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ORIGINAL RESEARCH article

Front. Oncol.

Sec. Gastrointestinal Cancers: Colorectal Cancer

This article is part of the Research TopicMolecular Epigenetic Mechanisms in Early-Onset Colorectal CancerView all 4 articles

DDX49 as a Novel Prognostic Biomarker Regulates Colorectal Cancer Cell Proliferation through the TIMM44-PI3K-AKT Pathway

Provisionally accepted
Baoyu  HuangBaoyu Huang1Zhipeng  YinZhipeng Yin1Gang  GaoGang Gao1Longhai  LiLonghai Li1,2*miao  yangmiao yang1*
  • 1Bozhou People's Hospital, Bozhou, China
  • 2The People's Hospital of Bozhou Laboratory Medicine Department, Bozhou, China

The final, formatted version of the article will be published soon.

Objective: Colorectal cancer (CRC) ranks as the third most common global cancer. This study aims to explore the expression, function, and mechanism of DEAD-box helicase 49 (DDX49) in CRC. Methods: Pan-cancer data were obtained from The Cancer Genome Atlas (TCGA) database to compare expression differences of DDX49 across 33 types of cancers. Immunohistochemistry (IHC) was used to detect the protein expression levels of DDX49 in CRC. Kaplan-Meier curves and Cox proportional hazards regression model were employed to demonstrate the prognostic value of DDX49. The effects of key molecules on cancer cell proliferation were assessed using a Cell Counting Kit-8 (CCK-8) assay and colony formation assay. Western blot (WB) was employed to measure key molecules in the PI3K-AKT pathway. Results: Both TCGA data and IHC showed that elevated DDX49 in CRC tumors was correlated with advanced stages and poor prognosis. DDX49 knockdown inhibited proliferation and colony formation in SW480 and HCT-8 cells, suppressing PI3K-AKT pathway activation and TIMM44 expression — reducing AKT phosphorylation. SC79 treatment partially rescued phosphorylated AKT and proliferation. TIMM44 knockdown mimicked these effects, while its overexpression restored AKT phosphorylation and proliferation in DDX49-knockdown cells. Conclusion: DDX49, a potential prognostic biomarker, promotes cell proliferation by TIMM44-PI3K-AKT pathway, which may offer a target for clinical anti-tumor therapy.

Keywords: colorectal cancer, DDX49, Pi3k-akt, proliferation, TIMM44

Received: 17 Sep 2025; Accepted: 21 Nov 2025.

Copyright: © 2025 Huang, Yin, Gao, Li and yang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence:
Longhai Li, pe_lilonghai@126.com
miao yang, yangmiaobz66@sina.com

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