1. Introduction
Tumor initiation and progression remain central, yet challenging frontiers in cancer research. Elucidating the key proteins that drive these processes will accelerate drug discovery and spur therapeutic innovation. Pancreatic cancer, a highly refractory malignancy, is marked by a grim 5-year survival rate below 10%, with curatively resected patients seldom exceeding a 20% long-term survival threshold [
1,
2]. Projections indicate it will become the second-leading cause of cancer-related death worldwide by 2030 [
3], owing to poor early detection, the predominance of late-stage presentation, and the limited eligibility for curative surgery [
4]. Its intrinsic aggressiveness leads to frequent recurrence and poor outcomes even after treatment, with median survival after surgical resection of only 12–25 months [
5]. These observations underscore the limitations of current interventions and the urgent need for new therapies. Defining the mechanisms that drive pancreatic cancer initiation and progression—and leveraging these insights to refine treatment—is therefore imperative.
WD repeat and HMG-box DNA-binding protein 1 (WDHD1) is a DNA-binding protein characterized by a tripartite structure: an N-terminus with WD40 repeats for protein-peptide interactions, a central SepB domain, and a C-terminal high-mobility group (HMG) box domain [
6]. WD40 repeats mediate diverse cellular processes, including signaling pathway regulation, chromatin remodeling, and the DNA damage response, by providing extensive protein–protein interaction surfaces [
7]. WDHD1, an integral component of the DNA replication machinery, maintains replication-fork stability and fidelity, thereby ensuring efficient and accurate genome duplication. It also functions in the DNA damage response, where it is recruited to DNA lesions and helps orchestrate cellular responses to replication stress [
8]. Furthermore, by promoting Claspin accumulation at stalled replication forks, WDHD1 enables efficient CDK1 activation—a key step in preserving replication-fork integrity [
9].
Studies indicate that WDHD1 is overexpressed and exhibits oncogenic functions in breast cancer [
10], non-small-cell lung cancer [
11], and esophageal squamous cell carcinoma [
12]. However, its expression, function, and specific mechanisms of action in pancreatic cancer have not yet been explored. This study investigated WDHD1’s role and regulatory mechanisms in pancreatic cancer development and progression, offering experimental support for the potential clinical use of WDHD1 inhibitors.
2. Materials and Methods
2.1. Cell Culture
We obtained the pancreatic cancer cell lines PANC-1, CFPAC-1, and 293T from the Shanghai Institute of Cell Biology, Chinese Academy of Sciences. The hTERT-HPNE, MIA-PaCa-2, AsPC-1, and BxPC3 cell lines were obtained from the BNCC cell repository and authenticated by short tandem repeat (STR) profiling on 20 July 2021 prior to ethics approval and study initiation. The cell lines were cultured in Dulbecco’s modified Eagle medium (HyClone), RPMI-1640 medium (HyClone), or IMDM medium (Gibco) supplemented with 10% fetal bovine serum, 2 mmol/L glutamine, 100 U/mL penicillin, and 100 mg/mL streptomycin at 37 °C in a 5% CO2 atmosphere. All cell lines were reinitiated from the original stocks at intervals of no more than two months. Cultures were routinely screened for mycoplasma and examined by microscopy for morphological changes.
2.2. Western Blot Analysis
Total cellular protein was extracted in RIPA buffer. Equal amounts of protein were resolved by SDS–PAGE (10% or 12.5%) and transferred to PVDF membranes (Millipore). Membranes were blocked with 5% non-fat milk in TBST for 1 h at room temperature and incubated overnight at 4 °C with primary antibodies against WDHD1, E2F1, CDK4, CDK6, cyclin D1, cyclin D3 and β-actin (antibody sources, catalog numbers, and working dilutions are provided in
Section 2.6). After washing in TBST, membranes were incubated with HRP-conjugated secondary antibodies (ZSGB-BIO, Beijing, China, ZB-2301 and ZB-2305) for 2 h at room temperature. Signals were detected by enhanced chemiluminescence (Millipore, Burlington, MA, USA). Immunoblots shown are representative of three independent experiments.
