1. Introduction
Ovarian cancer, recognized as the leading cause of death among gynaecological malignancies, is often referred to as the “silent killer” of women because of its high mortality rate and insidious onset [
1]. According to the 2020 GLOBOCAN report, there were 313,959 newly diagnosed ovarian cancer cases worldwide, ranking it the 7th most common malignancy among women, with 207,252 related deaths [
2]. Ovarian cancer severity is largely attributed to its lack of early symptoms and the absence of effective preventive and screening methods. These factors underscore the critical need for further research and timely intervention. Over the past two decades, advances in surgical techniques and the standardized use of taxane- and carboplatin-based chemotherapy, as well as maintenance therapies, have significantly improved patient outcomes. However, the 5-year survival rate for advanced-stage patients remains below 30%, and approximately 70% of patients experience relapse because of the development of chemotherapy resistance following initial treatment [
3]. This current situation highlights the need to understand the molecular mechanisms driving tumour progression and chemotherapy resistance to improve patient prognosis.
Kinesin superfamily proteins (KIFs) are a class of molecular motor proteins consisting of 45 known members and are divided into 14 subfamilies [
4]. Different members of the kinesin superfamily play diverse roles within cells, including functions in mitosis (i.e., cell division) and intracellular vesicle and organelle transport [
5]. KIFs perform various essential biological functions and are indispensable for cellular activities. Numerous studies have demonstrated that KIFs play crucial roles in the initiation and progression of various cancers, with alterations in their expression levels closely associated with the occurrence and development of several malignancies. Therefore, in-depth research on KIFs, particularly strategies targeting KIFs in combination with chemotherapy, may provide new therapeutic targets for cancer treatment [
6]; this is not only critical for advancing cancer therapy but also offers novel strategies and insights for clinical treatment. KIF26B, a member of the kinesin-11 family, is involved primarily in intracellular transport and has been shown to play a role in processes such as mitosis, migration, and cellular organization. While several KIF proteins have been linked to cancer progression, the role of KIF26B in ovarian cancer has been less extensively studied. Recent research has indicated that KIF26B is involved in regulating key pathways related to cell proliferation and survival. For instance, high KIF26B expression is directly associated with poor prognosis in colorectal and breast cancers [
7,
8]. Additionally, KIF26B has been linked to non-small cell lung cancer [
9], suggesting its potential involvement in tumorigenesis. KIF26B is involved in tumour development, an increased risk of metastasis, poor prognosis, and the development of drug resistance; however, its specific role in ovarian cancer, particularly in the context of chemotherapy resistance, remains unclear.
Given the urgent need to develop new therapeutic targets for ovarian cancer and associated ovarian cancer drug resistance, in this study, we systematically analysed KIF26B expression in ovarian cancer and its relationship with prognosis and drug resistance. Special emphasis was placed on determining the role of KIF26B in disease progression, chemotherapy resistance, and prognosis assessment in ovarian cancer. Unveiling the molecular functions of KIF26B may provide novel insights for developing targeted therapies, thereby improving treatment efficacy and reducing chemotherapy resistance in ovarian cancer patients. The overall workflow of this study is shown in
Figure 1.
2. Materials and Methods
2.1. Data Acquisition
Expression data of
KIF26B in ovarian cancer were obtained from Gene Expression Profling Interactive Analysis (GEPIA,
http://gepia.cancer-pku.cn, accessed on 9 February 2026), integrating The Cancer Genome Atlas (TCGA) normal and Genotype Tissue Expression (GTEx) data. Differential expression between ovarian cancer tissues (
n = 426) and normal ovarian tissues (
n = 88) was analyzed using log2(TPM + 1) values, with significance assessed by unpaired t-test (|log2FC| ≥ 1,
p < 0.01). The expression levels of
KIF26B in different clinical stages were evaluated through The University of Alabama at Birmingham CANcer data analysis Portal (UALCAN,
http://ualcan.path.uab.edu, accessed on 9 February 2026) based on TCGA ovarian cancer cohort, including 20 stage II, 243 stage III, and 38 stage IV tissues. Protein-level validation was performed using immunohistochemistry (IHC) data from the Human Protein Atlas (
https://www.proteinatlas.org/, accessed on 9 February 2026, antibodies HPA028478, HPA028561, HPA028562, and HPA027709), with staining categorized as not detected, low, medium, or high. Chemotherapy response data from 1347 ovarian cancer patients were analyzed using the ROC Plotter database (
https://rocplot.org/, accessed on 9 February 2026), with resistance defined as relapse within six months following treatment. The association between
KIF26B expression and chemotherapy resistance was assessed across different treatment regimens (any, taxane, or platinum) and further stratified by histology (serous), tumor grade (III), and stage (III).
