Evidence map›Paper›PMID 41214101›Full record

ArticleScientific reports2025

Claudin-4 as a dual regulator of genome stability and immune evasion in high grade serous ovarian cancer.

Benjamin G Bitler, Julie Lang, Daniel Nunez-Avellaneda, Kian Behbakht, Natalie R Davidson, Elizabeth R Woodruff, Fabian R Villagomez

Abstract read
In one paragraph

Article in Scientific reports, 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

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

2 citing papers in PubMed.

  1. Article
  2. 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

7 authors.

Benjamin G BitlerDivision of Reproductive Sciences, Department of Obstetrics and Gynecology, School of Medicine, University of Colorado, Anschutz Medical Campus, Aurora, CO, USA. benjamin.bitler@cuanschutz.edu.
Julie LangDepartment of Immunology and Microbiology, University of Colorado, Anschutz Medical Campus, Aurora, USA.
Daniel Nunez-AvellanedaDeputy Directorate of Technological Development, Linkage, and Innovation, National Council of Humanities, Sciences, and Technologies, Mexico City, Mexico.
Kian BehbakhtDivision of Gynecologic Oncology, Department of Obstetrics and Gynecology, The University of Colorado, Anschutz Medical Campus, Aurora, CO, USA.
Natalie R DavidsonDivision of Reproductive Sciences, Department of Obstetrics and Gynecology, School of Medicine, University of Colorado, Anschutz Medical Campus, Aurora, CO, USA.
Elizabeth R WoodruffDivision of Reproductive Sciences, Department of Obstetrics and Gynecology, School of Medicine, University of Colorado, Anschutz Medical Campus, Aurora, CO, USA.
Fabian R VillagomezDivision of Reproductive Sciences, Department of Obstetrics and Gynecology, School of Medicine, University of Colorado, Anschutz Medical Campus, Aurora, CO, USA. fromerovillag@utep.edu.

Funding

University of Colorado Cancer Center Support Grant - Lung Cancer Patient-Derived Xenografts with Autologous Human Immune SystemsP30CA046934 · NCI · UNIVERSITY OF COLORADO DENVER · PI James V Degregori · 1988 to 2026
$117.0M
Domain adaptation approaches to unify established and emerging sequencing technologiesR00HG012945 · NHGRI · UNIVERSITY OF COLORADO DENVER · PI Natalie Rose Davidson · 2024 to 2026
$747k
NCI NIH HHS P30 CA046934NHGRI NIH HHS R00 HG012945NIH/NCI P30CA046934NIH/NHGRI R00HG012945Ovarian Cancer Academy OC200225
6 · The paper itself

Abstract

High-grade serous carcinoma (HGSC) thrives in an immune-suppressive microenvironment marked by poor T-cell infiltration and blunted anti-tumor responses, driving immune evasion, tumor progression, and therapy resistance. Regulation of genomic instability, which restricts cytoplasmic DNA accumulation, is essential to prevent immune activation. Claudin-4, often overexpressed in HGSC, is strongly linked to therapy resistance and plays a key role in regulating initiation and resolution of genomic instability, shaping the tumor's potential ability to evade immune surveillance and withstand treatment; however, its role in immune evasion remains unclear. We used in vitro ovarian cancer models with stable claudin-4 overexpression and knockdown. In a humanized mouse model, ovarian tumors were treated with the claudin mimic peptide (CMP) and a PARP inhibitor. Tumor growth and immune infiltration were assessed by IVIS imaging and spectral flow cytometry. Mechanistic studies included autophagy flux and ISRE reporter assays, complemented by immunoblotting, flow cytometry, confocal microscopy, and bioinformatic analyses of public datasets. We identified a novel claudin-4-driven mechanism that promotes immune evasion in HGSC. Claudin-4 regulated type I interferon signaling through a close association with the small GTPase Rab7, modulating tumor-immune interactions. This was linked to TCR-zeta chain suppression in T cells in vivo-a hallmark of immune evasion. Dual targeting of claudin-4-expressing tumors with CMP and niraparib reshaped the tumor immune microenvironment, restoring TCR-zeta expression and promoting CD8 + T-cell infiltration, leading to improved anti-tumor efficacy of the PARP inhibitor niraparib. Our data show that claudin-4 orchestrates tumor immune evasion and survival, positioning it as a dual regulator of genome stability and immune escape, and highlighting it as a promising therapeutic target in ovarian cancer.

Indexed as

Claudin-4Cystadenocarcinoma, SerousGenomic InstabilityImmune EvasionOvarian NeoplasmsTumor EscapeAnimalsCell Line, TumorFemaleHumansMicePoly(ADP-ribose) Polymerase InhibitorsTumor MicroenvironmentClaudin-4CLDN4 protein, humanPoly(ADP-ribose) Polymerase InhibitorsClaudin-4Ovarian cancerPARPiRab7Tumor immune evasionType I INF response

Identifiers

PMID41214101
PMCPMC12603150

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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.