2.3. Quantitative Real-Time Polymerase Chain Reaction (qRT-PCR) and PCR
Total RNA was isolated from human pancreatic cancer tissues and cell lines using a Cell Total RNA isolation kit (Foregene, RE-03111, Chengdu, China). cDNA was synthesized with HiScript III RT SuperMix (Vazyme, Nanjing, China) following the manufacturer’s instructions. Quantitative real-time PCR (qPCR) was performed using ChamQ SYBR qPCR Master Mix (Vazyme). GAPDH was used as the reference gene, and relative mRNA abundance was calculated using the 2
−ΔΔCt method. Primer sequences are provided in
Supplementary Table S1.
2.4. Cell Proliferation Detection
Cell proliferation was measured using the Cell Counting Kit-8 (CCK-8, Oriscience Biotechnology, Chengdu, China) assay [
13,
14,
15]. Tumor cells were dissociated with 0.25% trypsin, resuspended at 4 × 10
4 cells/mL, and seeded into 96-well plates at 100 µL per well (4 × 10
3 cells per well), with six technical replicates per condition. At 24, 48, 72, and 96 h after seeding, 10 µL of CCK-8 reagent was added to each well and plates were incubated for 2 h at 37 °C in 5% CO
2. Absorbance at 450 nm was recorded on an Epoch 2 microplate reader (BioTek, Winooski, VT, USA).
Clonogenic potential was assessed by colony formation assay. Log-phase cells were transfected as indicated, allowed to recover, and dissociated with 0.25% trypsin. Viable (trypan blue–negative) cells were counted and plated in six-well plates at 2000 cells per well in complete medium, with replicate wells per condition. Early attachment and viability were verified 6–8 h after seeding to ensure comparable plating across groups. Cultures were maintained for 2–3 weeks, with media changed every 2–3 days, until visible colonies formed. Colonies were fixed with 4% paraformaldehyde (PFA) (in PBS) for 30 min, stained with crystal violet for 30 min, rinsed three times with distilled water, air-dried, and colonies containing > 50 cells were counted. Plating efficiency was calculated as the number of colonies divided by the number of cells seeded, and surviving fractions were obtained by normalizing each plating efficiency to the corresponding control. This protocol follows our previously described methods [
16].
2.5. Construction of shRNAs and Plasmids
shRNA oligos targeting
WDHD1 (
Table 1) were cloned into the pLKO.1-TRC vector and co-transfected into HEK-293T cells with the packaging plasmids psPAX2 and pMD2.G to generate the
WDHD1 knockdown virus. Pancreatic cancer cells were infected with the virus for 48 h and subsequently selected in media containing 2.5 μg/mL puromycin until achieving 80–90% confluency of positively infected cells. Human
WDHD1 and
E2F1 genes were amplified by PCR and cloned into the plenti-CMV-3HA vector, or pcDNA3.1-3Flag. This recombinant plasmid was transfected into pancreatic cancer cell lines using polyethylenimine (PEI) or lentivirus. All plasmid constructs were verified by DNA sequencing, and their expression efficiency was confirmed by reverse-transcription PCR (RT-PCR) and/or Western blot analysis.
2.6. Antibodies
The antibodies utilized in this study included anti-WDHD1 (abclonal, A15396, 1:1000), anti-E2F1 (abclonal, A19579, 1:1000), anti-CDK4 (abclonal, A0366, 1:1000), anti-CDK6 (abclonal, A1545, 1:1000), anti-cyclin D1 (abclonal, A1301, 1:1000), and anti-cyclin D3 (abclonal, A3589, 1:1000). β-actin (ZSGB-BIO, TA-09, 1:1000) was used as the sample loading control.
2.7. EdU Incorporation Assay
Cell proliferation was assessed using a 5-ethynyl-2′-deoxyuridine (EdU) incorporation assay kit (RiboBio, Guangzhou, China, C10310-3). Briefly, treated cells were incubated with 50 µmol/L EdU at 37 °C for 3 h. Cells were then fixed with 4% PFA and permeabilized with 0.3% Triton X-100 solution. Following this, cells were stained with 1× Click reaction solution for 30 min and subsequently counterstained with Hoechst 33342 for 30 min. Hoechst and EdU-positive cells were observed using a Nikon STORM super-resolution microscope (Nikon A1, Tokyo, Japan).