2.2. Cell Culture
The human ovarian cancer cell line HeyA8 (H) was kindly provided by Professor Fengxia Xue from Tianjin Medical University [
10]. Paclitaxel-resistant ovarian cancer cell line HeyA8-R (H-R) was generated by stepwise increased concentrations of paclitaxel, with the concentration ranging from 2 nmol/L to 100 nmol/L, over 13 months. The H-R cells as described above were incubated with gradual increasing concentrations of paclitaxel for 24 h, and then cultured in paclitaxel-free medium until cells grew well. Thereafter, the cells were incubated with gradual increasing concentrations of paclitaxel for a further 24 h [
11]. Both H and H-R cells were cultured in RPMI-1640 medium (Wisent, Nanjing, China) supplemented with 10% foetal bovine serum at 37 °C and 5% CO
2. The resistance index (RI), defined as the ratio of the half-maximal inhibitory concentration (IC
50) value of paclitaxel in paclitaxel-resistant H-R cells to that in parental cells, was 5.42 ± 0.55.
2.3. Real-Time Quantitative Polymerase Chain Reaction
Total RNA was isolated from cultured cells using TRIzol reagent (Thermo Fisher Scientific, Waltham, MA, USA) and quantified with NanoDrop 2000 spectrophotometer. First-strand cDNA was synthesized using a PrimeScript™ RT reagent Kit with gDNA Eraser (Takara, Shiga, Japan, #RR047A). Real-time quantitative polymerase chain reaction (RT-qPCR) analysis was conducted using ChamQ Universal SYBR qPCR Master Mix (Vazyme, Nanjing, China, #P525). All the RT-qPCR assays were performed on an ABI Prism 7300 system (Applied Biosystems, Foster City, CA, USA). After the reactions were complete, the relative expression levels of the samples were calculated using the 2−∆∆Ct method, with GAPDH used as the internal reference. The primer sequences for KIF26B were 5′-CTGAACTCGGTAAATGGGAACC-3′ and 5′-GTAGTTTAGCCTGTTCAGCCAG-3′. The primer sequences for GAPDH were 5′-CAGCCTCAAGATCATCAGCAAT-3′ and 5′-AGTCCTTCCACGATACCAAAGT-3′.
2.4. Lentivirus Transfection
To create stable cell lines with KIF26B knockdown, lentiviral particles targeting the KIF26B gene provided by Cyagen (Santa Clara, CA, USA) were used. Target cells, including H and H-R cells, were seeded in 24-well plates and infected when the cell density reached approximately 50–70%. The lentiviral particles were added to the culture medium at a multiplicity of infection (MOI) of 80 to ensure efficient infection. After 12–16 h, the virus-containing medium was replaced with fresh complete medium, and the cells were cultured for an additional 48 h. The cells were subsequently selected with 1 µg/mL puromycin-containing medium for 1–2 weeks until the uninfected cells died and successfully infected cells proliferated. The stable cell populations were expanded, and the efficiency of KIF26B knockdown was confirmed via RT-qPCR and Western blotting; both the mRNA and protein levels were measured to ensure a significant reduction in KIF26B expression.
2.5. Western Blotting
Total protein was extracted from cells using RIPA buffer supplemented with protease and phosphatase inhibitors. Protein concentrations were determined via the BCA assay, and equal amounts of protein (20–50 µg) were separated by SDS-PAGE and transferred to PVDF membranes. After blocking with 5% nonfat milk in TBST, the membranes were incubated overnight at 4 °C with an anti-KIF26B antibody (1:750 dilution, Proteintech, Rosemont, IL, USA, #17422-1-AP). Following washes, the membranes were incubated with an HRP-conjugated secondary antibody (1:10,000) for 1 h at room temperature. Protein bands were visualized using enhanced chemiluminescence (ECL) reagents and detected with a gel imaging system. Semiquantitative analysis was performed with ImageJ 1.x software.
