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10.1172/jci.insight.192113
1Division of Molecular Cellular Pathology, Department of Pathology, O'Neal Cancer Center, University of Alabama, Heersink School of Medicine, Birmingham, United States of America
2UAB Biological Data Science Core, The University of Alabama at Birmingham, Birmingham, United States of America
3Division of Pharmacology, Chemistry and Biochemistry, College of Medicine, University of Arizona, Tucson, United States of America
4Department of Bioengineering, Indian Institute of Science, Bangalore, India
5Department of Medicine, Division of Hematology Oncology, University of Pittsburgh School of Medicine, Pittsburgh, United States of America
6Department of Electrical and Computer Engineering, University of Delaware, Newark, United States of America
7Department of Drug Discovery and Biomedical Sciences, College of Pharmacy, University of South Carolina, Columbia, United States of America
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1Division of Molecular Cellular Pathology, Department of Pathology, O'Neal Cancer Center, University of Alabama, Heersink School of Medicine, Birmingham, United States of America
2UAB Biological Data Science Core, The University of Alabama at Birmingham, Birmingham, United States of America
3Division of Pharmacology, Chemistry and Biochemistry, College of Medicine, University of Arizona, Tucson, United States of America
4Department of Bioengineering, Indian Institute of Science, Bangalore, India
5Department of Medicine, Division of Hematology Oncology, University of Pittsburgh School of Medicine, Pittsburgh, United States of America
6Department of Electrical and Computer Engineering, University of Delaware, Newark, United States of America
7Department of Drug Discovery and Biomedical Sciences, College of Pharmacy, University of South Carolina, Columbia, United States of America
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1Division of Molecular Cellular Pathology, Department of Pathology, O'Neal Cancer Center, University of Alabama, Heersink School of Medicine, Birmingham, United States of America
2UAB Biological Data Science Core, The University of Alabama at Birmingham, Birmingham, United States of America
3Division of Pharmacology, Chemistry and Biochemistry, College of Medicine, University of Arizona, Tucson, United States of America
4Department of Bioengineering, Indian Institute of Science, Bangalore, India
5Department of Medicine, Division of Hematology Oncology, University of Pittsburgh School of Medicine, Pittsburgh, United States of America
6Department of Electrical and Computer Engineering, University of Delaware, Newark, United States of America
7Department of Drug Discovery and Biomedical Sciences, College of Pharmacy, University of South Carolina, Columbia, United States of America
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1Division of Molecular Cellular Pathology, Department of Pathology, O'Neal Cancer Center, University of Alabama, Heersink School of Medicine, Birmingham, United States of America
2UAB Biological Data Science Core, The University of Alabama at Birmingham, Birmingham, United States of America
3Division of Pharmacology, Chemistry and Biochemistry, College of Medicine, University of Arizona, Tucson, United States of America
4Department of Bioengineering, Indian Institute of Science, Bangalore, India
5Department of Medicine, Division of Hematology Oncology, University of Pittsburgh School of Medicine, Pittsburgh, United States of America
6Department of Electrical and Computer Engineering, University of Delaware, Newark, United States of America
7Department of Drug Discovery and Biomedical Sciences, College of Pharmacy, University of South Carolina, Columbia, United States of America
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1Division of Molecular Cellular Pathology, Department of Pathology, O'Neal Cancer Center, University of Alabama, Heersink School of Medicine, Birmingham, United States of America
2UAB Biological Data Science Core, The University of Alabama at Birmingham, Birmingham, United States of America
3Division of Pharmacology, Chemistry and Biochemistry, College of Medicine, University of Arizona, Tucson, United States of America
4Department of Bioengineering, Indian Institute of Science, Bangalore, India
5Department of Medicine, Division of Hematology Oncology, University of Pittsburgh School of Medicine, Pittsburgh, United States of America
6Department of Electrical and Computer Engineering, University of Delaware, Newark, United States of America
7Department of Drug Discovery and Biomedical Sciences, College of Pharmacy, University of South Carolina, Columbia, United States of America
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1Division of Molecular Cellular Pathology, Department of Pathology, O'Neal Cancer Center, University of Alabama, Heersink School of Medicine, Birmingham, United States of America
2UAB Biological Data Science Core, The University of Alabama at Birmingham, Birmingham, United States of America
3Division of Pharmacology, Chemistry and Biochemistry, College of Medicine, University of Arizona, Tucson, United States of America
4Department of Bioengineering, Indian Institute of Science, Bangalore, India
5Department of Medicine, Division of Hematology Oncology, University of Pittsburgh School of Medicine, Pittsburgh, United States of America
6Department of Electrical and Computer Engineering, University of Delaware, Newark, United States of America
7Department of Drug Discovery and Biomedical Sciences, College of Pharmacy, University of South Carolina, Columbia, United States of America