2.8. Cell Cycle Analysis
Cell-cycle assays were performed using a cell-cycle staining kit (FXP0211, 4A BIOTECH, Beijing, China) following the manufacturer’s protocol [
17]. To begin the process, five million cells were seeded into each well of a six-well plate. At 72 h post-transfection, the cells were harvested and subjected to two washes with PBS to remove any residual media or debris. Following the washes, the cells were fixed overnight in 70% ethanol at 4 °C, which helps to preserve cellular structures and permeabilize the cells for subsequent staining. After the overnight fixation, the cells were treated with RNAase at 37 °C for 30 min to eliminate RNA, which could otherwise interfere with the PI staining by binding to the dye. The cells were then stained with PI for an additional 30 min at 4 °C in the dark to prevent photobleaching and ensure optimal staining conditions. PI intercalates into the DNA, allowing for the quantification of DNA content within the cells, which is indicative of their position within the cell cycle. The stained cells were subsequently analyzed using BD Pharmingen flow cytometers (BD Pharmingen, Franklin Lakes, NJ, USA).
All cell-cycle analyses were performed in FlowJo v10.8.1. Briefly, intact cells were gated on FSC-A versus SSC-A to exclude debris, doublets/aggregates were removed using pulse-geometry gates (FSC-H vs. FSC-A and PI-W vs. PI-A) to retain singlets, and cell-cycle distributions were quantified from the singlet population using PI-A DNA-content histograms.
2.9. Apoptosis Assay
An annexin V–FITC/PI apoptosis kit from 4A BIOTECH, China was employed to accurately quantify the proportion of apoptotic cells. The procedure began with the trypsinization of adherent cells to detach them from the culture surface. Following trypsinization, the cells were carefully washed with PBS to remove any remaining enzymes and detached debris, ensuring clean cell preparation for subsequent steps. Next, the washed cells were resuspended in 500 μL of binding buffer, which is essential for maintaining the appropriate conditions for annexin V–FITC binding. The, 10 μL of FITC-conjugated annexin V and 5 μL of PI were added to the cell suspensions. Annexin V–FITC binds to phosphatidylserine residues that translocate to the outer leaflet of the plasma membrane early in apoptosis, while PI stains the DNA of cells with compromised membranes, typically late apoptotic and necrotic cells. Following the addition of the staining reagents, the cell suspensions were incubated for 5 min in the dark. This step is crucial to prevent photobleaching of the fluorescent dyes and to ensure accurate staining. After the incubation period, the stained cells were immediately analyzed using a BD Pharmingen flow cytometer (BD Pharmingen, Franklin Lakes, NJ, USA).
2.10. Immunofluorescence
Cells were seeded onto coverslips in a 24-well plate at a density of 2 × 104 cells per well. After 24 h of culture, the cells were fixed with 4% PFA for 15 min, followed by permeabilization with 0.5% Triton X-100 solution for 20 min. The cells were then blocked with 5% BSA for 30 min to prevent non-specific binding. Subsequently, the cells were incubated with the primary antibody (diluted 1:200) and Alexa Fluor-conjugated secondary antibody, including a negative control (secondary antibody only). A solution of 200 µL PBS containing 1–5 µL of fluorescently labeled phalloidin (CoraLite® 594, Proteintech, Wuhan, China) was added to each well and incubated at room temperature for 20 min. The nuclei were then stained with DAPI (diluted 1:1000) for 15 min. Finally, the cells were observed and analyzed using a confocal laser scanning microscope (Zeiss LSM 880, Nikon Corporation, Tokyo, Japan).
2.11. Chromatin Immunoprecipitation (ChIP) Assay
ChIP was performed using a ChIP assay kit (P2078; Beyotime Biotechnology, Shanghai, China) according to the manufacturer’s instructions and published protocols [
17]. In brief, 3 × 10
6 PANC-1 cells were cross-linked, lysed, and sonicated to generate sheared chromatin, and 10% of the sample was reserved as input. Chromatin was immunoprecipitated with 4 μg anti-E2F1 antibody (Proteintech, Wuhan, China, 66515-1-Ig) or normal rabbit IgG. DNA recovered from ChIP and input fractions were quantified by qPCR (primers specific for the WDHD1 promoter (left primer: 5′-CACCACTTCCGTGTTCAGCT-3′; right primer: 5′-GCCCTCCGCGTGGAAATTAG-3′)). Primer positions across the WDHD1 promoter are detailed in
Supplementary Data S1. Enrichment was calculated as fold change relative to the IgG negative control.
