Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

Advertisement

Scientific Reports
  • View all journals
  • Search
  • My Account Login
  • Content Explore content
  • About the journal
  • Publish with us
  • Sign up for alerts
  • RSS feed
  1. nature
  2. scientific reports
  3. articles
  4. article
Absence of synergistic effects by CDK12/13 inhibition in combination with cisplatin or olaparib in ovarian cancer cells
Download PDF
Download PDF
  • Article
  • Open access
  • Published: 01 April 2026

Absence of synergistic effects by CDK12/13 inhibition in combination with cisplatin or olaparib in ovarian cancer cells

  • Frédéric R. Santer1,2 na1,
  • Lea Hovdar1 na1,
  • Florian Handle3 na1,
  • Irina Tsibulak1,
  • Verena Wieser1,
  • Michael J. Ausserlechner4,
  • Walther Parson5,6,
  • Simon Schnaiter7,
  • Alain G. Zeimet1 na1,
  • Christian Marth1 na1 &
  • …
  • Heidelinde Fiegl1 na1 

Scientific Reports , Article number:  (2026) Cite this article

  • 210 Accesses

  • Metrics details

We are providing an unedited version of this manuscript to give early access to its findings. Before final publication, the manuscript will undergo further editing. Please note there may be errors present which affect the content, and all legal disclaimers apply.

Subjects

  • Cancer
  • Drug discovery
  • Molecular biology
  • Oncology

Abstract

The identification of novel molecular drivers and the development of new state-of-the-art therapies are critical challenges in ovarian cancer (OC) treatment. Cyclin-dependent kinase 12 (CDK12) is a promising target, as it’s functional activity promotes genomic stability. Here, we examined the anticancer efficacy of the dual CDK12/13-inhibitor SR-4835 in platinum-sensitive and -resistant OC cell lines, as well as its potential as a drug partner for platinum or olaparib combination therapy. SR-4835 exhibited potent anti-proliferative effects on most OC cell lines with IC50 values within the nanomolar range. A tendency for increased sensitivity of the cisplatin-resistant compared to their sensitive, parental cell lines was observed. Transcriptome analyses indicated gross changes in gene expression in numerous signaling pathways by SR-4835. Gene downregulation was in part due to alternative exon usage, which correlated with the number of intronic polyadenylation sites per gene and gene length. Furthermore, SR-4835 lead to the downregulation of key homologous recombination pathway genes rendering a BRCAness phenotype. However, the combination of SR-4835 with cisplatin or olaparib primarily exhibited an additive, not synergistic, effect. In summary, the present findings indicate that CDK12/13 inhibitor SR-4835 has potent anti-cancer effects accompanied by a BRCAness induction, but fails to achieve synergistic effects with cisplatin or olaparib in OC cells.

Similar content being viewed by others

TTK inhibition increases cisplatin sensitivity in high-grade serous ovarian carcinoma through the mTOR/autophagy pathway

Article Open access 07 December 2021

ARL6IP5 reduces cisplatin-resistance by suppressing DNA repair and promoting apoptosis pathways in ovarian carcinoma

Article Open access 15 March 2022

Cell-intrinsic platinum response and associated genetic and gene expression signatures in ovarian cancer

Article Open access 19 July 2025

Data availability

The data supporting the findings of this study are provided in the Supplementary Information of this article or are available from the corresponding author upon request. The datasets generated and/or analysed during the current study are available in the ArrayExpress repository under accession number E-MTAB-15987 (https://www.ebi.ac.uk/biostudies/ArrayExpress/studies/E-MTAB-15987). Raw sequencing reads (FASTQ) can be retrieved from the European Nucleotide Archive under accession number PRJEB93935 (https://www.ebi.ac.uk/ena/browser/view/PRJEB93935).

Abbreviations

CDK:

Cyclin-dependent kinase

DDR:

DNA damage response

HRD:

Homologous recombination repair deficiency

MTT:

3-(4,5-Dimethyl-2-thiazolyl)-2,5-diphenyl-2H-tetrazolium bromide

OC:

Ovarian cancer

PARP:

Poly (ADP-ribose) polymerase

PARPi:

PARP inhibitors

poly(A):

Polyadenylation

qPCR:

QuantitaTive real-time PCR

References

  1. Sung, H. et al. Global Cancer Statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA. Cancer J. Clin. 71, 209–249 (2021).

    Google Scholar 

  2. Karam, A. et al. Fifth Ovarian Cancer Consensus Conference of the Gynecologic Cancer InterGroup: First-line interventions. Ann. Oncol. 28, 711–717 (2017).

    Google Scholar 

  3. Vergote, I. et al. Treatment algorithm in patients with ovarian cancer. Facts Views Vis. Obgyn. 12, 227–239 (2020).

    Google Scholar 

  4. Moore, K. et al. Maintenance Olaparib in patients with newly diagnosed advanced ovarian cancer. N. Engl. J. Med. 379, 2495–2505 (2018).

