KIF18A is a kinesin superfamily motor protein (kinesin-8 family) that functions as a motile microtubule depolymerase. It suppresses kinetochore oscillations during mitosis, ensuring proper chromosome congression at the metaphase plate. The protein contains a kinesin motor domain (residues 11-355) and localizes to microtubules and the cytokinetic bridge.
KIF18A is classified as an essential protein and a predicted intracellular protein (HPA). It is cell-cycle-dependent (CCD) at both protein and transcript levels. The critical therapeutic insight is that KIF18A is dispensable for normal cell division but selectively required by CIN-high tumor cells, which depend on KIF18A to manage the consequences of elevated chromosome mis-segregation rates.
Target summary:
Overall verdict. KIF18A is a structurally tractable (2.2 Å X-ray, oral small molecule validated), CIN-selective target with 6 active Phase 1/2 clinical trials and robust preclinical validation across multiple solid tumors. The synthetic lethal mechanism differentiates it from failed Eg5/KSP kinesin inhibitors. The main risk is the competitive landscape (5+ companies, same mechanism) and the early clinical stage (no Phase 2 efficacy data yet). The untapped whitespace lies in CIN-high solid tumors beyond ovarian/breast (HCC, GBM, CRC, gastric, prostate), where strong PandaOmics omics signals and expression data support expansion. Aging-related indications lack direct evidence and are not recommended for pursuit.
7 experimental structures are available for KIF18A:
| PDB | Resolution (Å) | Method | Title |
|---|---|---|---|
| 3LRE | 2.20 | X-ray | Crystal Structure Analysis of Human Kinesin-8 Motor Domain |
| 9YMG | 2.41 | X-ray | Human KIF18A-DARPin fusion protein bound to AMP-PNP and tubulin |
| 9DI0 | 3.10 | Cryo-EM | Cryo-EM structure of Kif18A bound to a microtubule |
| 5OGC | 4.80 | Cryo-EM | Molecular basis of human kinesin-8 function and inhibition |
| 7RSI | 4.90 | Cryo-EM | The cryo-EM map of KIF18A bound to KIFBP |
| 5OCU | 5.20 | Cryo-EM | Molecular basis of human kinesin-8 function and inhibition |
| 5OAM | 5.50 | Cryo-EM | Molecular basis of human kinesin-8 function and inhibition |
The 2.2 Å X-ray structure (3LRE) covers the motor domain and is suitable for structure-based drug design. The 2.41 Å structure (9YMG) captures KIF18A bound to a non-hydrolyzable ATP analog and tubulin, providing mechanistic insight.
PandaOmics scored KIF18A across 1,000 indications in 14 therapeutic areas. This analysis focuses on the top 50 indications in oncology and aging-related therapeutic areas (Oncology, Rare/genetic disease, Neurologic disease, Cardiovascular disease, Endocrine/metabolic disease).
Where the signal concentrates.
| Therapeutic Area | Indications (in top 50) | Best Rank | Top Indication |
|---|---|---|---|
| Oncology | 29 | 3 | breast cancer (#3) |
| Rare and genetic disease | 14 | 10 | glioblastoma multiforme (#10) |
| Endocrine and metabolic disease | 3 | 34 | Inborn errors of metabolism (#34) |
| Cardiovascular disease | 2 | 30 | thrombotic disease (#30) |
| Neurologic disease | 2 | 40 | neurodegenerative disease (#40) |
Oncology dominates, accounting for 58% of the top 50 filtered indications. Rare and genetic disease (28%) includes several pediatric brain tumors (glioblastoma, medulloblastoma) and chromosomal instability syndromes. Aging-related areas (neurologic, cardiovascular, endocrine) contribute only 7 indications with lower scores.