2.12. Luciferase Reporter Assay
Luciferase reporter assays were performed as follows [
17]. PANC-1 cells (approximately 2 × 10
6) were seeded and cultured overnight to reach 70–90% confluence. For each well, a 500 µL transfection mixture was prepared comprising 250 µL Opti-MEM, 1000 ng firefly luciferase reporter plasmid, 100 ng Renilla luciferase control plasmid, and 2 µL P3000 reagent. In a separate tube, 250 µL Opti-MEM was mixed with 2 µL Lipofectamine 3000. The two mixtures were combined, incubated at room temperature for 10 min, and added dropwise to the cells. Cells were maintained at 37 °C in 5% CO
2 for 24–48 h. Relative luciferase activity was quantified using a luciferase assay kit (RG088S; Beyotime Biotechnology, Shanghai, China), with firefly luminescence normalized to Renilla activity.
2.13. Clinical Samples and Data Collection
Pancreatic cancer RNA-seq data were obtained from the Cancer Genome Atlas (TCGA) database (
https://www.cancer.gov/tcga, accessed 30 September 2022). RNA-seq data for pancreatic adenocarcinoma (TCGA-PAAD) tumors and normal pancreas tissues (GTEx) were queried via GEPIA2 (
http://gepia2.cancer-pku.cn), which integrates TCGA and GTEx expression profiles processed uniformly through the UCSC Xena pipeline (values as log
2(TPM + 1)). In all primary tumor-versus-normal analyses, “normal” controls were defined as GTEx normal pancreas samples integrated by GEPIA2. TCGA adjacent non-tumor tissues were used only for sensitivity checks due to their limited availability in PAAD and were not considered primary controls. Differential expression was assessed using GEPIA’s default one-way ANOVA framework on log
2(TPM + 1) values. When multiple genes were evaluated,
p-values were adjusted using the Benjamini–Hochberg procedure to control the false-discovery rate, and adjusted q-values are reported where applicable. Survival analyses were performed on TCGA tumor cases only. Patients were dichotomized by the median expression (unless otherwise specified), Kaplan–Meier curves were compared by two-sided log-rank tests, and hazard ratios with 95% confidence intervals were estimated using Cox proportional hazard models. For survival screens involving multiple genes, BH-FDR correction was applied. For a priori, hypothesis-driven single-gene tests, nominal
p-values are presented as descriptive statistics. All primary pancreatic cancer and adjacent non-cancerous tissue samples were obtained through surgical resection from patients at West China Hospital, Sichuan University (Chengdu, China), between 2020 and 2021. Immediately following resection, the samples were preserved in liquid nitrogen. All sample processing procedures were conducted on ice to ensure sample integrity. Informed consent was obtained from all patients in accordance with institutional policies. This study was conducted in compliance with the principles of the Declaration of Helsinki and was approved by the Ethics Committee of West China Hospital, Sichuan University (approval number 2021review [1189]).
2.14. Immunohistochemistry (IHC)
IHC was evaluated by two board-certified pathologists blinded to clinical data and outcomes [
18,
19]. Staining was quantified using a standardized H score (0–300), calculated as intensity (0–3) × percentage of positive tumor nuclei. Discrepancies were resolved by consensus, and interobserver agreement was assessed. Staining runs were standardized (identical antigen retrieval, antibody dilution, incubation, and DAB development times) with internal controls and negative controls included for each batch. We also specify the predefined cutoffs used for downstream analyses.