2.6. CCK-8 Assay
Cell growth curves were assessed with CCK-8 assays (APExBIO Technology LLC, Houston, TX, USA, # K1018). Stable KIF26B-knockdown and matched control cells from the H and paclitaxel-resistant H-R lines were seeded in 96-well plates. For growth curves, 200–400 cells/well were cultured and assessed at 24, 48, 72, 96, 120, and 144 h; 10 μL of CCK-8 was added to 100 μL of medium per well; the cells were incubated at 37 °C for 1–2 h. Absorbance at 450 nm was measured using a microplate reader, and growth curves were generated based on the relative optical density values.
2.7. CellTiter-Glo®Luminescent Cell Viability Assay
The viability of H-shKIF26B, H-Scramble, H-R-shKIF26B, and H-R-Scramble cells was quantified using the CellTiter-Glo® Luminescent Cell Viability Assay (Beyotime, Shanghai, China, #C0065S). Cells were seeded in white, opaque 96-well plates at 1200 cells/well and allowed to adhere for 16–18 h. Paclitaxel was then applied at 31, 16, 8, 4, 2 and 1 nmol/L (H-Scramble/H-shKIF26B cells) or 125, 63, 31, 16, 8, and 4 nmol/L (H-R-Scramble/H-R-shKIF26B cells) in triplicate, followed by incubation for 72 h. The cells were equilibrated to room temperature for 10 min, CellTiter-Glo® reagent was added in accordance with the instructions of the kit, the plates were gently shaken for 2 min, and luminescence was recorded after 10 min of stabilization in luminescence mode. Background signals from blank wells were subtracted, the viability was normalized to that of the vehicle control, dose–response curves were fit by nonlinear regression (variable-slope, four-parameter logistic), and the IC50 values were calculated and compared between the knockdown and control groups within each cell background.
2.8. Colony Formation Assay
Stable KIF26B-knockdown H and H-R cell lines (H-shKIF26B and H-R-shKIF26B cells) and their negative controls were seeded in 6 cm dishes (600 cells/dish) and allowed to adhere for 16–18 h. Paclitaxel was then applied at 2 or 4 nmol/L (H-Scramble/H-shKIF26B cells) and 16 or 32 nmol/L (H-R-Scramble/H-R-shKIF26B cells) in triplicate. The cultures were maintained for 9 days, and drug-containing medium was replaced every 2–3 days. Colonies were washed with DPBS, fixed with 4% paraformaldehyde (25 min, RT), stained with 0.1% crystal violet (30 min), rinsed, air-dried, and imaged by inverted microscopy. Colony formation was quantified using ImageJ, and the rates were compared across paclitaxel doses to evaluate the effect of KIF26B knockdown on drug resistance.
2.9. Microtubulin (α-Tubulin) Immunofluorescence Staining Assay
H and H-R KIF26B-knockdown cells (H-shKIF26B and H-R-shKIF26B cells) and control cells (H-Scramble and H-R-Scramble cells) were seeded on coverslips, grown to 50–70% confluence, and treated with paclitaxel for 72 h (n = 3). The cells were fixed (4% paraformaldehyde, 20 min, RT), washed with DPBS (3 × 5 min), permeabilized (0.1% Triton X-100/PBS, 30 min), and blocked (5% BSA/PBS, 1 h). The cells were incubated with a primary anti-α-tubulin antibody (1:300) overnight at 4 °C, followed by incubation with an Alexa Fluor 555–conjugated secondary antibody (1:500, 1 h, RT, protected from light). Nuclei were counterstained with DAPI, coverslips were mounted, and images were acquired using an epifluorescence microscope under identical settings. Red fluorescence intensity was quantified to assess microtubule polymerization.