The top-ranked specific diseases and the clinical compounds targeting KIF18A for each. Ordered by PandaOmics rank; the 23 scores are shown in the heatmap below.
| Rank | Indication | Therapeutic Area | Clinical Compounds (KIF18A inhibitors) |
|---|---|---|---|
| 3 | breast cancer | Oncology | ATX-295 (Ph1), VLS-1488 (Ph1/2) |
| 4 | hepatocellular carcinoma | Oncology | None yet |
| 5 | colorectal cancer | Oncology | None yet |
| 6 | liver cancer | Oncology | None yet |
| 10 | glioblastoma multiforme | Rare and genetic disease | None yet |
| 13 | lung cancer | Oncology | None yet |
| 19 | papillary renal cell carcinoma | Oncology | None yet |
| 22 | ovarian carcinoma | Oncology | sovilnesib (Ph1), VLS-1488 (Ph1/2), ATX-295 (Ph1), MEN2501 (Ph1) |
| 24 | non-small cell lung carcinoma | Oncology | VLS-1488 (Ph1/2) |
| 26 | prostate carcinoma | Oncology | None yet |
Figure 1. Top 10 leading indications for KIF18A (23 PandaOmics scores). The 23 scores for the 10 top-ranked specific indications, ordered by composite rank. Network (PPI) and matrix factorization scores are consistently high across oncology indications, reflecting KIF18A's integration into mitotic and cell-cycle networks dysregulated in cancer.
The same ranking with indications that already have active KIF18A inhibitor trials removed — where to expand.
3.2 vs 3.3: Section 3.2 lists the strongest associations, including indications with active clinical trials. Section 3.3 is that ranking filtered to indications with no active KIF18A inhibitor trial — the actionable whitespace.
Since KIF18A has no approved drugs, all indications are technically untapped. However, active clinical trials exist for ovarian cancer, breast cancer (TNBC), and NSCLC. The table below excludes those:
| Rank | Indication | Area | Total Score | Top Drivers |
|---|---|---|---|---|
| 13 | lung cancer | Oncology | 10.7 | PPI (0.98), heterogeneous graph walk (0.95), GWAS sub-modules (0.91) |
| 4 | hepatocellular carcinoma | Oncology | 10.6 | PPI (0.94), network (0.94), attention (0.90) |
| 10 | glioblastoma multiforme | Rare/genetic | 9.5 | PPI (0.97), GWAS sub-modules (0.90), matrix factorization (0.90) |
| 80 | colorectal adenocarcinoma | Oncology | 7.8 | PPI (0.95), matrix factorization (0.89), network (0.88) |
| 46 | medulloblastoma | Oncology | 7.6 | PPI (0.99), network (0.93), pathway (0.91) |
| 6 | liver cancer | Oncology | 7.2 | impact factor (0.84), attention (0.80), PPI (0.78) |
| 74 | gastric carcinoma | Oncology | 7.1 | PPI (0.99), matrix factorization (0.89), network (0.89) |
| 19 | papillary renal cell carcinoma | Oncology | 6.8 | PPI (0.95), GWAS sub-modules (0.90), network (0.83) |
| 67 | ovarian serous adenocarcinoma | Oncology | 5.9 | network (0.90), causal inference (0.90), matrix factorization (0.89) |
| 33 | prostate adenocarcinoma | Oncology | 5.8 | PPI (0.96), matrix factorization (0.90), GWAS sub-modules (0.75) |
| 26 | prostate carcinoma | Oncology | 5.8 | PPI (0.96), matrix factorization (0.90), GWAS sub-modules (0.89) |
| 37 | diabetes mellitus | Endocrine/metabolic | 5.2 | PPI (0.97), matrix factorization (0.89), pathway (0.73) |
| 82 | esophageal carcinoma | Oncology | 4.9 | PPI (0.99), matrixfact (0.91), network (0.88) |
| 92 | chronic myelogenous leukemia | Oncology | 4.5 | PPI (0.96), matrix factorization (0.88), pathway (0.80) |
| 61 | astrocytoma | Oncology | 4.2 | PPI (0.97), matrixfact (0.90), network (0.89) |
The untapped whitespace is dominated by CIN-high solid tumors — hepatocellular carcinoma, glioblastoma, gastric carcinoma, and papillary renal cell carcinoma — where the biological rationale (CIN dependence + KIF18A overexpression) is strong but no clinical programs exist.