2.15. Subcutaneous Tumor Xenograft Assay
All animal experimental protocols were approved by the Animal Ethics and Treatment Committee of Sichuan University (Chengdu, China) and adhered to the NIH Guide for the Care and Use of Laboratory Animals. The xenograft model was established using NOD (NOD/ShiLtJGpt-Prkdcem26Cd52Il2rgem26Cd22/Gpt) severely immunodeficient female mice (purchased from Jiangsu GemPharmatech Co., Ltd., Nanjing, China; 20 g, 4–6-week-old females), randomly assigned to groups (n = 5 per group). Sample size justification: Prior to the main study, we conducted a pilot under identical conditions (cell line, inoculum, site, timeline), which showed a high engraftment rate (≥85%) and a 20–30% coefficient of variation in tumor volumes at day 21. Using these pilot estimates, an a priori power analysis (two-sided α = 0.05) targeting a ~45–50% reduction in endpoint tumor volume (or growth-curve AUC) indicated 80–85% power with n = 5 per group. The observed take rate in the current cohort matched the pilot. PANC-1 cells, either transfected with an empty vector or a WDHD1 knockdown vector (1 × 107 cells per mouse), were subcutaneously injected into the right flank of the mice. Beginning on day 7 after cell inoculation, the longest diameter (length) and the shortest diameter (width) of the tumors were measured using calipers. Measurements were performed by the same researcher, who was blinded to the group assignments. All procedures were conducted in the experimental operation room of an SPF-grade animal facility. Tumor volume was quantified with the formula: volume = (width2 × length)/2. Primary outcome measure: tumor volume. At the study endpoint, animals were anesthetized with tribromoethanol (15 mg/mL, intraperitoneally), and tumor tissues were collected for immunoblotting. Statistical methods are described in the Statistical Analysis section.
The inclusion criteria for this study were animals in good health, weighing 20 g, 4- to 6-week-old female mice, and those that successfully completed the model construction. The exclusion criteria were animals that died accidentally during the experiment, failed to develop tumors, or showed severe infections. During data analysis, the average of all technical replicates was considered a single independent data point, and any data points falling outside the mean ± 2 standard deviations were regarded as outliers and excluded. These criteria were predefined (a priori). All data from this study were included in the analysis without any exclusions.
Strategies used to minimize potential confounders include maintaining consistent order of treatments and measurements between the control and experimental groups, as well as ensuring the animal/cage location is consistent between the control and experimental groups. During the allocation phase: Group allocation was performed by Xiaojuan Yang, who was aware of the assignments. This was necessary to ensure that group injections were conducted according to a random-number table. During the experiment: Zhiwei Zhang, responsible for daily animal care, was blinded to the group assignments. During the outcome assessment: Shuangjuan Lv, the researcher assessing the outcomes, was blinded to the group information. To ensure objectivity, animals were renumbered, and measurements were taken by personnel who were unaware of the group assignments. During the data analysis: Shuangjuan Lv, the researcher conducting the data analysis, was blinded to the group information. Data analysis was performed using anonymized data files, with groups labeled “Group A” and “Group B” rather than “Control Group” and “Experimental Group.”
2.16. Weighted Gene Co-Expression Network Analysis (WGCNA)
Hub gene screening and co-expression of gene pair detection were carried out using the R package WGCNA [
20]. Briefly, WGCNA was performed using the WGCNA package on normalized RNA-seq data from 178 TCGA pancreatic cancer samples. After quality control, low-variance genes were filtered and ~20,000 most variable genes were retained. To satisfy the scale-free topology criterion, we evaluated candidate soft-thresholding powers with pickSoftThreshold and selected
β = 12 as the minimal power yielding a high scale-free fit while maintaining reasonable mean connectivity. Module detection and module–trait correlations were confirmed to be stable across neighboring powers. A signed adjacency matrix (biweight mid-correlation) was computed and transformed to a topological overlap matrix (TOM). Genes were clustered by average linkage, modules were identified using dynamic tree cutting (followed by module merging), and module eigengenes were calculated [
21,
22]. Module–trait associations were estimated by biweight mid-correlation between module eigengenes and clinical traits with Benjamini–Hochberg correction. Hub genes were prioritized by intramodular connectivity and module membership, together with gene significance for the trait. Gene–gene co-expression networks were exported from TOM for visualization in Cytoscape (version 3.10.3, Cytoscape Consortium, San Diego, CA, USA).
2.17. Statistical Analysis
Statistical analyses in this study were performed using GraphPad Prism 8.0 software. All data are presented as means ± standard deviation (mean ± SD) from at least three independent experiments. Normality of data distribution was assessed using the Kolmogorov–Smirnov test, Anderson–Darling test, Jarque–Bera test, or Shapiro–Wilk test, and homoscedasticity was evaluated using the F–test, Brown–Forsythe test, or Bartlett’s test. Depending on the results of these tests, parametric analyses were conducted using one-way ANOVA followed by post hoc tests (e.g., Bonferroni, Tukey) or Student’s t-tests. For data sets that did not meet the assumptions for parametric tests, non-parametric tests were employed. All statistical tests were two-sided, with a p-value of <0.05 considered statistically significant, denoted as follows: * p < 0.05; ** p < 0.01; *** p < 0.001; and **** p < 0.0001.
