin E Knockenhauer, Chuang Lu, Jie Wu, Sunaina Nayak and 14 more

Abstract read
In one paragraph

Article in Cancer research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

  1. Review
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  9. Regulation of RNA-binding proteins by small biomolecules.Nature reviews. Molecular cell biology · 2026
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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

24 authors.

Jennifer CastroAccent Therapeutics, Lexington, Massachusetts.ORCID 0009-0007-5718-2692
Matthew H DanielsAccent Therapeutics, Lexington, Massachusetts.ORCID 0000-0002-2492-9653
David BrennanAccent Therapeutics, Lexington, Massachusetts.ORCID 0009-0006-5826-8466
Brian JohnstonAccent Therapeutics, Lexington, Massachusetts.ORCID 0009-0001-9737-6121
Deepali GoturAccent Therapeutics, Lexington, Massachusetts.ORCID 0000-0003-4580-2165
Young-Tae LeeAccent Therapeutics, Lexington, Massachusetts.ORCID 0000-0002-3522-9361
Kevin E KnockenhauerAccent Therapeutics, Lexington, Massachusetts.ORCID 0000-0003-3131-6115
Chuang LuAccent Therapeutics, Lexington, Massachusetts.ORCID 0000-0002-9513-2457
Jie WuAccent Therapeutics, Lexington, Massachusetts.ORCID 0000-0002-0989-8115
Sunaina NayakAccent Therapeutics, Lexington, Massachusetts.ORCID 0009-0003-2736-3100
Cindy CollinsAccent Therapeutics, Lexington, Massachusetts.ORCID 0009-0004-4105-7123
Rishabh BansalAccent Therapeutics, Lexington, Massachusetts.ORCID 0009-0000-9322-2988
Shane M BukerAccent Therapeutics, Lexington, Massachusetts.ORCID 0009-0002-0175-1626
April CaseAccent Therapeutics, Lexington, Massachusetts.ORCID 0009-0000-4401-623X
Julie LiuAccent Therapeutics, Lexington, Massachusetts.ORCID 0000-0002-2505-3112
Shihua YaoAccent Therapeutics, Lexington, Massachusetts.ORCID 0009-0005-2597-6047
Brian A SparlingAccent Therapeutics, Lexington, Massachusetts.ORCID 0000-0001-5184-0956
E Allen SickmierAccent Therapeutics, Lexington, Massachusetts.ORCID 0000-0002-5595-9257
Serena J SilverAccent Therapeutics, Lexington, Massachusetts.ORCID 0000-0001-8090-2941
Stephen J BlakemoreAccent Therapeutics, Lexington, Massachusetts.ORCID 0009-0009-8524-3717
P Ann Boriack-SjodinAccent Therapeutics, Lexington, Massachusetts.ORCID 0000-0003-0179-5936
Kenneth W DuncanAccent Therapeutics, Lexington, Massachusetts.ORCID 0000-0002-3047-7825
Scott RibichAccent Therapeutics, Lexington, Massachusetts.ORCID 0009-0004-2325-8036
Robert A CopelandAccent Therapeutics, Lexington, Massachusetts.ORCID 0000-0002-1897-6533

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

DHX9 is a multifunctional DExH-box RNA helicase with important roles in the regulation of transcription, translation, and maintenance of genome stability. Elevated expression of DHX9 is evident in multiple cancer types, including colorectal cancer. Microsatellite instable-high (MSI-H) tumors with deficient mismatch repair (dMMR) display a strong dependence on DHX9, making this helicase an attractive target for oncology drug discovery. In this report, we show that DHX9 knockdown increased RNA/DNA secondary structures and replication stress, resulting in cell-cycle arrest and the onset of apoptosis in cancer cells with MSI-H/dMMR. ATX968 was identified as a potent and selective inhibitor of DHX9 helicase activity. Chemical inhibition of DHX9 enzymatic activity elicited similar selective effects on cell proliferation as seen with genetic knockdown. In addition, ATX968 induced robust and durable responses in an MSI-H/dMMR xenograft model but not in a microsatellite stable/proficient MMR model. These preclinical data validate DHX9 as a target for the treatment of patients with MSI-H/dMMR. Additionally, this potent and selective inhibitor of DHX9 provides a valuable tool with which to further explore the effects of inhibition of DHX9 enzymatic activity on the proliferation of cancer cells in vitro and in vivo. Significance: DHX9 is required in cancer cells with deficient mismatch repair and can be inhibited by ATX968, providing a promising strategy for the development of precision cancer therapeutics.

Indexed as

Colorectal NeoplasmsDEAD-box RNA HelicasesDNA Mismatch RepairMicrosatellite InstabilityAnimalsApoptosisCell Line, TumorCell ProliferationFemaleHumansMiceNeoplasm ProteinsXenograft Model Antitumor AssaysDEAD-box RNA HelicasesDHX9 protein, humanNeoplasm Proteins

Identifiers

PMID39589774
PMCPMC11831107

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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.