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1Division of Molecular Cellular Pathology, Department of Pathology, O'Neal Cancer Center, University of Alabama, Heersink School of Medicine, Birmingham, United States of America
2UAB Biological Data Science Core, The University of Alabama at Birmingham, Birmingham, United States of America
3Division of Pharmacology, Chemistry and Biochemistry, College of Medicine, University of Arizona, Tucson, United States of America
4Department of Bioengineering, Indian Institute of Science, Bangalore, India
5Department of Medicine, Division of Hematology Oncology, University of Pittsburgh School of Medicine, Pittsburgh, United States of America
6Department of Electrical and Computer Engineering, University of Delaware, Newark, United States of America
7Department of Drug Discovery and Biomedical Sciences, College of Pharmacy, University of South Carolina, Columbia, United States of America
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1Division of Molecular Cellular Pathology, Department of Pathology, O'Neal Cancer Center, University of Alabama, Heersink School of Medicine, Birmingham, United States of America
2UAB Biological Data Science Core, The University of Alabama at Birmingham, Birmingham, United States of America
3Division of Pharmacology, Chemistry and Biochemistry, College of Medicine, University of Arizona, Tucson, United States of America
4Department of Bioengineering, Indian Institute of Science, Bangalore, India
5Department of Medicine, Division of Hematology Oncology, University of Pittsburgh School of Medicine, Pittsburgh, United States of America
6Department of Electrical and Computer Engineering, University of Delaware, Newark, United States of America
7Department of Drug Discovery and Biomedical Sciences, College of Pharmacy, University of South Carolina, Columbia, United States of America
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1Division of Molecular Cellular Pathology, Department of Pathology, O'Neal Cancer Center, University of Alabama, Heersink School of Medicine, Birmingham, United States of America
2UAB Biological Data Science Core, The University of Alabama at Birmingham, Birmingham, United States of America
3Division of Pharmacology, Chemistry and Biochemistry, College of Medicine, University of Arizona, Tucson, United States of America
4Department of Bioengineering, Indian Institute of Science, Bangalore, India
5Department of Medicine, Division of Hematology Oncology, University of Pittsburgh School of Medicine, Pittsburgh, United States of America
6Department of Electrical and Computer Engineering, University of Delaware, Newark, United States of America
7Department of Drug Discovery and Biomedical Sciences, College of Pharmacy, University of South Carolina, Columbia, United States of America
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1Division of Molecular Cellular Pathology, Department of Pathology, O'Neal Cancer Center, University of Alabama, Heersink School of Medicine, Birmingham, United States of America
2UAB Biological Data Science Core, The University of Alabama at Birmingham, Birmingham, United States of America
3Division of Pharmacology, Chemistry and Biochemistry, College of Medicine, University of Arizona, Tucson, United States of America
4Department of Bioengineering, Indian Institute of Science, Bangalore, India
5Department of Medicine, Division of Hematology Oncology, University of Pittsburgh School of Medicine, Pittsburgh, United States of America
6Department of Electrical and Computer Engineering, University of Delaware, Newark, United States of America
7Department of Drug Discovery and Biomedical Sciences, College of Pharmacy, University of South Carolina, Columbia, United States of America
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1Division of Molecular Cellular Pathology, Department of Pathology, O'Neal Cancer Center, University of Alabama, Heersink School of Medicine, Birmingham, United States of America
2UAB Biological Data Science Core, The University of Alabama at Birmingham, Birmingham, United States of America
3Division of Pharmacology, Chemistry and Biochemistry, College of Medicine, University of Arizona, Tucson, United States of America
4Department of Bioengineering, Indian Institute of Science, Bangalore, India
5Department of Medicine, Division of Hematology Oncology, University of Pittsburgh School of Medicine, Pittsburgh, United States of America
6Department of Electrical and Computer Engineering, University of Delaware, Newark, United States of America
7Department of Drug Discovery and Biomedical Sciences, College of Pharmacy, University of South Carolina, Columbia, United States of America
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1Division of Molecular Cellular Pathology, Department of Pathology, O'Neal Cancer Center, University of Alabama, Heersink School of Medicine, Birmingham, United States of America
2UAB Biological Data Science Core, The University of Alabama at Birmingham, Birmingham, United States of America
3Division of Pharmacology, Chemistry and Biochemistry, College of Medicine, University of Arizona, Tucson, United States of America
4Department of Bioengineering, Indian Institute of Science, Bangalore, India
5Department of Medicine, Division of Hematology Oncology, University of Pittsburgh School of Medicine, Pittsburgh, United States of America
6Department of Electrical and Computer Engineering, University of Delaware, Newark, United States of America
7Department of Drug Discovery and Biomedical Sciences, College of Pharmacy, University of South Carolina, Columbia, United States of America
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1Division of Molecular Cellular Pathology, Department of Pathology, O'Neal Cancer Center, University of Alabama, Heersink School of Medicine, Birmingham, United States of America