2.10. Cell Cycle and Apoptosis Analysis
H-shKIF26B, H-Scramble, H-R-shKIF26B, and H-R-Scramble cells were seeded in 6 cm culture dishes and treated with various concentrations of paclitaxel for 72 h, with three replicates per group. Upon reaching 70–80% confluence, the cells were washed with DPBS, collected via trypsin digestion, and stained for cell cycle analysis with DNA staining and permeabilization solution (Lianke Biotechnology Co., Ltd., Hangzhou, China, #CCS012) or for apoptosis analysis with Annexin V-FITC/7-AAD (Lianke Biotechnology Co., Ltd., Hangzhou, China, #AP104). After a 30 min incubation in the dark, the cells were analysed by flow cytometry (Beckman Coulter, Inc., Brea, CA, USA). For cell cycle analysis, propidium iodide (PI) was used to assess distribution across the G0/G1, S, and G2/M phases. For apoptosis analysis, the cells were categorized as early apoptotic (Annexin V-FITC positive/7-AAD negative), late apoptotic (Annexin V-FITC positive/7-AAD positive), or dead cells (Annexin V-FITC negative/7-AAD positive) cells. A minimum of 10,000 events were analysed per sample. ModFit LT 4.x software was used to process the cell cycle data, and flow cytometry software was used to determine the apoptosis rates. The impact of KIF26B knockdown on paclitaxel resistance was assessed by comparing the cell cycle distribution and apoptosis rates between knockdown and control cells at different paclitaxel concentrations.
2.11. Molecular Docking Analysis
Protein-protein docking between KIF26B and SLC7A11 was carried out using the HDOCK server. The amino acid sequences of KIF26B and SLC7A11 were obtained from the UniProt database (
https://www.uniprot.org, accessed on 9 February 2026) and submitted to HDOCK (
http://hdock.phys.hust.edu.cn/, accessed on 9 February 2026) in FASTA format for sequence-based docking. All parameters were kept at their default settings. The top-ranked docking model was selected for subsequent analysis. Interfacial interactions were analyzed using LigPlot+ version 2.2.4 to identify hydrogen bonds, salt bridges, and hydrophobic contacts. In LigPlot+ analysis, KIF26B and SLC7A11 were assigned as chain A and chain B, respectively. Visualization of the docking conformation was performed using PyMol version 2.2.0. KIF26B was displayed using a cartoon representation colored in blue-purple, whereas SLC7A11 was shown in stick representation colored in cyan. Residues located at the predicted binding interface were highlighted accordingly. Docking scores were obtained from the HDOCK output files.
2.12. Correlation and Survival Analyses
KIF26B and
SLC7A11 mRNA expression in ovarian cancer was analysed using TCGA data (
n = 489). The expression values were standardized and log2 transformed. Pearson correlations were computed for the full cohort and for the chemotherapy-sensitive (
n = 197) and chemotherapy-resistant (
n = 90) subsets; two-sided
p < 0.05 was considered significant. Survival associations were evaluated in the Kaplan-Meier plotter (
https://kmplot.com/analysis/), accessed on 9 February 2026, ovarian cohort, which comprised a total of 1815 patients, with 1656 patients overall survival (OS) data, 1435 patients progression-free survival (PFS) data, and 782 patients post-progression survival (PPS) data. Patients were dichotomized into high vs. low expression using the platform’s autoselected cut-offs for KIF26B and SLC7A11. Combined prognostic effects were assessed by cross-classifying KIF26B and SLC7A11 expression into four groups (L + H, H + H, L + L, and H + L).
2.13. Statistical Analysis
During the data analysis phase, we used SPSS 26.0 and GraphPad Prism 9.5 for data analysis. For continuous data conforming to a normal distribution, we employed descriptive statistics in the form of the mean ± standard deviation. For comparisons between the means of two groups, the t test was applied, whereas for comparisons involving multiple groups, we opted for analysis of variance (ANOVA). Additionally, we set p < 0.05 as the significance level for significant differences, ensuring the reliability and validity of our research findings. This rigorous data analysis approach provides solid statistical support for the conclusions drawn in this study.
4. Discussion
Ovarian cancer holds a prominent position among malignancies of the female reproductive system and is among the most lethal cancers affecting women. Ovarian cancer treatment typically involves surgery, chemotherapy, and targeted therapies. However, owing to tumour heterogeneity and the development of resistance to treatment, many patients experience relapse after initial therapy. Understanding the molecular mechanisms underlying ovarian cancer is crucial for the development of more precise therapeutic strategies, which can help reduce recurrence rates and improve treatment outcomes. Furthermore, exploring new drug therapeutic targets is essential for enhancing treatment success and extending patient survival.
