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CDK4: A Novel Therapeutic Target for Extramammary Paget's Disease
Hiroki Hashimoto1, Yumiko Kaku-Ito1, Yoshinao Oda2
1Department of Dermatology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Background:
The outcome of extramammary Paget's disease (EMPD) is poor when it progresses to metastasis because of the lack of effective systemic therapies. Recently, CDK4-targeted therapy has attracted attention as a potential therapeutic target for some cancers. The aim of this study was to analyze the impact of CDK4 expression on the survival of patients with EMPD.
Methods:
We retrospectively reviewed 110 patients with EMPD. We conducted immunohistochemical analysis of CDK4 and cyclin D1 expression, and assessed the association between their expression and survival.
Results:
Most EMPD lesions (108/110, 98.2%) were positive for CDK4 staining and there was a positive correlation between CDK4 expression and cyclin D1 expression (r = 0.54, p < 0.001). Tumor thickness (p = 0.0003) and the presence of regional lymph node metastasis (p = 0.015) were significantly associated with high CDK4 expression. Regarding invasive EMPD, the multivariate analysis did not show the correlation between the expression of CDK4/cyclin D1 and survival outcomes (HR: 3.14, p = 0.14).
Conclusion:
The overexpression of CDK4 was identified as a major risk factor for disease progression. CDK4-targeted therapy could thus be a novel treatment option for unresectable EMPD.
Insights
High CDK4 expression is linked to extramammary Paget
Area of Science:
- Oncology
- Molecular Biology
Background:
- Extramammary Paget's disease (EMPD) has a poor prognosis upon metastasis due to limited systemic therapies.
- CDK4-targeted therapy is emerging as a promising treatment for certain cancers.
Purpose of the Study:
- To investigate the association between CDK4 expression and patient survival in extramammary Paget's disease.
Main Methods:
- Retrospective review of 110 EMPD patients.
- Immunohistochemical analysis of CDK4 and cyclin D1 expression.
- Assessment of the correlation between protein expression and survival outcomes.
Main Results:
- Over 98% of EMPD lesions showed CDK4 positivity, correlating with cyclin D1 expression.
- High CDK4 expression was significantly associated with increased tumor thickness and lymph node metastasis.
- Multivariate analysis did not reveal a direct correlation between CDK4/cyclin D1 expression and survival in invasive EMPD.
Conclusions:
- CDK4 overexpression is a significant risk factor for EMPD progression.
- CDK4-targeted therapy may offer a new treatment strategy for unresectable EMPD.
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