2UAB Biological Data Science Core, The University of Alabama at Birmingham, Birmingham, United States of America
3Division of Pharmacology, Chemistry and Biochemistry, College of Medicine, University of Arizona, Tucson, United States of America
4Department of Bioengineering, Indian Institute of Science, Bangalore, India
5Department of Medicine, Division of Hematology Oncology, University of Pittsburgh School of Medicine, Pittsburgh, United States of America
6Department of Electrical and Computer Engineering, University of Delaware, Newark, United States of America
7Department of Drug Discovery and Biomedical Sciences, College of Pharmacy, University of South Carolina, Columbia, United States of America
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1Division of Molecular Cellular Pathology, Department of Pathology, O'Neal Cancer Center, University of Alabama, Heersink School of Medicine, Birmingham, United States of America
2UAB Biological Data Science Core, The University of Alabama at Birmingham, Birmingham, United States of America
3Division of Pharmacology, Chemistry and Biochemistry, College of Medicine, University of Arizona, Tucson, United States of America
4Department of Bioengineering, Indian Institute of Science, Bangalore, India
5Department of Medicine, Division of Hematology Oncology, University of Pittsburgh School of Medicine, Pittsburgh, United States of America
6Department of Electrical and Computer Engineering, University of Delaware, Newark, United States of America
7Department of Drug Discovery and Biomedical Sciences, College of Pharmacy, University of South Carolina, Columbia, United States of America
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1Division of Molecular Cellular Pathology, Department of Pathology, O'Neal Cancer Center, University of Alabama, Heersink School of Medicine, Birmingham, United States of America
2UAB Biological Data Science Core, The University of Alabama at Birmingham, Birmingham, United States of America
3Division of Pharmacology, Chemistry and Biochemistry, College of Medicine, University of Arizona, Tucson, United States of America
4Department of Bioengineering, Indian Institute of Science, Bangalore, India
5Department of Medicine, Division of Hematology Oncology, University of Pittsburgh School of Medicine, Pittsburgh, United States of America
6Department of Electrical and Computer Engineering, University of Delaware, Newark, United States of America
7Department of Drug Discovery and Biomedical Sciences, College of Pharmacy, University of South Carolina, Columbia, United States of America
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1Division of Molecular Cellular Pathology, Department of Pathology, O'Neal Cancer Center, University of Alabama, Heersink School of Medicine, Birmingham, United States of America
2UAB Biological Data Science Core, The University of Alabama at Birmingham, Birmingham, United States of America
3Division of Pharmacology, Chemistry and Biochemistry, College of Medicine, University of Arizona, Tucson, United States of America
4Department of Bioengineering, Indian Institute of Science, Bangalore, India
5Department of Medicine, Division of Hematology Oncology, University of Pittsburgh School of Medicine, Pittsburgh, United States of America
6Department of Electrical and Computer Engineering, University of Delaware, Newark, United States of America
7Department of Drug Discovery and Biomedical Sciences, College of Pharmacy, University of South Carolina, Columbia, United States of America
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1Division of Molecular Cellular Pathology, Department of Pathology, O'Neal Cancer Center, University of Alabama, Heersink School of Medicine, Birmingham, United States of America
2UAB Biological Data Science Core, The University of Alabama at Birmingham, Birmingham, United States of America
3Division of Pharmacology, Chemistry and Biochemistry, College of Medicine, University of Arizona, Tucson, United States of America
4Department of Bioengineering, Indian Institute of Science, Bangalore, India
5Department of Medicine, Division of Hematology Oncology, University of Pittsburgh School of Medicine, Pittsburgh, United States of America
6Department of Electrical and Computer Engineering, University of Delaware, Newark, United States of America
7Department of Drug Discovery and Biomedical Sciences, College of Pharmacy, University of South Carolina, Columbia, United States of America
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Published January 15, 2026 - More info
Anoikis resistance or evasion of cell death triggered by matrix detachment is a hallmark of cancer cell survival and metastasis. We show that repeated exposure to suspension stress followed by recovery under attached conditions leads to development of anoikis resistance. The acquisition of anoikis resistance is associated with enhanced invasion, chemoresistance, and immune evasion in vitro and distant metastasis in vivo. This acquired anoikis resistance is not genetic, persisting for a finite duration without detachment stress, but is sensitive to CDK8/19 Mediator kinase inhibition that can also reverse anoikis resistance. Transcriptomic analysis reveals that CDK8/19 kinase inhibition induces bidirectional transcriptional changes in both sensitive and resistant cells, disrupting the balanced reprogramming required for anoikis adaptation and resistance by reversing some resistance associated pathways and enhancing others. Both anoikis resistance and in vivo metastatic growth of ovarian cancers are sensitive to CDK8/19 inhibition, thereby providing a therapeutic opportunity to both prevent and suppress ovarian cancer metastasis.