Evidence map›Paper›PMID 40307891›Full record

ArticleJournal of translational medicine2025

Role of KLF5 in enhancing ovarian cancer stemness and PARPi resistance: mechanisms and therapeutic targeting.

Huimin Xiao, Guiyun Cheng, Haocheng Zhang, Yao Liu, Zhongshao Chen, Yuehan Gao, Feng Gao, Yanling Liu, Shourong Wang, Beihua Kong

Abstract read
In one paragraph

Article in Journal of translational medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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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

2 citing papers in PubMed.

  1. Article
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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

10 authors.

Huimin XiaoDepartment of Obstetrics and Gynecology, Qilu Hospital of Shandong University, Jinan, 250012, China.
Guiyun ChengDepartment of Obstetrics and Gynecology, Qilu Hospital of Shandong University, Jinan, 250012, China.
Haocheng ZhangDepartment of Obstetrics and Gynecology, Qilu Hospital of Shandong University, Jinan, 250012, China.
Yao LiuDepartment of Obstetrics and Gynecology, Qilu Hospital of Shandong University, Jinan, 250012, China.
Zhongshao ChenDepartment of Obstetrics and Gynecology, Qilu Hospital of Shandong University, Jinan, 250012, China.
Yuehan GaoDepartment of Obstetrics and Gynecology, Qilu Hospital of Shandong University, Jinan, 250012, China.
Feng GaoQilu Hospital of Shandong University, Jinan, 250012, China.
Yanling LiuGynecologic Oncology Key Laboratory of Shandong Province, Qilu Hospital of Shandong University, Jinan, 250012, China.
Shourong WangDepartment of Obstetrics and Gynecology, Qilu Hospital of Shandong University, Jinan, 250012, China. wangshourong0808@163.com.ORCID 0000-0003-3394-1299
Beihua KongDepartment of Obstetrics and Gynecology, Qilu Hospital of Shandong University, Jinan, 250012, China. kongbeihua@126.com.

Funding

China Anti-Cancer Association - hengrui PARP inhibitors cancer research fund CETSDHRCORP252-4-019National Natural Science Foundation of China 82072871Natural Science Foundation of Shandong Province ZR2022QH286Tai-Shan Scholar Program of Shandong Province ts20070743
6 · The paper itself

Abstract

backgroundOvarian cancer (OC) often presents at advanced stages with poor prognosis. Although poly(ADP-ribose) polymerase inhibitors (PARPi) offer clinical benefits, resistance remains a major challenge. This study investigates the role of KLF5 in regulating OC cell stemness and contributing to PARPi resistance.

methodsGene expression analysis was conducted on OC cell lines and their PARPi-resistant counterparts. qRT-PCR and Western blotting assessed the expression levels of stemness markers and KLF5. IHC evaluated KLF5 expression in ovarian cancer tissue samples. Sphere formation and ALDH activity assays were used to evaluate stemness. Chromatin immunoprecipitation (ChIP) investigated KLF5's binding to the Vimentin promoter. The effects of the KLF5 inhibitor ML264 were tested in vitro using cell viability and apoptosis assays, and in vivo using a xenograft mouse model to evaluate tumor growth and response to PARPi treatment.

resultsPARPi-resistant OC cells showed elevated stemness, indicated by increased SOX2, KLF4, Nanog, and OCT4 expression. KLF5 was significantly upregulated in these cells and linked to poor clinical outcomes. PARPi-resistant cells formed larger and more numerous spheres and had higher ALDH activity. KLF5 bound to the Vimentin promoter, upregulating its expression. Inhibition of KLF5 with ML264 reduced stemness features, decreased Vimentin expression, and resensitized resistant cells to PARPi. In vivo, ML264-treated mice with PARPi-resistant tumors exhibited reduced tumor growth and increased sensitivity to PARPi.

conclusionKLF5 enhances stemness and contributes to PARPi resistance in ovarian cancer through Vimentin regulation. Targeting KLF5 offers a promising therapeutic strategy to overcome resistance and improve patient outcomes.

Indexed as

Drug Resistance, NeoplasmKruppel-Like Transcription FactorsMolecular Targeted TherapyNeoplastic Stem CellsOvarian NeoplasmsPoly(ADP-ribose) Polymerase InhibitorsAnimalsApoptosisCell Line, TumorFemaleGene Expression Regulation, NeoplasticHumansKruppel-Like Factor 4MiceMice, NudeVimentinKLF4 protein, humanKlf4 protein, mouseKLF5 protein, humanKruppel-Like Factor 4Kruppel-Like Transcription FactorsPoly(ADP-ribose) Polymerase InhibitorsVimentinKLF5Ovarian cancerPARPi resistanceStemness of cancer cellsVimentin

Identifiers

PMID40307891
PMCPMC12042437

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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.