Abstract
Background
Docetaxel is the most common chemotherapy regimen for several neoplasms, including advanced OSCC (Oral Squamous Cell Carcinoma). Unfortunately, chemoresistance leads to relapse and adverse disease outcomes.
Methods
We performed CRISPR-based kinome screening to identify potential players of Docetaxel resistance. Immunohistochemistry was performed to examine the expression profile of the target gene across tumour tissues. Global transcriptome analysis was performed to determine the molecular mechanism underlying Docetaxel resistance. NEK9 kinase assay was performed to identify a putative kinase inhibitor.
Results
Upon conducting CRISPR-based kinome screening, Never In Mitosis Gene-A Related Kinase-9 (NEK9) was identified as a major player of Docetaxel resistance in OSCC, prostate, and pancreatic cancer lines. NEK9 expression was found to be upregulated in chemotherapy non-responder OSCC patients as compared to responders. NEK9 ablation restores Docetaxel-induced cell death in chemoresistant cells. Mechanistically, we found that NEK9 deletion upregulates Transducin-like enhancer protein 3 (TLE3), which in turn represses Wnt signalling. Fostamatinib was identified as a potent NEK9 inhibitor that overcomes Docetaxel resistance.
Conclusions
Our study demonstrated that NEK9 plays an important role in Docetaxel resistance. The novel combination of NEK9 inhibitor Fostamatinib and Docetaxel needs further clinical investigation in advanced OSCC.
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Data availability
RNA sequencing of DU145 (a human prostate cancer cell line) NEK9 genetically knocked out cell line compared to its wildtype parental counterpart has been updated in Array Express, and the assigned ArrayExpress accession is “E-MTAB-14795”. All data are available in the main text or the supplementary materials. The URL to the deposited RNA sequencing dataset is provided below: https://www.ebi.ac.uk/fg/annotare/#list:completed.
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Acknowledgements
SAA is a UGC-SRF, SM is UGC-SRF, and PM is CSIR-SRF. We acknowledge the Institute of Life Sciences, Bhubaneswar, intramural support and DBT BT/ INF/22/SP28293/2018 (for imaging facility).
Funding
This work is funded by Anusandhan National Research Foundation (ANRF: CRG/2022/003427) and Indian Council of Medical Research (ICMR: 2021-10182/GENOMICS/ADHOC-BMS).
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Conceptualization: RD, SAA. Methodology: SAA, SM, PM, MS, RKS, SR. Investigation: RD, RR, DM, SKDM. Visualization: RD, SAA, SD. Supervision: RD. Writing-original draft: RD, SAA.
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The study was approved by the Institute Review Board and Human Ethics Committees (HEC) of the Institute of Life Sciences, Bhubaneswar (120/HEC/23) and All India Institute of Medical Sciences, Bhubaneswar (T/EMF/ Surg.Onco/19/03). All study participants provided written informed consent and agreed to participate in this study. Animal-related experiments were conducted as per the ARRIVE reporting guidelines 2.0 and in accordance with the protocol approved by the Institutional Animal Ethics Committee of Institute of Life Sciences, Bhubaneswar (ILS/IAEC-289-AH/ NOV-22). The Institutional Biosafety Committee (IBSC) approved all related experiments.
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Ansari, S.A., Mohanty, S., Mohapatra, P. et al. NEK9-mediated Wnt signalling repressor TLE3 rewires Docetaxel resistance in cancer cells by inducing pyroptosis. Br J Cancer 133, 1428–1440 (2025). https://doi.org/10.1038/s41416-025-03148-5
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DOI: https://doi.org/10.1038/s41416-025-03148-5


