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Updated: Aug 6, 2026

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Published on: June 13, 2019
Transcriptional Heterogeneity in Dedifferentiated Liposarcoma Reveals Distinct Cell-Cycle Subtypes
Kelly M Herremans1,2, Santiago Haase1,2, Lauryn E Bailey3
1Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Annals of Surgical Oncology
|July 23, 2026
Summary
Dedifferentiated liposarcoma (DDLPS) shows varied responses to CDK4/6 inhibitors due to distinct cell-cycle regulator subtypes. Understanding these transcriptional states can predict treatment sensitivity in DDLPS tumors.
Area of Science:
- Oncology
- Molecular Biology
- Genomics
Background:
- Dedifferentiated liposarcoma (DDLPS) is characterized by cyclin-dependent kinase 4 (CDK4) amplification.
- Responses to CDK4/6 inhibitors in DDLPS are heterogeneous.
- Transcriptional heterogeneity in cell-cycle regulators may define DDLPS subtypes and influence inhibitor sensitivity.
Purpose of the Study:
- To determine if transcriptional heterogeneity in cell-cycle regulators defines distinct DDLPS subtypes.
- To investigate if these subtypes correlate with CDK4/6 inhibitor sensitivity.
Main Methods:
- Analyzed RNA sequencing data from 57 DDLPS tumors in The Cancer Genome Atlas (TCGA-SARC) cohort.
- Evaluated cell-cycle regulator expression relative to CDK4 expression.
- Performed unsupervised clustering to identify transcriptional subgroups and assess pathway activity.
Main Results:
- Identified three transcriptionally distinct DDLPS subgroups based on CDK4 and CDK2 expression patterns.
- Observed divergent pathway activity profiles across subgroups.
- One subgroup showed high CDK4/low CDK2 with inflammatory signaling; another showed high CDK4/CDK2 with proliferative signaling; a third showed low CDK4/CDK2 with hormone signaling.
Conclusions:
- DDLPS tumors exhibit distinct transcriptional states within the CDK4-RB network.
- These states may influence tumor dependence on CDK4 signaling.
- This heterogeneity likely contributes to variable sensitivity to CDK4/6 inhibitors and clinical outcomes.