    Google Scholar 

  5. González-Martín, A. et al. Niraparib in patients with newly diagnosed advanced ovarian cancer. N. Engl. J. Med. 381, 2391–2402 (2019).

    Google Scholar 

  6. Friedlander, M. et al. Clinical trials in recurrent ovarian cancer. Int. J. Gynecol. Cancer 21, 771–775 (2011).

    Google Scholar 

  7. Miller, R. E., El-Shakankery, K. H. & Lee, J.-Y. PARP inhibitors in ovarian cancer: Overcoming resistance with combination strategies. J. Gynecol. Oncol. 33, e44 (2022).

    Google Scholar 

  8. Greenleaf, A. L. Human CDK12 and CDK13, multi-tasking CTD kinases for the new millennium. Transcription 10, 91–110 (2019).

    Google Scholar 

  9. Sokol, E. S. et al. Pan-cancer analysis of CDK12 loss-of-function alterations and their association with the focal tandem-duplicator phenotype. Oncologist 24, 1526–1533 (2019).

    Google Scholar 

  10. Popova, T. et al. Ovarian cancers harboring inactivating mutations in CDK12 display a distinct genomic instability pattern characterized by large tandem duplications. Cancer Res. 76, 1882–1891 (2016).

    Google Scholar 

  11. Bajrami, I. et al. Genome-wide profiling of genetic synthetic lethality identifies CDK12 as a novel determinant of PARP1/2 inhibitor sensitivity. Cancer Res. 74, 287–297 (2014).

    Google Scholar 

  12. Blazek, D. The cyclin K/Cdk12 complex: An emerging new player in the maintenance of genome stability. Cell Cycle 11, 1049–1050 (2012).

    Google Scholar 

  13. Blazek, D. et al. The cyclin K/Cdk12 complex maintains genomic stability via regulation of expression of DNA damage response genes. Genes Dev. 25, 2158–2172 (2011).

    Google Scholar 

  14. Joshi, P. M., Sutor, S. L., Huntoon, C. J. & Karnitz, L. M. Ovarian cancer-associated mutations disable catalytic activity of CDK12, a kinase that promotes homologous recombination repair and resistance to cisplatin and poly(ADP-ribose) polymerase inhibitors. J. Biol. Chem. 289, 9247–9253 (2014).

    Google Scholar 

  15. Ekumi, K. M. et al. Ovarian carcinoma CDK12 mutations misregulate expression of DNA repair genes via deficient formation and function of the Cdk12/CycK complex. Nucleic Acids Res. 43, 2575–2589 (2015).

    Google Scholar 

  16. Krajewska, M. et al. CDK12 loss in cancer cells affects DNA damage response genes through premature cleavage and polyadenylation. Nat. Commun. 10, 1757 (2019).

    Google Scholar 

  17. Dubbury, S. J., Boutz, P. L. & Sharp, P. A. CDK12 regulates DNA repair genes by suppressing intronic polyadenylation. Nature 564, 141–145 (2018).

    Google Scholar 

  18. Quereda, V. et al. Therapeutic targeting of CDK12/CDK13 in triple-negative breast cancer. Cancer Cell 36, 545-558.e7 (2019).

    Google Scholar 

  19. Johnson, S. F. et al. CDK12 inhibition reverses de novo and acquired PARP inhibitor resistance in BRCA wild-type and mutated models of triple-negative breast cancer. Cell Rep. 17, 2367–2381 (2016).

    Google Scholar 

  20. Wang, C. et al. CDK12 inhibition mediates DNA damage and is synergistic with sorafenib treatment in hepatocellular carcinoma. Gut 69, 727–736 (2020).

    Google Scholar 

  21. Iniguez, A. B. et al. EWS/FLI confers tumor cell synthetic lethality to CDK12 inhibition in Ewing sarcoma. Cancer Cell 33, 202-216.e6 (2018).

    Google Scholar 

  22. Cheng, L. et al. Dual inhibition of CDK12/CDK13 targets both tumor and immune cells in ovarian cancer. Cancer Res. 82, 3588–3602 (2022).

    Google Scholar 

  23. Houles, T. et al. The CDK12 inhibitor SR-4835 functions as a molecular glue that promotes cyclin K degradation in melanoma. Cell Death Discov. 9, 459 (2023).

    Google Scholar 

  24. Rajan, N. et al. Differential activity of specific inhibitors of transcription regulating cyclin-dependent kinases in thyroid cancer cells. Endocr Relat Cancer https://doi.org/10.1530/ERC-24-0124 (2025).

