Frequent amplification of receptor tyrosine kinase genes in welldifferentiated/ dedifferentiated liposarcoma
Naofumi Asano1,2, Akihiko Yoshida3, Sachiyo Mitani4
1Division of Rare Cancer Research, National Cancer Center Research Institute, Chuo-ku, Tokyo 104-0045, Japan.
Abstract:
Well-differentiated liposarcoma (WDLPS) and dedifferentiated liposarcoma (DDLPS) are closely related tumors commonly characterized by MDM2/CDK4 gene amplification, and lack clinically effective treatment options when inoperable. To identify novel therapeutic targets, we performed targeted genomic sequencing analysis of 19 WDLPS and 37 DDLPS tumor samples using a panel of 104 cancer-related genes (NCC oncopanel v3) developed specifically for genomic testing to select suitable molecular targeted therapies. The results of this analysis indicated that these sarcomas had very few gene mutations and a high frequency of amplifications of not only MDM2 and CDK4 but also other genes. Potential driver mutations were found in only six (11%) samples; however, gene amplification events (other than MDM2 and CDK4 amplification) were identified in 30 (54%) samples. Receptor tyrosine kinase (RTK) genes in particular were amplified in 18 (32%) samples. In addition, growth of a WDLPS cell line with IGF1R amplification was suppressed by simultaneous inhibition of CDK4 and IGF1R, using palbociclib and NVP-AEW541, respectively. Combination therapy with CDK4 and RTK inhibitors may be an effective therapeutic option for WDLPS/DDLPS patients with RTK gene amplification.
Insights
Well-differentiated and dedifferentiated liposarcomas often have MDM2/CDK4 gene amplification. Combination therapy targeting CDK4 and receptor tyrosine kinases (RTKs) may offer new treatment options for these rare cancers.
Area of Science:
- Oncology
- Genetics
- Molecular Biology
Background:
- Well-differentiated liposarcoma (WDLPS) and dedifferentiated liposarcoma (DDLPS) are rare soft tissue sarcomas.
- These tumors frequently exhibit MDM2/CDK4 gene amplification.
- Current treatment options for inoperable WDLPS/DDLPS are limited.
Purpose of the Study:
- To identify novel therapeutic targets in WDLPS and DDLPS.
- To analyze the genomic landscape of these liposarcomas.
- To explore potential combination therapies.
Main Methods:
- Targeted genomic sequencing of 56 WDLPS/DDLPS tumor samples using the NCC oncopanel v3.
- Analysis of gene mutations and amplifications.
- In vitro study of a WDLPS cell line with IGF1R amplification.
Main Results:
- Liposarcomas showed few mutations but frequent gene amplifications beyond MDM2/CDK4.
- Receptor tyrosine kinase (RTK) genes were amplified in 32% of samples.
- Simultaneous inhibition of CDK4 and IGF1R suppressed WDLPS cell growth.
Conclusions:
- Gene amplifications, particularly in RTK genes, are common in WDLPS/DDLPS.
- Combination therapy with CDK4 and RTK inhibitors shows promise for treating WDLPS/DDLPS with RTK amplification.
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