a Two CDK12HIGH (Pt#1 and #2) and two CDK12LOW (Pt#3 and #4) breast cancer patient-derived xenografts (PDXs) were silenced with a lentiviral CDK12 shRNA or with a control shRNA (Ctr), and injected orthotopically into the mammary fat pads of NGS mice. Tumor volume was measured at the endpoint (4–6 weeks post-injection). Bars represent the mean ± SD (6 mice per experimental group). ***P < 0.001 vs. Ctr-KD cells, two-sided unpaired t-test. b Kaplan–Meier survival analysis of mice injected intracardiacally with CDK12HIGH Pt#1 and Pt#2, or CDK12LOW Pt#3 PDX cells treated as in (a). Individual mice were sacrificed when signs of distress or severe debilitation became manifest. Number of mice/experimental group: PT#1, 14 for Ctr-KD and 13 for CDK12-KD; Pt#2, 23 for Ctr-KD and 12 for CDK12-KD; Pt#3, 14 for Ctr-KD and 14 for CDK12-KD. P, P-values, by log-rank test. c RT-qPCR analysis of the indicated SGOC genes in CDK12HIGH PDX cells (Pt#1 and Pt#2) silenced or not for CDK12 as in (a). Data are expressed as relative to control shRNA (Ctr-KD = 1) for each condition. Bars represent the means ± SEM (n = 5, Pt#1; n = 3, Pt#2). *P < 0.05; **P < 0.01; ***P < 0.001, vs. Ctr-KD, two-sided unpaired t-test. d Relative abundance of the indicated folate cycle metabolites in CDK12HIGH PDX-derived cells control- (Ctr-KD) or CDK12-silenced (CDK12-KD), identified by LC-MS metabolomics. Data are expressed as relative to an internal standard (reserpine) and are means ± SD (n = 3). **P = 0.001; ***P < 0.001, vs. Ctr-KD, two-sided unpaired t-test. e Three-day in vitro proliferation of CDK12HIGH (Pt #1 and #2) vs. CDK12LOW (Pt #3) cells, control silenced (Ctr-KD) or silenced for CDK12 (CDK12-KD), PSAT1 (PSAT1-KD) and MTHFD1 (MTHFD1-KD), or cultured in the presence of THZ531 (100 nM). Data are expressed as relative to day 3 in each condition and are the mean ± SD (n = 3). ***P < 0.001 relative to Ctr-KD in each condition, two-sided unpaired t-test. Source data are provided as Source Data file.