Kinesin family proteins (KIFs) are a group of motor proteins widely present in eukaryotes that play crucial roles in physiological processes such as embryonic development, axonal transport, and cell division. Specifically, KIFs are key players in processes such as spindle assembly, chromosome segregation, and cytokinesis. Since mitosis is a validated target for anticancer therapies, KIFs are considered promising therapeutic targets for cancer biotherapy [
12]. In recent years, increasing evidence has shown that kinesins play critical roles in the initiation and progression of various cancers. For instance, studies reported that the expression of KIF4A, a member of the kinesin-4 family, is upregulated by at least fivefold in most lung cancer patients and its overexpression is strongly associated with poor prognosis [
13]. Additionally, KIF11 and KIF14 are significantly associated with gastrointestinal cancers [
14]. Furthermore, other studies using mass spectrometry, immunoprecipitation, and pull-down assays have revealed that KIF11 interacts with the tumour necrosis factors TRAF4 and DR6, contributing to tumorigenesis in ovarian malignancies [
15],and Kaplan -Meier, Oncomine, and gene expression profile analyses further suggest that KIF11 overexpression is correlated with poor prognosis in epithelial ovarian cancer patients [
16]. Given the critical role of KIFs during mitosis, KIF family members have garnered considerable attention in the search for novel mitotic drug targets [
17]. Accumulating evidence has demonstrated that multiple KIFs are closely involved in the development of chemotherapy resistance in various cancers, specifically, KIFC3 and MCAK, have been implicated in the development of chemotherapy resistance [
18,
19]. Additionally, KIF20B and KIF4A, have also been shown to be involved in the regulation of tumor chemotherapy resistance [
20,
21]; inhibition of KIF20B can sensitize hepatocellular carcinoma cells to microtubule-targeting agents by blocking cytokinesis, while KIF4A participates in the formation of chemotherapy resistance in lung cancer by regulating the intracellular trafficking of lung resistance-related protein. KIF20A, another member of the kinesin family that is involved in vesicular transport and cell division [
22]; it is highly expressed in ovarian clear cell carcinoma [
23] and is closely associated with recurrence and platinum drug resistance [
24]. Collectively, these studies suggest that the KIF family not only maintains basic cellular life activities but also serves as important regulatory nodes in tumor drug resistance.
Among KIF family members, KIF26B has been linked to the occurrence and progression of multiple cancers, including breast cancer [
25], colorectal cancer [
26], hepatocellular carcinoma [
27], NSCLC [
9], and gastric cancer [
28]. In these human cancers, upregulated KIF26B expression is consistently associated with malignant clinical-pathological features, such as increased tumour size, high tumour grade, lymph node metastasis, and distant metastasis, all of which contribute to poor prognosis [
8,
26,
28]. However, the expression profile, prognostic value, and functional role of KIF26B in ovarian cancer remain unclear. On the basis of these findings, in this study, a systematic analysis of the relationship between KIF26B and ovarian cancer was conducted using bioinformatics through open-access databases. The results revealed that both KIF26B mRNA and protein expression levels were significantly elevated in ovarian cancer. Further analysis demonstrated that KIF26B expression is significantly upregulated in platinum and taxane-resistant ovarian cancer tissues, indicating that high KIF26B expression in resistant tissues can serve as an effective predictor of chemotherapy resistance to platinum and taxane. Consistent with these bioinformatics findings, we verified that KIF26B expression was significantly increased in paclitaxel-resistant H-R ovarian cancer cells compared with parental H cells. This phenomenon suggests that the high expression of KIF26B may be closely associated with paclitaxel resistance in ovarian cancer cells. To validate this hypothesis, we transfected ovarian cancer cells H and paclitaxel-resistant H-R cells with lentivirus-mediated KIF26B shRNA to interfere with KIF26B expression. Functional experiments demonstrated that downregulation of KIF26B significantly inhibited the proliferation and colony formation ability in both ovarian cancer cells H and paclitaxel-resistant H-R cells. Meanwhile, KIF26B knockdown was confirmed to promote microtubule polymerization, thereby inducing cell cycle arrest, promoting apoptosis, and ultimately reducing the resistance of ovarian cancer cells H and paclitaxel-resistant H-R cells to paclitaxel. The above experimental data not only verified the initially proposed hypothesis but also were consistent with relevant research findings: previous studies have shown that KIF26B can promote malignant tumor progression in gastric cancer and medulloblastoma by activating different signaling pathways, respectively [
28,
29]. Furthermore, previous studies have confirmed that long non-coding RNA AC105118.1 can promote oxaliplatin resistance in colorectal cancer cells by regulating the miR-378a-3p/KIF26B axis [
30]. This study directly focuses on KIF26B-mediated regulation of tumor drug resistance, which provides theoretical support for the reliability of KIF26B as a therapeutic target related to tumor drug resistance and indirectly validates the findings of this study regarding the role of KIF26B in ovarian cancer paclitaxel resistance.