4. Discussion
Tumor initiation and progression are rooted in genetic alterations and dysregulated proliferation, frequently accompanied by aberrant cell-cycle progression. Because the cell cycle is tightly controlled by multiple regulators, its disruption enables unchecked proliferation and drives tumorigenesis. For example, the development of pancreatic tumors typically starts with a series of genetic mutations within pancreatic cells, including those in
KRAS,
TP53, and
CDKN2A [
1,
28]. In this study, we found that E2F1 drives the transcription of WDHD1, leading to elevated protein levels. Consequently, WDHD1 upregulates the expression of essential cell-cycle proteins, including cyclin D and CDK4. This mechanism persistently drove cell-cycle progression, leading to the characteristic uncontrolled growth in pancreatic cancer cells.
Recent research has focused on treatments targeting
KRAS gene mutations, with drugs like the KRAS-G12D inhibitor HRS-4642 demonstrating promising activity in clinical trials, thereby providing new therapeutic opportunities for pancreatic cancer patients with
KRAS mutations [
29]. However, the high rate of drug resistance and the low prevalence of targetable genomic alterations in pancreatic cancer underscore the need to discover new therapeutic targets and develop effective therapies.
WDHD1 is overexpressed in various malignant tumor cells and plays a role in DNA replication [
9,
30] and DNA damage repair [
8]. In this study, we observed that WDHD1 is overexpressed in pancreatic cancer and promotes the proliferation of pancreatic cancer cells. Furthermore, knockdown of WDHD1 elevated the proportion of cells in the G1 phase, suggesting that WDHD1 facilitates the G1–S transition in these cells. Furthermore, WDHD1 knockdown not only impedes cell-cycle progression but also triggers apoptotic mechanisms. This indicates that inhibiting WDHD1 expression with relevant drugs could suppress the cell-cycle progression of pancreatic tumor cells. These findings provide a theoretical basis for developing therapeutic strategies targeting WDHD1 and its associated signaling pathways in the future.
Mechanistically, although our data do not demonstrate direct transcriptional control of CCND1 or CDK4 by WDHD1, they are consistent with a model in which loss of the replication factor WDHD1 induces replication stress and checkpoint activation, leading to RB hypophosphorylation, reduced E2F output, and functional repression of the cyclin D1–CDK4 complex. In line with an E2F-driven circuit, E2F1 binds and activates the
WDHD1 promoter, positioning WDHD1 within a feed-forward proliferative pathway: E2F1 upregulates WDHD1 to support DNA replication, whereas WDHD1 loss dampens E2F activity and G1/S entry. The CDK–RB–E2F pathway integrates mitogenic signals to govern the G1–S transition, and CDK4/6 inhibitors are approved or in clinical trials [
31]. Our results are compatible with WDHD1 indirectly sustaining E2F activity by maintaining cyclin D1 and CDK4 expression and function, thereby influencing downstream cell-cycle gene programs; however, definitive mechanistic validation will require further experiments.
Importantly, Chang et al. showed that the cell-autonomous E2F1/4–pRB/RBL2 axis is perturbed by
KRAS mutations in ductal cells [
32]. Among the pancreatic cancer lines we examined, only BxPC-3 is wild-type
KRAS. Whether its higher E2F1 levels reflect this context warrants investigation. Moreover, Li et al. underscore the importance of phosphorylation-driven cascades (e.g., METTL14–MYC) in pancreatic proliferation [
33], while Sun et al. highlight how post-transcriptional regulation can produce discordance between mRNA and total protein levels and functional outcomes [
34]. These insights emphasize that phospho-state and activity readouts are critical complements in total protein measurements. We explicitly note this limitation and outline planned validations: phospho-RB (Ser807/811) normalized to total RB, CDK2 activation (Thr160 phosphorylation), E2F target readouts, and interrogation of upstream signaling nodes such as MYC-related phosphorylation cascades. These future studies will provide direct mechanistic confirmation of G1–S pathway inhibition under
WDHD1 depletion, while our current functional data support reduced cell-cycle progression.
