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.

Frontiers in Oncology
|August 16, 2021
PubMed
Abstract

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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