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High ROR1 Expression Is Associated With Poor Differentiation and Perineural Invasion in Cutaneous Squamous Cell
Yannick Foerster1, Kristine E Mayer1, Tilo Biedermann1
1Department of Dermatology, TUM School of Medicine and Health, Technical University of Munich, Munich, Germany.
Experimental Dermatology
|December 8, 2025
Summary
Receptor tyrosine kinase-like orphan receptor 1 (ROR1) is a novel biomarker for aggressive cutaneous squamous cell carcinoma (cSCC). High ROR1 expression correlates with poor differentiation and metastasis, indicating its potential as a therapeutic target.
Area of Science:
- Oncology
- Dermatology
- Molecular Biology
Background:
- Cutaneous squamous cell carcinoma (cSCC) presents poor outcomes for metastatic or recurrent cases.
- Existing therapies like immune checkpoint inhibitors have limitations.
- Receptor tyrosine kinase-like orphan receptor 1 (ROR1) is a potential biomarker and therapeutic target in other cancers.
Purpose of the Study:
- To evaluate ROR1 expression in cSCC.
- To investigate ROR1 as a biomarker for tumor aggressiveness.
- To explore ROR1's association with clinicopathologic features and patient outcomes.
Main Methods:
- Immunofluorescence analysis of ROR1 expression in 360 cSCC tissue microarray samples.
- Quantification of fluorescence intensity.
- Correlation analysis with clinicopathologic features and patient survival data.
Main Results:
- High ROR1 expression was found in 42.5% of cSCC samples, mainly at invasive fronts.
- Elevated ROR1 levels significantly correlated with poor tumor differentiation, lymph node metastasis, and perineural invasion.
- While ROR1 expression trended with worse survival, statistical significance was not reached.
Conclusions:
- ROR1 is a novel marker associated with aggressive cSCC features, including poor differentiation and spread.
- ROR1 shows potential as a prognostic biomarker for cSCC.
- ROR1 represents a promising therapeutic target for advanced cSCC, warranting further investigation.
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