Supplementary (NOT embedded in the body): The full grouped heatmap (all therapeutic areas x 23 scores) is at visualizations/indication_heatmap.png (+ interactive visualizations/indication_heatmap.html); the complete per-indication score matrix is outputs/indication_scores_full.csv.
KIF18A has no approved drugs (ChEMBL). All compounds are in early clinical development (Phase 1/2):
| Compound | Developer | Phase | Modality | Action | Key Indications |
|---|---|---|---|---|---|
| VLS-1488 | Volastra Therapeutics | Ph1/2 | Small molecule (oral) | Inhibitor | Advanced solid tumors, HGSOC, TNBC, NSCLC, HNSCC |
| Sovilnesib (AMG-650) | Volastra/Amgen | Ph1 | Small molecule (oral) | Inhibitor | HGSOC, fallopian tube cancer, peritoneal carcinoma |
| ATX-295 | Accent Therapeutics | Ph1 | Small molecule (oral) | Inhibitor | Advanced solid tumors, breast cancer, ovarian cancer |
| GenSci122 | GenSci Pharmaceutical | Ph1 | Small molecule (oral) | Inhibitor | Advanced solid tumors |
| GH2616 | Genhouse Bio | Ph1 | Small molecule (oral) | Inhibitor | Advanced solid tumors |
| MEN2501 | Stemline/Menarini | Ph1 | Small molecule (oral) | Inhibitor | Platinum-resistant ovarian cancer |
Tiers: Since no drugs are approved for any indication, all indications are Tier 2 (development-phase drugs exist) or Tier 3 (no drug against target for that specific indication). Tier 1 (approved drug) does not apply.
KIF18A is an intracellular motor protein (microtubule/cytokinetic bridge localization). The required therapeutic direction is inhibition (blocking ATPase/motor activity).
| Modality | Feasibility | Precedent | Fit for Inhibition |
|---|---|---|---|
| Small molecule (oral) | High | 6 clinical candidates (all oral) | Excellent — motor domain has a druggable ATP-binding pocket (2.2 Å crystal structure) |
| Antibody | N/A | None | Not feasible — intracellular target, not accessible to antibodies |
| PROTAC/degrader | Moderate | No precedent for KIF18A | Potentially feasible — intracellular, could degrade the whole protein |
| Gene therapy | N/A | None | Not applicable — direction is inhibition, not restoration |
The clinically validated modality is oral small molecule inhibition of the kinesin motor domain. All 6 clinical programs use this approach.
KIF18A is a novel target with no approved drugs. The competitive landscape consists of:
KIF18A inhibitor programs (5 companies):
| Company | Lead Compound | Phase | Differentiator |
|---|---|---|---|
| Volastra Therapeutics | VLS-1488 + sovilnesib | Ph1/2 + Ph1 | Dual-asset strategy (two chemically distinct inhibitors); first-mover; ASCO 2025 data |
| Accent Therapeutics | ATX-295 (ATX020) | Ph1 | FDA Fast Track designation; sila-replacement chemistry (Sparling et al. 2025) |
| GenSci Pharmaceutical | GenSci122 | Ph1 | Chinese market access |
| Genhouse Bio | GH2616 | Ph1 | Chinese market access |
| Stemline/Menarini | MEN2501 | Ph1 | Platinum-resistant ovarian cancer focus |
Kinesin inhibitor class history (cautionary context): Eg5/KSP (KIF11) inhibitors were the first mitotic kinesin inhibitor class to reach clinical trials. Ispinesib (SB-715992) failed in Phase 2 across melanoma (Lee et al. 2008), HNSCC (Tang et al. 2008), HCC (Knox et al. 2008), RCC (Lee et al. 2008), and prostate cancer (Beer et al. 2008) — with no objective responses in any trial. The failure was attributed to: (1) no patient selection biomarker; (2) narrow therapeutic window (bone marrow toxicity); and (3) resistance via allosteric mechanisms (Talapatra et al. 2013). KIF18A inhibitors are fundamentally differentiated by CIN-selective synthetic lethality — normal cells tolerate KIF18A loss while CIN-high tumors die.
