PRP4K is a HER2-regulated modifier of taxane sensitivity
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Updated: Apr 18, 2026

Testing Targeted Therapies in Cancer using Structural DNA Alteration Analysis and Patient-Derived Xenografts
Published on: July 25, 2020
Dale P Corkery1, Cécile Le Page, Liliane Meunier
1a Department of Biochemistry & Molecular Biology ; Dalhousie University ; Halifax , NS Canada.
Abstract:
The taxanes are used alone or in combination with anthracyclines or platinum drugs to treat breast and ovarian cancer, respectively. Taxanes target microtubules in cancer cells and modifiers of taxane sensitivity have been identified in vitro, including drug efflux and mitotic checkpoint proteins. Human epidermal growth factor receptor 2 (HER2/ERBB2) gene amplification is associated with benefit from taxane therapy in breast cancer yet high HER2 expression also correlates with poor survival in both breast and ovarian cancer. The pre-mRNA splicing factor 4 kinase PRP4K (PRPF4B), which we identified as a component of the U5 snRNP also plays a role in regulating the spindle assembly checkpoint (SAC) in response to microtubule-targeting drugs. In this study, we found a positive correlation between PRP4K expression and HER2 status in breast and ovarian cancer patient tumors, which we determined was a direct result of PRP4K regulation by HER2 signaling. Knock-down of PRP4K expression reduced the sensitivity of breast and ovarian cancer cell lines to taxanes, and low PRP4K levels correlated with in vitro-derived and patient acquired taxane resistance in breast and ovarian cancer. Patients with high-grade serous ovarian cancer and high HER2 levels had poor overall survival; however, better survival in the low HER2 patient subgroup treated with platinum/taxane-based therapy correlated positively with PRP4K expression (HR = 0.37 [95% CI 0.15-0.88]; p = 0.03). Thus, PRP4K functions as a HER2-regulated modifier of taxane sensitivity that may have prognostic value as a marker of better overall survival in taxane-treated ovarian cancer patients.
Insights
The pre-mRNA splicing factor 4 kinase (PRP4K) is regulated by HER2 signaling and impacts taxane sensitivity in breast and ovarian cancers. High PRP4K expression may predict better survival in ovarian cancer patients treated with taxanes.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Genetics
Background:
- Taxanes are crucial chemotherapeutics for breast and ovarian cancers, targeting microtubules.
- HER2 (Human Epidermal Growth Factor Receptor 2) status influences taxane efficacy and patient survival.
- PRP4K (pre-mRNA splicing factor 4 kinase) is involved in the spindle assembly checkpoint (SAC) and responds to microtubule-targeting drugs.
Purpose of the Study:
- To investigate the relationship between PRP4K expression, HER2 status, and taxane sensitivity in breast and ovarian cancers.
- To determine if PRP4K acts as a modifier of taxane sensitivity regulated by HER2 signaling.
- To evaluate the prognostic value of PRP4K in ovarian cancer patients treated with taxane-based therapy.
Main Methods:
- Correlation analysis of PRP4K expression and HER2 status in patient tumor samples.
- Experimental manipulation (knock-down) of PRP4K in cancer cell lines to assess taxane sensitivity.
- Survival analysis of ovarian cancer patients based on HER2 and PRP4K expression levels and treatment response.
Main Results:
- A positive correlation was observed between PRP4K expression and HER2 status in breast and ovarian tumors, indicating HER2-mediated regulation of PRP4K.
- Knock-down of PRP4K decreased sensitivity to taxanes in cancer cell lines.
- Low PRP4K levels were associated with acquired taxane resistance.
- In high-grade serous ovarian cancer, high HER2 levels correlated with poor survival, but high PRP4K expression predicted better survival in the low HER2 subgroup treated with platinum/taxane therapy.
Conclusions:
- PRP4K is a HER2-regulated protein that modulates taxane sensitivity in breast and ovarian cancers.
- PRP4K expression levels may serve as a prognostic biomarker for improved survival in ovarian cancer patients undergoing taxane-based treatment.
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