Evidence map›Paper›PMID 40149277›Full record

ArticleCancers2025

Targeting Mediator Kinase Cyclin-Dependent Kinases 8/19 Potentiates Chemotherapeutic Responses, Reverses Tumor Growth, and Prolongs Survival from Ovarian Clear Cell Carcinoma.

Wade C Barton, Asha Kumari, Zachary T Mack, Gary P Schools, Liz Macias Quintero, Alex Seok Choi, Karthik Rangavajhula, Rebecca C Arend, Eugenia V Broude, Karthikeyan Mythreye

Abstract read
In one paragraph

Article in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

10 authors.

Wade C BartonDivision of Gynecologic Oncology, Department of Obstetrics & Gynecology, Heersink School of Medicine, University of Alabama School of Medicine, Birmingham, AL 35294, USA.
Asha KumariDivision of Molecular Cellular Pathology, Department of Pathology, Heersink School of Medicine and O'Neal Comprehensive Cancer Center, University of Alabama Birmingham, Birmingham, AL 35294, USA.
Zachary T MackDepartment of Drug Discovery and Biomedical Sciences, College of Pharmacy, University of South Carolina, Columbia, SC 29208, USA.ORCID 0009-0004-9784-7001
Gary P SchoolsDepartment of Drug Discovery and Biomedical Sciences, College of Pharmacy, University of South Carolina, Columbia, SC 29208, USA.ORCID 0009-0004-3013-1260
Liz Macias QuinteroDivision of Molecular Cellular Pathology, Department of Pathology, Heersink School of Medicine and O'Neal Comprehensive Cancer Center, University of Alabama Birmingham, Birmingham, AL 35294, USA.
Alex Seok ChoiDivision of Molecular Cellular Pathology, Department of Pathology, Heersink School of Medicine and O'Neal Comprehensive Cancer Center, University of Alabama Birmingham, Birmingham, AL 35294, USA.
Karthik RangavajhulaDepartment of Drug Discovery and Biomedical Sciences, College of Pharmacy, University of South Carolina, Columbia, SC 29208, USA.
Rebecca C ArendDivision of Gynecologic Oncology, Department of Obstetrics & Gynecology, Heersink School of Medicine, University of Alabama School of Medicine, Birmingham, AL 35294, USA.
Eugenia V BroudeDepartment of Drug Discovery and Biomedical Sciences, College of Pharmacy, University of South Carolina, Columbia, SC 29208, USA.
Karthikeyan MythreyeDivision of Molecular Cellular Pathology, Department of Pathology, Heersink School of Medicine and O'Neal Comprehensive Cancer Center, University of Alabama Birmingham, Birmingham, AL 35294, USA.ORCID 0000-0001-5478-0098

Funding

XRAY CRYSTALLOGRAPHYP30CA013148 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Omer Jamy · 1985 to 2026
$165.9M
Preventing adaptive drug resistance through Mediator kinase inhibitionR01CA266027 · NCI · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI Hexin Chen, Mengqian Chen · 2022 to 2026
$3.0M
NCI NIH HHS P30 CA013148NCI NIH HHS R01 CA266027The Norma Livingston Foundation 1234
6 · The paper itself

Abstract

BACKGROUND/

objectiveOvarian clear cell carcinomas (OCCCs) are a rare histological subtype of epithelial ovarian cancer characterized by resistance to platinum-based therapy. CDK8/19, a component of the regulatory CDK module associated with Mediator complex, has been implicated in transcriptional reprogramming and drug resistance in various solid tumors. Our study aimed to investigate the therapeutic potential of CDK8/19 kinase inhibition using selective inhibitors SNX631 and SNX631-6 in OCCC treatment, both as monotherapy and in combination with standard chemotherapeutics.

methodsCDK8 and Ki67 levels were evaluated via immunohistochemistry in benign, primary, and metastatic ovarian cancer tissues. The efficacy of SNX631 alone and in combination with cisplatin or paclitaxel was assessed in OCCC cell lines (ES-2, TOV-21-G, RMG-1). In vivo evaluation utilized xenograft models with subcutaneous and intraperitoneal delivery of the OCCC ES2 cells and oral delivery of SNX631-6, with the monitoring of tumor growth, metastatic spread, and survival.

resultsCDK8 protein levels were elevated in OC tissues, particularly in OCCC primary and metastatic lesions compared to benign tissue. While CDK8/19 inhibition showed limited effects on in vitro cell proliferation, SNX631-6 demonstrated significant antitumor and anti-metastatic activity in vivo. Notably, SNX631-6 enhanced the efficacy of cisplatin, substantially inhibiting tumor growth and extending overall survival.

conclusionsTherapeutically achievable doses of CDK8/19 inhibitors may provide clinical benefit for OCCC patients by inhibiting tumor growth and reversing platinum resistance, potentially addressing a critical treatment challenge in this rare ovarian cancer subtype.

Indexed as

clear cell ovarian carcinomacyclinovarian cancer

Identifiers

PMID40149277
PMCPMC11940259

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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.