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Updated: Dec 18, 2025

Gene Regulation and Targeted Therapy in Gastric Cancer Peritoneal Metastasis: Radiological Findings from Dual Energy CT and PET/CT
Published on: January 22, 2018
Low expression of CDK12 in gastric cancer is correlated with advanced stage and poor outcome
Meijia Liu1, Haonan Fan1, Tianfu Li2
1Laboratory of General Surgery, The First Affiliated Hospital, Sun Yat-Sen University, No.58 of Zhongshan 2nd Road, Yuexiu District, Guangzhou 510080, China.
Background:
Cyclin-dependent kinase 12 (CDK12) belongs to the cyclin-dependent kinase (CDK) family, modulating multiple cellular functions including DNA damage response (DDR), development and cellular differentiation, transcription, mRNA processing, splicing and pre-mRNA processing. CDK12 has been reported as both tumor suppressor and oncogene in various kinds of tumor. The function of CDK12 in gastric cancer (GC) remains unclear.
Methods/Results:
CDK12 mRNA expression was decreased in GC compared with non-tumor tissue based on GEO database. Also, low mRNA expression of CDK12 was detected in GC cell lines by qPCR. Similarly, CDK12 protein expression was also reduced in GC tissues compared with adjacent non-tumor tissues in 177 GC patients as shown by immunohistochemistry. Low expression of CDK12 was associated with organ metastasis, poorly differentiated adenocarcinoma and advanced stage. Consistent with human protein atlas database analysis, Low expression of CDK12 was correlated with worse overall survival (P < 0.001). Multivariate Cox regression indicated that low expression of CDK12 was an independent prognostic factor for GC patients (P < 0.001). Finally, a gene set enrichment analysis was performed to detect underlying internal mechanisms and biological processes.
Conclusions:
CDK12 is down-regulated in GC and its expression is negatively correlated with advanced stage, poorly differentiated adenocarcinoma and poor outcomes. Our findings suggest that CDK12 may be a potential tumor suppressor in GC.
Insights
Cyclin-dependent kinase 12 (CDK12) is decreased in gastric cancer (GC) and linked to worse survival. These findings suggest CDK12 acts as a tumor suppressor in GC, offering potential therapeutic targets.
Area of Science:
- Molecular Biology
- Oncology
- Genetics
Background:
- Cyclin-dependent kinase 12 (CDK12) is a key regulator of transcription and DNA damage response.
- CDK12's role in gastric cancer (GC) is not well understood, with conflicting reports in other cancers.
- CDK12 has been implicated as both a tumor suppressor and oncogene.
Purpose of the Study:
- To investigate the expression and prognostic significance of CDK12 in gastric cancer.
- To determine the correlation between CDK12 expression and clinicopathological features of GC.
- To explore the potential role of CDK12 as a tumor suppressor in GC.
Main Methods:
- Analysis of CDK12 mRNA expression using GEO database and qPCR in GC cell lines.
- Assessment of CDK12 protein expression via immunohistochemistry in 177 GC patient tissues.
- Statistical analysis including correlation with clinicopathological features and survival, and multivariate Cox regression.
Main Results:
- CDK12 mRNA and protein expression were significantly decreased in GC tissues compared to non-tumor tissues.
- Low CDK12 expression correlated with organ metastasis, poorly differentiated adenocarcinoma, and advanced stage.
- Low CDK12 expression was an independent prognostic factor for worse overall survival in GC patients.
Conclusions:
- CDK12 is frequently down-regulated in gastric cancer.
- Reduced CDK12 expression is associated with aggressive clinicopathological features and poor prognosis.
- CDK12 may function as a tumor suppressor in gastric cancer, representing a potential therapeutic target.
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