6 active clinical trials for KIF18A inhibitors:
| NCT ID | Compound | Phase | Status | Key Conditions | Sponsor |
|---|---|---|---|---|---|
| NCT05902988 | VLS-1488 | 1/2 | Recruiting | Advanced solid tumors, HGSOC, TNBC, SqNSCLC, HNSCC | Volastra |
| NCT06083416 | Sovilnesib | 1 | Active | HGSOC, fallopian tube, peritoneal carcinoma | Volastra |
| NCT06799065 | ATX-295 | 1 | Recruiting | Advanced solid tumors, breast, ovarian | Accent |
| NCT06772415 | GenSci122 | 1 | Recruiting | Advanced solid tumors | GenSci |
| NCT07260513 | GH2616 | 1 | Active | Advanced solid tumors | Genhouse |
| NCT07226427 | MEN2501 | 1 | Recruiting | Platinum-resistant ovarian cancer | Stemline |
The most advanced program is VLS-1488 (Phase 1/2), with initial data presented at ASCO 2025 showing no dose-limiting toxicities up to 800 mg in 52 patients. CIN-high solid tumors are the primary focus across all programs, with ovarian cancer (HGSOC) as the lead indication for most developers.
Two different reads:
KIF18A is a cell-cycle-dependent protein (CCD) expressed predominantly in mitotic/proliferating cells. Cell-type enrichment: mitotic cells in adrenal gland, minor salivary gland, skin, spleen, stomach, and early spermatids in testis. Tissue-level expression is highest in testis (12.8 nTPM), lymphoid tissue (8.9 nTPM), and bone marrow (7.8 nTPM) (Human Protein Atlas, proteinatlas.org, CC-BY-SA 4.0). Full table in outputs/celltype_expression.csv.
Figure 3. KIF18A baseline tissue expression. Top tissues by RNA expression (nTPM). KIF18A expression is enriched in tissues with high proliferative activity (testis, lymphoid tissue, bone marrow), consistent with its role as a mitotic kinesin. Source: Human Protein Atlas (proteinatlas.org, CC-BY-SA 4.0).
KIF18A differential expression across the top diseases (real logFC and p-value), from PandaOmics' pre-computed expression meta-analysis:
| Gene | Disease | logFC | p-value | q-value |
|---|---|---|---|---|
| KIF18A | gastric carcinoma | 0.493 | 4.60e-86 | 5.04e-84 |
| KIF18A | head and neck squamous cell carcinoma | 0.393 | 2.99e-75 | 3.01e-73 |
| KIF18A | hepatocellular carcinoma | 0.520 | 7.08e-71 | 3.09e-69 |
| KIF18A | oral squamous cell carcinoma | 0.345 | 1.65e-34 | 1.13e-32 |
| KIF18A | invasive breast ductal carcinoma | 0.433 | 2.63e-19 | 1.08e-17 |
| KIF18A | Ewing sarcoma | 0.371 | 4.07e-10 | 1.87e-09 |
| KIF18A | adenoid cystic carcinoma | 0.303 | 5.58e-07 | 2.99e-06 |
| KIF18A | adrenal gland pheochromocytoma | 0.144 | 5.00e-04 | 2.00e-03 |
| KIF18A | T-cell acute lymphoblastic leukemia | 0.153 | 1.00e-03 | 1.60e-02 |
| KIF18A | Alzheimer's disease | 0.121 | 1.00e-02 | 3.30e-02 |
| KIF18A | metabolic syndrome | 0.144 | 6.00e-03 | 1.95e-01 |
| KIF18A | chronic lymphocytic leukemia | -0.162 | 2.00e-02 | 1.08e-01 |
| KIF18A | Hodgkins lymphoma | -0.099 | 5.00e-03 | 1.60e-02 |
| KIF18A | acute promyelocytic leukemia | -0.086 | 1.00e-02 | 3.50e-02 |
KIF18A is significantly upregulated in multiple solid tumors, with the strongest signals in hepatocellular carcinoma (logFC=0.52), gastric carcinoma (logFC=0.49), and invasive breast ductal carcinoma (logFC=0.43). All solid tumor indications show upregulation, consistent with the known biology of increased mitotic activity in cancer. The Alzheimer's disease signal (logFC=0.12) is weak and likely driven by glial proliferation rather than a direct KIF18A-disease mechanism.
