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Updated: Jun 18, 2025

A Syngeneic Orthotopic Osteosarcoma Sprague Dawley Rat Model with Amputation to Control Metastasis Rate
Published on: May 3, 2021
CDK12 is a promising therapeutic target for the transcription cycle and DNA damage response in metastatic
Zihao Li1, Xiaoyang Li2, Nicole A Seebacher3,4
1Department of Etiology and Carcinogenesis, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 10021China.
Abstract:
Osteosarcoma (OS) is a bone malignant tumor affecting children, adolescents, and young adults. Currently, osteosarcoma is treated with chemotherapy regimens established over 40 years ago. The investigation of novel therapeutic strategies for the treatment of osteosarcoma remains an important clinical need. Cyclin-dependent kinases (CDKs) have been considered promising molecular targets in cancer therapy. Among these, CDK12 has been shown to play a crucial role in the pathogenesis of malignancies, but its clinical significance and biological mechanisms in osteosarcoma remain unclear. In the present study, we aim to determine the expression and function of CDK12 and evaluate its prognostic and therapeutic value in metastatic osteosarcoma. We found that overexpression of CDK12 was associated with high tumor grade, tumor progression and reduced patient survival. The underlying mechanism revealed that knockdown of CDK12 expression with small interfering RNA or functional inhibition with the CDK12-targeting agent THZ531 effectively exhibited time- and dose-dependent cytotoxicity. Downregulation of CDK12 paused transcription by reducing RNAP II phosphorylation, interfered with DNA damage repair with increased γH2AX, and decreased cell proliferation through the PI3K-AKT pathway. This was accompanied by the promotion of apoptosis, as evidenced by enhanced Bax expression and reduced Bcl-xL expression. Furthermore, the CDK12 selective inhibitor THZ531 also hindered ex vivo 3D spheroid formation, growth of in vitro 2D cell colony, and prevented cell mobility. Our findings highlight the clinical importance of CDK12 as a potentially valuable prognostic biomarker and therapeutic target in metastatic osteosarcoma.
Insights
Overexpression of cyclin-dependent kinase 12 (CDK12) is linked to poorer outcomes in osteosarcoma. Inhibiting CDK12 shows promise as a new therapeutic strategy for this bone cancer.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Genetics
Background:
- Osteosarcoma (OS) is a prevalent bone cancer in young individuals, with current treatments largely unchanged for decades.
- Novel therapeutic targets are urgently needed for osteosarcoma, and cyclin-dependent kinases (CDKs) are promising candidates.
- The specific role and therapeutic potential of CDK12 in osteosarcoma pathogenesis are not well understood.
Purpose of the Study:
- To investigate the expression, function, and prognostic significance of CDK12 in metastatic osteosarcoma.
- To evaluate CDK12 as a potential therapeutic target for osteosarcoma treatment.
Main Methods:
- Analysis of CDK12 expression in relation to tumor grade, progression, and patient survival.
- Experimental manipulation of CDK12 levels using small interfering RNA (siRNA) and inhibition with the CDK12-targeting agent THZ531.
- Assessment of cellular processes including transcription, DNA damage repair, cell proliferation, apoptosis, and cell mobility.
Main Results:
- Elevated CDK12 expression correlated with higher tumor grade, advanced progression, and reduced patient survival.
- CDK12 knockdown or inhibition via THZ531 induced significant, dose- and time-dependent cytotoxicity.
- CDK12 downregulation disrupted transcription (RNAP II phosphorylation), impaired DNA damage repair (increased γH2AX), and inhibited cell proliferation (PI3K-AKT pathway).
- Apoptosis was promoted, indicated by altered Bax and Bcl-xL expression.
- THZ531 treatment inhibited 3D spheroid formation, 2D colony growth, and cell migration.
Conclusions:
- CDK12 is clinically significant in metastatic osteosarcoma, serving as a potential prognostic biomarker.
- Targeting CDK12 with agents like THZ531 represents a promising therapeutic strategy for osteosarcoma.
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