We further explored the molecular mechanism by which KIF26B regulates paclitaxel resistance in ovarian cancer. Previous studies have shown that in malignant tumors such as gastric cancer and liver cancer, KIF26B can promote tumor cell proliferation and metastasis by activating the PIK3CA/AKT gene and its related pathway [
27,
28,
29]. Meanwhile, PIK3CA can regulate tumor cell nutrient uptake by inhibiting SLC7A11 expression, suggesting a potential negative regulatory relationship between KIF26B and SLC7A11 in tumor tissues [
31]. As a key amino acid transporter, SLC7A11 is involved in glutamine uptake and intracellular glutathione synthesis, which can enhance cellular antioxidant capacity and protect tumor cells from oxidative stress damage induced by chemotherapeutic drugs [
32]. Therefore, we conducted a correlation analysis of KIF26B and SLC7A11 expression. The results revealed no correlation between the two genes in sensitive tissues but a potential negative correlation in drug-resistant tissues. Further combined prognostic analysis demonstrated that the coexpression levels of KIF26B and SLC7A11 are closely related to patient prognosis of ovarian cancer. Specifically, patients with high KIF26B expression and low SLC7A11 expression had significantly poorer survival rates. These findings indicate that KIF26B and SLC7A11 may jointly contribute to ovarian cancer progression and drug resistance regulation, thereby affecting patient outcomes. Similarly, SLC7A11 plays a critical role in the oxidative stress response and survival of tumor cells, and its expression level has been confirmed to be associated with poor prognosis in several cancers [
33,
34], as well as with poor prognosis and paclitaxel resistance in ovarian cancer [
11,
35]. To further clarify the regulatory association between KIF26B and SLC7A11 in paclitaxel resistance of ovarian cancer, we conducted functional analyses, and the results further implicated SLC7A11 in the KIF26B-mediated cellular response to paclitaxel in ovarian cancer cells. The results of molecular docking experiments showed that the top docking score of the KIF26B and SLC7A11 docking model was −6904.19, suggesting a favorable predicted direct interaction between the two. Collectively, these results provide structural support for a potential direct association between KIF26B and SLC7A11. Nonetheless, on the basis of our findings, further exploration is needed to elucidate the specific roles of KIF26B and SLC7A11 in ovarian cancer.
Taken together, our work has significant clinical implications, as paclitaxel is among the frontline drugs for ovarian cancer and paclitaxel resistance is a major challenge in treatment efficacy. KIF26B knockdown may not only restore paclitaxel efficacy but also offer a new therapeutic target for patients with drug-resistant ovarian cancer. However, this study has certain limitations. While this study provides preliminary evidence for the interaction between KIF26B and SLC7A11 in paclitaxel resistance, the specific molecular mechanisms underlying this interaction remain unclear and require further investigation. In particular, targeted experimental validation should be performed to verify the potential physical association KIF26B and SLC7A11 proteins, which is essential for corroborating the interaction tendency predicted by bioinformatic docking analysis. Future studies should focus on validating these findings in vivo, exploring the roles of KIF26B and SLC7A11 in the tumour microenvironment, and investigating their potential involvement in resistance to other chemotherapeutic agents. Additionally, clinical sample validation of KIF26B and SLC7A11 regulation is needed to confirm and expand upon our findings. Furthermore, incorporating more clinical data will help clarify the role of KIF26B and SLC7A11 in paclitaxel resistance, advancing the development of personalized treatment strategies for ovarian cancer.