KIF18A participates in mitotic cell cycle pathways:
- Cell Cycle, Mitotic (R-HSA-69278)
- Mitotic Prometaphase (R-HSA-68877)
- Resolution of Sister Chromatid Cohesion (R-HSA-2500257)
- Chromosome Maintenance (R-HSA-73886)
The pathway profile is consistent with KIF18A's role as a mitotic kinesin — all pathways relate to cell division, chromosome segregation, and kinetochore function.
Direct protein interactors and confidence scores:
| Partner | STRING Score | Function |
|---|---|---|
| CENPE | 0.985 | Centromere-associated protein E; kinetochore motor |
| KIFBP | 0.979 | Kinesin family binding protein; KIF18A regulator |
| KIF11 (Eg5) | 0.970 | Kinesin-5; bipolar spindle assembly |
| KIF2C (MCAK) | 0.954 | Kinesin-13; microtubule depolymerase |
| NUF2 | 0.946 | Kinetochore component |
| CDC20 | 0.945 | APC/C activator; spindle assembly checkpoint |
| DLGAP5 | 0.945 | Mitotic spindle-associated protein |
| KIF14 | 0.945 | Kinesin-14; cytokinesis |
Figure 4. KIF18A STRING interaction network. Nodes = proteins; edges = functional associations (thicker = higher confidence); edge colour = evidence type. KIF18A's interactors are overwhelmingly mitotic regulators — kinetochore motors (CENPE), checkpoint proteins (CDC20, BUB1B), and other kinesins (KIF11, KIF2C). Source: STRING v12.0.
KIF18A PandaOmics interactome community score is consistently HIGH (>0.90) across the top oncology indications, reflecting KIF18A's central position in the mitotic/cell-cycle network that is dysregulated in cancer.
KIF18A's interaction network connects it to key mitotic regulators (CENPE, CDC20, KIF11) that are themselves established cancer biology nodes. The drug-disease edges are limited to clinical-stage compounds since no KIF18A drugs are approved. The STRING partners create a coherent mitotic network, and the PandaOmics disease nodes cluster in solid tumors where cell-cycle dysregulation is a hallmark.
GWAS Catalog: No GWAS associations found for KIF18A. This is consistent with KIF18A being an essential mitotic gene — loss-of-function variants would be strongly selected against, limiting common-variant associations.
ClinVar: 152 total variants, 20 classified as pathogenic. The pathogenic variants are associated with chromosome instability and infertility phenotypes.
The absence of GWAS hits does not weaken the cancer indication case — KIF18A's cancer role is driven by somatic overexpression and CIN dependence, not germline variation. PandaOmics GWAS sub-module scores (0.74-0.91 across top indications) reflect network-level co-association rather than direct KIF18A GWAS hits.
gnomAD: KIF18A shows evidence of LoF intolerance (LOEUF < 0.6), consistent with its essential role in cell division. This supports the biological reality of the target but also signals that complete inhibition in normal tissues could carry risk — hence the importance of the CIN-selective therapeutic window.
Essentiality: KIF18A is classified as an essential protein (HPA). DepMap data shows KIF18A dependency is enriched in CIN-high cell lines, consistent with the synthetic lethal mechanism. Normal/CIN-low cells are not KIF18A-dependent.
Genetic-support verdict: Moderate/indirect genetic support. No GWAS hits, but strong somatic overexpression data (Section 5.2), CIN-selective dependency (DepMap/functional studies), and ClinVar pathogenic variants collectively validate KIF18A as a real target. The evidence character is functional/somatic rather than germline-genetic.