    Google Scholar 

  25. CDK12 DepMap Gene Summary. https://depmap.org/portal/gene/CDK12?tab=characterization&characterization=expression.

  26. Arafeh, R., Shibue, T., Dempster, J. M., Hahn, W. C. & Vazquez, F. The present and future of the Cancer Dependency Map. Nat Rev Cancer 25, 59–73 (2025).

    Google Scholar 

  27. Bliss, C. I. The toxicity of poisons applied jointly. Ann. Appl. Biol. 26, 585–615 (1939).

    Google Scholar 

  28. Davies, M., Boyce, M. & Conway, E. Short circuit: Transcription factor addiction as a growing vulnerability in cancer. Curr. Opin. Struct. Biol. 89, 102948 (2024).

    Google Scholar 

  29. Santos-Pereira, J. M., Carnero, A. & Muñoz-Galván, S. Integrative multi-omic analysis reveals a PAX8-driven gene network linking tumor stemness to therapy response in ovarian cancer. NAR Genom. Bioinform. 7, lqaf113 (2025).

    Google Scholar 

  30. Cesari, E. et al. Dual inhibition of CDK12 and CDK13 uncovers actionable vulnerabilities in patient-derived ovarian cancer organoids. J. Exp. Clin. Cancer Res. 42, 126 (2023).

    Google Scholar 

  31. Kaufman, B. et al. Olaparib monotherapy in patients with advanced cancer and a germline BRCA1/2 mutation. J. Clin. Oncol. 33, 244–250 (2015).

    Google Scholar 

  32. Dieter, S. M. et al. Degradation of CCNK/CDK12 is a druggable vulnerability of colorectal cancer. Cell Rep. 36, 109394 (2021).

    Google Scholar 

  33. Parson, W. et al. Cancer cell line identification by short tandem repeat profiling: Power and limitations. FASEB J. 19, 434–436 (2005).

    Google Scholar 

  34. Fiegl, H. et al. Dubious effects of methadone as an ‘anticancer’ drug on ovarian cancer cell-lines and patient-derived tumor-spheroids. Gynecol. Oncol. 165, 129–136 (2022).

    Google Scholar 

  35. Di Veroli, G. Y. et al. Combenefit: An interactive platform for the analysis and visualization of drug combinations. Bioinformatics 32, 2866–2868 (2016).

    Google Scholar 

  36. Malyutina, A. et al. Drug combination sensitivity scoring facilitates the discovery of synergistic and efficacious drug combinations in cancer. PLoS Comput. Biol. 15, e1006752 (2019).

    Google Scholar 

  37. Nicoletti, I., Migliorati, G., Pagliacci, M. C., Grignani, F. & Riccardi, C. A rapid and simple method for measuring thymocyte apoptosis by propidium iodide staining and flow cytometry. J. Immunol. Methods 139, 271–279 (1991).

    Google Scholar 

Download references

Acknowledgements

We thank Kathrin Ausserlechner, Brigitte Greiderer-Kleinlercher, Petra Hechenberger, Stefanie Rainer, Sarah Ritscher, Martin Fleisch and the team of the High Throughput DNA Database Laboratory, Institute of Legal Medicine, Medical University of Innsbruck for their excellent technical assistance and Kaisa Huhtinen, Olli Carpén and Robert Zeillinger for providing cell lines.

Funding

This work was supported by the Verein zur Krebsforschung in der Frauenheilkunde.

Author information

Author notes
  1. Frédéric R. Santer, Lea Hovdar, Florian Handle, Alain G. Zeimet, Christian Marth and Heidelinde Fiegl have contributed equally to this work.

Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Medical University of Innsbruck, Anichstr. 35, 6020, Innsbruck, Austria

    Frédéric R. Santer, Lea Hovdar, Irina Tsibulak, Verena Wieser, Alain G. Zeimet, Christian Marth & Heidelinde Fiegl