Furthermore, Tong et al. emphasize standardized IHC procedures and quantitative scoring (including H score) for PI3K/AKT pathway markers. Our blinded H-score protocol is concordant with these principles [
19]. Canbey et al. highlight the necessity of blinded, standardized scoring in pancreatic cancer cohorts for PD-L1. While PD-L1 requires membranous scoring and WDHD1 is a nuclear protein, the underlying requirements for blinding, standardized thresholds, and batch control are shared and are now explicitly documented in our study [
18]. Thus, their standardization frameworks do not contradict our nuclear scoring approach. Rather, they support the rigor of our methodology.
In this study, we directly demonstrate that WDHD1 promotes G1–S cell-cycle progression and cell survival in PDAC cells, and that WDHD1 knockdown induces G1 arrest and apoptosis accompanied by reduced CDK4/CDK6/cyclin D3, while E2F1 levels are largely unchanged. Beyond our data, recent reports have identified bazedoxifene (BZA) and the small molecule [(E)-5-(3,4-dichlorostyryl)benzo[c][1,2]oxaborol-1(3H)-ol] (CH3) as preclinical WDHD1 inhibitors [
35]. CH3 engages the WD40 domain to disrupt WDHD1 trimerization and enhance binding to the E3 ligase CUL4B, promoting WDHD1 ubiquitination and proteasomal degradation—an approach aligned with targeted protein degradation strategies [
11,
25,
35]. These findings are promising, but remain speculative in the context of PDAC: to our knowledge, BZA/CH3 has not been evaluated in PDAC
in vivo, and key pharmacokinetic, selectivity, and safety data are needed before clinical translation.
Situating WDHD1 within current PDAC therapeutics, its role at the G1–S checkpoint and in DNA replication suggests potential intersections with established strategies. For example, WDHD1 inhibition might complement cell cycle–directed approaches (e.g., CDK4/6 inhibitors) or agents that exploit replication stress/DNA damage (e.g., gemcitabine, platinum, or ATR/CHK1 inhibitors), and could conceivably interact with KRAS-pathway blockade (MEK/ERK), given KRAS-driven E2F activation and replication stress in PDAC. These potential combinations are hypothesis-generating and require rigorous validation in orthotopic/PDX models and, ultimately, clinical studies.
We also acknowledge limitations relevant to translation: our conclusions are primarily supported by in vitro assays and a single-center cohort, and mechanistic mapping downstream of WDHD1 remains incomplete. Notably, higher-molecular-weight WDHD1 bands in uncropped immunoblots likely reflect post-translational modifications or stable complexes, and their identities and functions warrant further study. Future work will evaluate WDHD1 targeting in vivo, define its interaction with KRAS/cell-cycle/DDR pathways, and test rational combinations in genetically and microenvironmentally diverse PDAC models.
Additionally, a key limitation of this study is the lack of independent external validation in public cohorts (e.g., ICGC or GEO). Our transcriptomic analyses rely on the integrated TCGA/GTEx framework, and our protein/IHC findings derive from a single-center cohort. Suitable external datasets with matched WDHD1 measurements (particularly at the protein level), paired tumor–adjacent pancreas tissues, comprehensive clinicopathologic annotation, and long-term outcomes are currently scarce. In addition, cross-platform and batch heterogeneity across public datasets poses nontrivial harmonization challenges. While the concordance among our qPCR, Western blot, IHC, and functional assays provides internal consistency, this does not substitute for independent replication. We therefore acknowledge that generalizability should be interpreted with caution, and we plan to validate these findings in ICGC-PAAD and GEO series using standardized batch-correction pipelines, and where feasible to corroborate protein-level associations in CPTAC proteomic resources and multi-center prospective cohorts.