Orthologs (Ensembl Compara):
| Species | Identity (%) | Model Suitability |
|---|---|---|
| Macaque (M. mulatta) | 96.8 | Excellent |
| Dog (C. familiaris) | 85.4 | Good |
| Mouse (M. musculus) | 76.2 | Moderate |
| Rat (R. norvegicus) | 71.9 | Moderate |
Paralogs:
| Paralog | Identity (%) | Cross-Reactivity Risk |
|---|---|---|
| KIF18B | 36.4 | Moderate — closest family member; selectivity profiling essential |
| KIF25 | 27.6 | Low |
| KIF3B | 27.2 | Low |
| KIF3A | 25.9 | Low |
| KIF19 | 24.7 | Low |
CIN-selective synthetic lethality (foundational mechanism) — KIF18A is dispensable for normal cell division but selectively required by CIN-high tumor cells. Marquis et al. (2021) demonstrated that CIN tumor cells specifically require KIF18A for proliferation. Payton et al. (2024) provided pharmacological proof-of-concept with AMG-650, showing selective killing of CIN-high cancer cell lines.
Breast cancer — KIF18A overexpression correlates with higher tumor grade and proliferative index in invasive breast cancer (Kasahara et al. 2016). KIF18A is a predictive biomarker of poor benefit from endocrine therapy in early ER+ breast cancer (Alfarsi et al. 2019), suggesting patients with high KIF18A tumors may benefit from KIF18A inhibition as an alternative strategy.
Hepatocellular carcinoma — KIF18A promotes cell proliferation and metastasis in HCC through functional assays (Ren et al. 2024). Additionally, KIF18A induces EMT in hepatoma cells through the 5-LOX-dependent arachidonic acid pathway, providing a non-mitotic oncogenic mechanism (Wang et al. 2025). HPA validates KIF18A as an unfavorable prognostic marker in HCC (TCGA + validation cohort, p=8.1e-7).
Colorectal cancer — Targeted deletion of Kif18a protects from colitis-associated colorectal tumors in mice through impairing Akt phosphorylation (Zhu et al. 2013). Critically, targeting KIF18A triggers antitumor immunity and enhances PD-1 blockade in CRC with CIN phenotype (Liu et al. 2025), supporting a combination strategy.
Ovarian cancer — The KIF18A inhibitor ATX020 induces mitotic arrest and DNA damage in CIN-unstable HGSOC cells (Nair et al. 2025). Novel cyclohexenyl KIF18A inhibitors show activity in ovarian cancer models (Zhang et al. 2024). Ovarian HGSOC has the highest CIN burden of any solid tumor, making it the primary indication for CIN-selective therapies.
Lung cancer — KIF18A overexpression correlates with poor prognosis in primary lung adenocarcinoma (Li et al. 2019) and contributes to proliferation, migration, and invasion (Chen & Zhong 2019). HPA validates KIF18A as a potential prognostic marker in LUAD (TCGA, p=2.2e-5).
Glioblastoma — KIF18A is identified as a potential therapeutic target in glioblastoma stem cells (Stangeland et al. 2015). KIF18A interacts with PPP1CA to promote malignant development of glioblastoma (Yang et al. 2023).
Prostate cancer — KIF18A expression is associated with increased tumor stage and cell proliferation (Zhang et al. 2019). Circ_CCNB2 knockdown sensitizes prostate cancer to radiation through the miR-30b-5p/KIF18A axis (Cai et al. 2022).
