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Updated: Feb 10, 2026

Measurement of Protein Turnover Rates in Senescent and Non-Dividing Cultured Cells with Metabolic Labeling and Mass Spectrometry
Published on: April 6, 2022
PDLIM7 and CDH18 regulate the turnover of MDM2 during CDK4/6 inhibitor therapy-induced senescence
Mary E Klein1,2, Mark A Dickson3,4, Cristina Antonescu5
1The Louis V. Gerstner Graduate School of Biomedical Science, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA.
Abstract:
CDK4/6 inhibitors are being used to treat a variety of human malignancies. In well-differentiated and dedifferentiated liposarcoma their clinical promise is associated with their ability to downregulate the MDM2 protein. The downregulation of MDM2 following treatment with CDK4/6 inhibitors also induces many cultured tumor cell lines derived from different types of malignancies to progress from quiescence into senescence. Here we used cultured human cell lines and defined a role for PDLIM7 and CDH18, regulating MDM2 protein in CDK4/6 inhibitor-treated cells. Materials from our previous phase II trials with palbociclib were then used to demonstrate that expression of CDH18 protein was associated with response, measured as both progression-free survival and overall survival. This supports the hypothesis that the biologic transition from quiescence to senescence has clinical relevance for this class of drugs.
Insights
Cyclin-dependent kinase 4/6 (CDK4/6) inhibitors induce tumor cell senescence by downregulating MDM2 protein. CDH18 protein expression correlates with patient response to CDK4/6 inhibitors, indicating clinical relevance.
Area of Science:
- Oncology
- Molecular Biology
- Cellular Biology
Background:
- Cyclin-dependent kinase 4/6 (CDK4/6) inhibitors are emerging therapies for human malignancies.
- These inhibitors show promise in liposarcoma by downregulating MDM2 protein.
- CDK4/6 inhibition can induce tumor cell lines to enter senescence from quiescence.
Purpose of the Study:
- To define the role of PDLIM7 and CDH18 in regulating MDM2 protein in CDK4/6 inhibitor-treated cells.
- To investigate the clinical relevance of the quiescence-to-senescence transition in response to CDK4/6 inhibitors.
Main Methods:
- Utilized cultured human cell lines to identify key regulatory proteins.
- Analyzed patient data from phase II trials of palbociclib.
- Correlated CDH18 protein expression with progression-free and overall survival.
Main Results:
- Identified PDLIM7 and CDH18 as regulators of MDM2 protein in CDK4/6 inhibitor-treated cells.
- Demonstrated that CDH18 protein expression is associated with improved progression-free survival and overall survival in patients treated with palbociclib.
- Established a link between the cellular response (senescence) and clinical outcomes.
Conclusions:
- PDLIM7 and CDH18 play a role in MDM2 regulation during CDK4/6 inhibition.
- CDH18 expression serves as a predictive biomarker for response to CDK4/6 inhibitors.
- The induction of senescence is a clinically relevant mechanism for CDK4/6 inhibitor efficacy.
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