Finally, we acknowledge that shRNA-mediated knockdown can incur off-target effects that may not be captured without transcriptome-level auditing. Although we mitigated this by using two non-overlapping shRNAs that yielded concordant phenotypes and by performing rescue with an shRNA-resistant
WDHD1 cDNA, RNA-seq–based profiling was not included and remains a limitation. Consistently with Li et al.’s recommendations for pancreatic assays and Liu et al.’s TF-centric specificity framework [
36,
37], future work will incorporate: (i) RNA-seq to define an on-target WDHD1 signature and identify any off-target pathways, benchmarked against rescue; (ii) orthogonal perturbations (siRNA and CRISPRi) to reproduce key phenotypes; and (iii) target-proximal biochemical/enzymatic readouts of WDHD1 pathway engagement, such as DNA fiber assays for fork dynamics, nascent DNA synthesis (EdU), replisome integrity (chromatin-bound PCNA/MCM), and replication-stress checkpoints (pRPA/pCHK1), as well as binding/occupancy assays (e.g., ChIP-seq for WDHD1 or partner factors) where transcriptional regulation is implicated. These additions complement rather than contradict our reliance on shRNA. Together with the rescue data, they are expected to further strengthen the specificity and causal link between
WDHD1 depletion and the observed phenotypes. Furthermore, we acknowledge that single-pulse EdU assays primarily report DNA-synthesis output and cannot resolve whether WDHD1 knockdown impairs S-phase entry versus fork progression or completion. In line with Luo et al. on imaging-based replication progression and with Wu et al. on the need for direct interaction evidence to support mechanistic specificity [
38,
39], we will incorporate pulse–chase EdU/BrdU paradigms and dual-label DNA fiber assays (CldU/IdU) to quantify origin firing, fork speed, and termination/stall rates, together with time-resolved imaging of PCNA and RPA foci dynamics and checkpoint readouts (e.g., pRPA/pCHK1). Where transcriptional regulation or factor occupancy is implicated, we will assess direct chromatin engagement using ChIP-qPCR, CUT&RUN/CUT&Tag, and complementary proximity ligation/Co-IP assays. These orthogonal validations complement, rather than contradict, our EdU-based conclusion that
WDHD1 depletion reduces replication output; they are expected to refine the kinetics and mechanism by distinguishing effects on S-phase entry versus elongation and by mapping the relevant interaction landscape. Additionally, we recognize that annexin V–/PI primarily captures membrane externalization and benefits from orthogonal confirmation of executioner caspase activity. In line with Molnár et al. [
40], we will complement annexin V–PI with immunoblotting for cleaved caspase 3 and cleaved PARP at matched time points. We note as a limitation that caspase 3/7 enzymatic assays were not included, and will incorporate time-resolved activity measurements and inhibitor rescue in future work. For resistance readouts, copy-number variation can confound interpretation, as highlighted by Ramalingam et al. [
41]. Our perturbations were conducted at low MOI with puromycin selection and analyzed within early passages to minimize variable integration. Nonetheless, we will add qPCR/ddPCR-based vector/genomic copy-number assessment and normalization to future assays. Consistent with Li et al. on best practices for multi-omic housekeeping validation [
42], we evaluated reference stability: qRT-PCR normalization used multiple candidate reference genes vetted by geNorm/NormFinder, immunoblotting employed total-protein normalization with verification that GAPDH/ACTB remained stable, and transcriptomic/proteomic data were scaled by median/global methods. These controls—and the planned orthogonal additions—enhance the robustness of our apoptosis and resistance conclusions and further de-risk technical confounders.
In conclusion, this study demonstrates that WDHD1 is upregulated in pancreatic cancer and regulates cell-cycle progression and apoptosis through the E2F1–WDHD1 axis by modulating the CDK4–cyclin D1 complex. While WDHD1 has been implicated in other malignancies such as breast cancer and lung cancer, its oncogenic role in pancreatic cancer has remained unexplored until now. Our findings not only expand the oncogenic spectrum of WDHD1 to pancreatic cancer but also reveal a novel transcriptional regulatory mechanism by E2F1, distinguishing it from previous reports in other cancer types. Furthermore, compared to established pancreatic cancer drivers such as KRAS and TP53, WDHD1 represents a previously unrecognized cell-cycle regulator that may serve as a potential therapeutic target. Given the limited efficacy of current KRAS-targeted therapies, targeting the E2F1–WDHD1 axis may offer a new avenue for combination strategies. These findings provide a rationale for developing WDHD1 inhibitors and highlight their potential clinical value in pancreatic cancer treatment.