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Pansarcoma Analysis of Cyclin-Dependent Kinase and Cyclin Outlier Gene Expression Highlights CDK7 as a Potential
Daniel S Lefler1, Andrew Elliott2, Wei Jiang3
1Department of Medicine, Division of Hematology-Oncology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Purpose:
Cyclin-dependent kinase (CDK)4/6 inhibitors are approved for the treatment of breast cancer, and they have more recently been used in patients with well-differentiated/dedifferentiated liposarcomas (WD-LPSs/DD-LPSs). However, targeting of these and other CDKs, including transcriptional CDKs, remains a promising avenue of investigation for various cancers. Therefore, we sought to characterize outlier overexpression of CDK and cyclin genes in sarcomas. On the basis of the initial results, further studies were undertaken to investigate the roles of CDK7 and CDK18 in chordomas.
Materials And Methods:
An initial analysis of CDK/cyclin gene expression involved an American national biomarker database of deidentified patients (Caris Life Sciences, Phoenix, AZ; n = 3,757) using novel, strict definitions to identify outlier overexpressing samples across subtypes. Results were validated with a German national database (Molecularly Aided Stratification for Tumor Eradication Research [MASTER]; n = 943). Outlier overexpression for CDK7/18 in chordoma was compared with immunohistochemical (IHC) expression using tissue microarrays, and a selective investigational CDK7 inhibitor was tested against four chordoma cell lines.
Results:
Initial analysis identified expected findings (eg, outlier overexpression of CDK4 in 39%-66% of WD-LPSs/DD-LPSs), clinical correlates of fundamental scientific work (eg, CCND1 in 29% of Ewing sarcomas), and novel associations (eg, CDK7/CDK18 in 42%/37% of chordomas). Outlier overexpression for CDK7 and CDK18 in chordomas was corroborated in the MASTER database (40% and 26% of patients, respectively). IHC analysis confirmed strong and diffuse expression of both CDK7 and CDK18 in chordoma samples. Furthermore, CDK7 inhibition was highly effective in four chordoma cell lines.
Conclusion:
This study supports further investigation into targeting of CDKs and cyclins in select sarcoma subtypes, and it specifically suggests a therapeutic approach inhibiting CDK7 in chordoma.
Insights
This study identified outlier overexpression of CDK7 and CDK18 in chordomas, suggesting CDK7 inhibition as a potential therapeutic strategy for this rare cancer. Further research into targeting CDKs and cyclins in sarcomas is warranted.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Cyclin-dependent kinase (CDK)4/6 inhibitors are established treatments for breast cancer.
- CDK inhibitors are being explored for various cancers, including liposarcomas.
- Targeting transcriptional CDKs presents a promising therapeutic avenue in oncology.
Purpose of the Study:
- To identify outlier overexpression of cyclin-dependent kinase (CDK) and cyclin genes across sarcoma subtypes.
- To investigate the specific roles of CDK7 and CDK18 in chordoma.
- To evaluate the therapeutic potential of CDK7 inhibition in chordoma.
Main Methods:
- Analysis of CDK/cyclin gene expression in large national biomarker databases (n=3,757 and n=943).
- Identification of outlier overexpression using strict definitions.
- Validation of findings using immunohistochemistry (IHC) and testing of a CDK7 inhibitor in chordoma cell lines.
Main Results:
- Identified outlier overexpression of CDK4 in liposarcomas and CCND1 in Ewing sarcomas.
- Discovered significant outlier overexpression of CDK7 (42%) and CDK18 (37%) in chordomas.
- Confirmed CDK7/18 overexpression via IHC and demonstrated high efficacy of CDK7 inhibition in chordoma cell lines.
Conclusions:
- Further investigation of CDK and cyclin targeting in specific sarcoma subtypes is supported.
- CDK7 inhibition is a promising therapeutic strategy for chordoma.
- This study highlights novel associations and potential therapeutic targets in sarcoma treatment.
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