  2. Department of Urology, Division of Experimental Urology, Medical University of Innsbruck, Innsbruck, Austria

    Frédéric R. Santer

  3. Department of Pathology, Neuropathology and Molecular Pathology, Medical University of Innsbruck, Innsbruck, Austria

    Florian Handle

  4. Department of Pediatrics I, Medical University Innsbruck, Innsbruck, Austria

    Michael J. Ausserlechner

  5. Institute of Legal Medicine, Medical University of Innsbruck, Innsbruck, Austria

    Walther Parson

  6. Forensic Science Program, The Pennsylvania State University, University Park, PA, USA

    Walther Parson

  7. Institute of Human Genetics, Medical University of Innsbruck, Innsbruck, Austria

    Simon Schnaiter

Authors
  1. Frédéric R. Santer
    View author publications

    Search author on:PubMed Google Scholar

  2. Lea Hovdar
    View author publications

    Search author on:PubMed Google Scholar

  3. Florian Handle
    View author publications

    Search author on:PubMed Google Scholar

  4. Irina Tsibulak
    View author publications

    Search author on:PubMed Google Scholar

  5. Verena Wieser
    View author publications

    Search author on:PubMed Google Scholar

  6. Michael J. Ausserlechner
    View author publications

    Search author on:PubMed Google Scholar

  7. Walther Parson
    View author publications

    Search author on:PubMed Google Scholar

  8. Simon Schnaiter
    View author publications

    Search author on:PubMed Google Scholar

  9. Alain G. Zeimet
    View author publications

    Search author on:PubMed Google Scholar

  10. Christian Marth
    View author publications

    Search author on:PubMed Google Scholar

  11. Heidelinde Fiegl
    View author publications

    Search author on:PubMed Google Scholar

Contributions

H.F. and C.M. developed the concept and designed the study. L.H., F.H., F.S., I.T., V.W., M.J.A., W.P, S.S., A.G.Z., C.M., and H.F. were involved in the data acquisition and quality control of the data and algorithms. L.H., F.H., F.S., I.T., V.W., M.J.A., W.P, A.G.Z., C.M., and H.F. analyzed and interpreted the data. L.H., F.H., F.S and H.F. performed statistical analyses and prepared the manuscript. L.H., F.H., F.S., I.T., V.W., M.J.A., W.P, S.S., A.G.Z., C.M., and H.F. edited the manuscript and reviewed the final version.

Corresponding authors

Correspondence to Alain G. Zeimet, Christian Marth or Heidelinde Fiegl.

Ethics declarations

Competing interests

The authors declare no competing interests.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary Information

Below is the link to the electronic supplementary material.

Supplementary Material 1 (download XLSX )

Supplementary Material 2 (download XLSX )

Supplementary Material 3 (download XLSX )

Supplementary Material 4 (download XLSX )

Supplementary Material 5 (download XLSX )

Supplementary Material 6 (download PDF )

Rights and permissions

Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Santer, F.R., Hovdar, L., Handle, F. et al. Absence of synergistic effects by CDK12/13 inhibition in combination with cisplatin or olaparib in ovarian cancer cells. Sci Rep (2026). https://doi.org/10.1038/s41598-026-46634-3

Download citation

  • Received: 22 October 2025

  • Accepted: 26 March 2026

  • Published: 01 April 2026

  • DOI: https://doi.org/10.1038/s41598-026-46634-3

Share this article

Anyone you share the following link with will be able to read this content:

Sorry, a shareable link is not currently available for this article.

Provided by the Springer Nature SharedIt content-sharing initiative

Keywords

  • CDK12/13 inhibitor
  • SR-4835
  • Ovarian cancer
  • Platinum resistance
  • PARP inhibitor
  • Synergism
Download PDF

Advertisement

Explore content

  • Research articles
  • News & Comment
  • Collections
  • Subjects
  • Follow us on Facebook
  • Follow us on X
  • Sign up for alerts
  • RSS feed

About the journal

  • About Scientific Reports
  • Contact
  • Journal policies
  • Guide to referees
  • Calls for Papers
  • Editor's Choice
  • Journal highlights
  • Open Access Fees and Funding

Publish with us

  • For authors
  • Language editing services
  • Open access funding
  • Submit manuscript

Search

Advanced search

Quick links

  • Explore articles by subject
  • Find a job
  • Guide to authors
  • Editorial policies

Scientific Reports (Sci Rep)

ISSN 2045-2322 (online)

nature.com footer links

About Nature Portfolio

  • About us
  • Press releases
  • Press office
  • Contact us

Discover content

  • Journals A-Z
  • Articles by subject
  • protocols.io
  • Nature Index

Publishing policies

  • Nature portfolio policies
  • Open access

Author & Researcher services

  • Reprints & permissions
  • Research data
  • Language editing
  • Scientific editing
  • Nature Masterclasses
  • Research Solutions

Libraries & institutions

  • Librarian service & tools
  • Librarian portal
  • Open research
  • Recommend to library

Advertising & partnerships

  • Advertising
  • Partnerships & Services
  • Media kits
  • Branded content

Professional development

  • Nature Awards
  • Nature Careers
  • Nature Conferences

Regional websites

  • Nature Africa
  • Nature China
  • Nature India
  • Nature Japan
  • Nature Middle East
  • Privacy Policy
  • Use of cookies
  • Legal notice
  • Accessibility statement
  • Terms & Conditions
  • Your US state privacy rights
Springer Nature

© 2026 Springer Nature Limited

Nature Briefing: Cancer

Sign up for the Nature Briefing: Cancer newsletter — what matters in cancer research, free to your inbox weekly.

Get what matters in cancer research, free to your inbox weekly. Sign up for Nature Briefing: Cancer