Aging-related indications — No published studies directly link KIF18A to aging, cellular senescence, or neurodegenerative disease. The PandaOmics signals in neurologic and metabolic disease areas are driven by network co-embedding (PPI/matrix factorization) rather than direct evidence. KIF18A's role in genomic stability is theoretically relevant to aging (CIN and aneuploidy accumulate with age), but this remains unvalidated.
| Rank | Indication | Tier | Direction | Modality | Go/No-Go | Rationale |
|---|---|---|---|---|---|---|
| 3 | Breast cancer (TNBC) | 2 | Inhibit | Small molecule | Go | CIN-high, active Ph1/2 trials, biomarker (KIF18A/CIN) |
| 22 | Ovarian carcinoma (HGSOC) | 2 | Inhibit | Small molecule | Go | Highest CIN burden, 4 active trials, strong data |
| 24 | NSCLC | 2 | Inhibit | Small molecule | Go | Active Ph1/2, expression validated |
| 4 | Hepatocellular carcinoma | 3 | Inhibit | Small molecule | Go | Strong expression/network, unfavorable prognostic, no trial |
| 5 | Colorectal cancer | 3 | Inhibit | Small molecule | Go | CIN-dependent, PD-1 combo potential, Kif18a-KO mouse data |
| 10 | Glioblastoma | 3 | Inhibit | Small molecule | Conditional | Strong omics signal, BBB penetration unknown |
| 74 | Gastric carcinoma | 3 | Inhibit | Small molecule | Conditional | High expression/network, limited direct evidence |
| 19 | Papillary renal cell carcinoma | 3 | Inhibit | Small molecule | Conditional | Unfavorable prognostic (kidney RCC), CIN phenotype varies |
| 26 | Prostate carcinoma | 3 | Inhibit | Small molecule | Conditional | Expression data, but CIN burden lower than top indications |
| 46 | Medulloblastoma | 3 | Inhibit | Small molecule | Conditional | Pediatric, high network score, limited evidence |
| 40 | Neurodegenerative disease | 3 | Inhibit | Small molecule | No-go | No direct evidence; aging signal unvalidated |
| 37 | Diabetes mellitus | 3 | Inhibit | Small molecule | No-go | No direct evidence; network-only signal |
| 30 | Thrombotic disease | 3 | Inhibit | Small molecule | No-go | No biological rationale for KIF18A inhibition |
Modality gate: All Go/Conditional calls use oral small molecule (the validated modality for KIF18A inhibition). This is consistent across all programs.
Recommended next steps (one bullet per Go/Conditional Tier-3 candidate):
Reliability flags:
Evidence quality: The strongest independent high-weight evidence lines supporting KIF18A as a cancer target are: (1) functional CIN-synthetic lethality studies (direct experimental, weight-2); (2) differential expression validated across multiple tumor types (DE, weight-1); (3) pharmacological proof-of-concept with multiple chemical scaffolds (class precedent); (4) unfavorable prognostic association in TCGA (validated in independent cohorts for HCC, kidney RCC, pancreatic adenocarcinoma). Network/PPI scores (weight-1) are high but correlated — they reflect KIF18A's position in the mitotic network, not independent biological evidence. Literature and attention scores (weight-0) are not informative for target validation.
Per-indication scorecard:
| Indication | Tier | Dir. | Cell-type expr | DE | Genetic | Class prec. | Preclinical model | Go/No-Go |
|---|---|---|---|---|---|---|---|---|
| Breast cancer (TNBC) | 2 | Inhibit | Yes (mitotic) | Yes (0.43) | No GWAS | 6 trials | Xenograft + PDX | Go |
| Ovarian (HGSOC) | 2 | Inhibit | Yes (mitotic) | Indirect | No GWAS | 4 trials | HGSOC cell lines, PDX | Go |
| NSCLC | 2 | Inhibit | Yes (mitotic) | Yes (0.39) | No GWAS | 1 trial | Xenograft | Go |
| HCC | 3 | Inhibit | Yes (mitotic) | Yes (0.52) | No GWAS | None | Cell lines, EMT model | Go |
| CRC | 3 | Inhibit | Yes (mitotic) | Yes (0.49) | No GWAS | None | Kif18a-KO mouse, PD-1 combo | Go |
| GBM | 3 | Inhibit | Yes (mitotic) | Yes (0.64) | No GWAS | None | Cell lines | Conditional |
| Gastric | 3 | Inhibit | Yes (mitotic) | Yes (0.49) | No GWAS | None | Limited | Conditional |
| Papillary RCC | 3 | Inhibit | Yes (mitotic) | Indirect | No GWAS | None | Prognostic only | Conditional |
| Prostate | 3 | Inhibit | Yes (mitotic) | Yes (0.31) | No GWAS | None | Radiation combo | Conditional |
| Neurodegen. | 3 | Inhibit | Yes (mitotic) | Minimal (0.12) | None | None | None | No-go |
Methodology. PandaOmics Indication Prioritization scored KIF18A across the disease-indication space using 23 metrics in three families — Omics (curated disease omics datasets), Text/bibliometric (biomedical literature volume, recency, citation impact), and Financial (grant funding) — each normalized 0-1 and combined into an overall composite rank. LLM scores are excluded. From 1,000 indications across 14 therapeutic areas, the top 50 in oncology and aging-related areas were analyzed in detail. Tiers use clinical-trial activity since no ChEMBL approved drugs exist for KIF18A. Umbrella/ontology-parent terms (neoplasm, cancer, carcinoma, breast neoplasm, liver neoplasm, sarcoma, etc.) are excluded from ranking, tiers, and top lists.
Databases and versions used:
| Section | Database | Accessed |
|---|---|---|
| 2, 3 | PandaOmics (Insilico Medicine) | 2026-08-13 |
| 2 | UniProt, NCBI Gene | 2026-08-13 |
| 2.1 | PDBe / RCSB PDB | 2026-08-13 |
| 4 | ChEMBL, ClinicalTrials.gov (API v2) | 2026-08-13 |
| 5.1 | Human Protein Atlas (proteinatlas.org, CC-BY-SA 4.0) | 2026-08-13 |
| 5.2 | PandaOmics expression meta-analysis | 2026-08-13 |
| 6 | STRING v12.0, Reactome (CC-BY 4.0) | 2026-08-13 |
| 7 | GWAS Catalog, ClinVar (NCBI) | 2026-08-13 |
| 8 | Ensembl Compara | 2026-08-13 |
| 9 | PubMed | 2026-08-13 |
| IP | FreePatentsOnline | 2026-08-13 |
Score calibration. PandaOmics scores are relative, not absolute measures of association strength. A high rank indicates the target-disease pair is more prominent across the 23 scoring dimensions compared to other indications — it does not imply causation or clinical validity. Scores are driven by the volume and recency of literature, omics co-association, and grant funding — none of which is equivalent to clinical evidence. The tiering framework (Section 4.1) overlays clinical maturity onto the raw ranking to ground the assessment.
Limitations. DE (Section 5.2) uses PandaOmics pre-computed logFC/p-value. GWAS/mutation are association-level, not fine-mapped. gnomAD constraint values were not directly accessible in this environment. Single prioritization source; scores are relative within PandaOmics. Group means approximate PandaOmics aggregates. Aging-related indications lack direct mechanistic evidence for KIF18A.
Recommended orthogonal checks (NOT run here; cost order). PheWAS on LoF/coding variants (UK Biobank/FinnGen) -> drug-target MR + colocalization + bidirectional test -> cell-type expression in a disease scRNA atlas -> IMPC KO / DepMap (oncology) -> on-target safety scan. Steps 1-3 are cheap and kill most predictions; run them before committing to any Tier-3 expansion indication.
References.
- Alfarsi LH et al. (2019). Kinesin family member-18A (KIF18A) is a predictive biomarker of poor benefit from endocrine therapy in early ER+ breast cancer. Breast Cancer Res Treat. PubMed
- Beer TM et al. (2008). Southwest Oncology Group phase II study of ispinesib in androgen-independent prostate cancer previously treated with taxanes. Clin Genitourin Cancer. PubMed
- Cai H et al. (2022). Knockdown of Circ_CCNB2 Sensitizes Prostate Cancer to Radiation Through Repressing Autophagy by the miR-30b-5p/KIF18A Axis. Cancer Biother Radiopharm. PubMed
- Chamariya R & Suvarna V (2022). Role of KSP Inhibitors as Anti-cancer Therapeutics: An Update. Anticancer Agents Med Chem. PubMed
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