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BIOMARKER:

CDK4 amplification

i
Other names: CDK4, PSK-J3, Cyclin-dependent kinase 4
Entrez ID:
Related biomarkers:
11ms
Concurrent RB1 and P53 pathway disruption predisposes to the development of a primitive neuronal component in high-grade gliomas depending on MYC-driven EBF3 transcription. (PubMed, Acta Neuropathol)
Notably, the PNC phenotype relies on the expression of EBF3, an early neurogenic transcription factor, which is directly controlled by MYC transcription factors in accessible chromatin sites. Overall our findings indicate that the concomitant presence of genetic alterations, impinging on both cell cycle and p53 pathway control, strongly predisposes GBM to develop a concomitant poorly differentiated primitive phenotype depending on MYC-driven EBF3 transcription in a subset of glioma stem-like progenitor cells.
Journal
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MYC (V-myc avian myelocytomatosis viral oncogene homolog) • RB1 (RB Transcriptional Corepressor 1) • MDM2 (E3 ubiquitin protein ligase) • CDK4 (Cyclin-dependent kinase 4) • MDM4 (The mouse double minute 4) • EBF3 (EBF Transcription Factor 3)
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TP53 mutation • CDK4 amplification • MDM2 mutation • MDM4 mutation
11ms
Switching Drivers: Epigenetic Rewiring to Genetic Progression in Glioma. (PubMed, Cancer Res)
In contrast, higher-grade gliomas evade IFN signaling through genetic deletions of IFN gene clusters. These findings emphasize a broader epigenetic-to-genetic shift in oncogenic regulation that drives glioma progression, provides a valuable framework for understanding the transition from indolent tumors to lethal malignancies, and has implications for therapy and clinical management.
Journal
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CDKN2A (Cyclin Dependent Kinase Inhibitor 2A) • PDGFRA (Platelet Derived Growth Factor Receptor Alpha) • MYCN (MYCN Proto-Oncogene BHLH Transcription Factor) • CDK4 (Cyclin-dependent kinase 4) • CDKN2B (Cyclin Dependent Kinase Inhibitor 2B)
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CDKN2A deletion • CDK4 amplification
11ms
Genomic profiling of intimal sarcoma reveals molecular subtypes with distinct tumor microenvironments and therapeutic implications. (PubMed, ESMO Open)
We identified two intimal sarcoma molecular subtypes. Compared with CNV-H, MSI-H-like is enriched in pathways associated with tumor immune responses and TILs. Further efforts and clinical trials to better define these molecular subtypes are warranted to open new avenues for personalized treatment approaches and improve patient outcomes.
Journal • MSi-H Biomarker • PD(L)-1 Biomarker
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MSI (Microsatellite instability) • MDM2 (E3 ubiquitin protein ligase) • IFNG (Interferon, gamma) • IL6 (Interleukin 6) • MLH1 (MutL homolog 1) • CDK4 (Cyclin-dependent kinase 4) • TNFA (Tumor Necrosis Factor-Alpha)
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MSI-H/dMMR • MDM2 amplification • CDK4 amplification • MLH1 mutation
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Keytruda (pembrolizumab)
11ms
Molecular diversity of embryonic-type neuroectodermal tumors arising from testicular germ cell tumors. (PubMed, Mod Pathol)
In summary, ENTs arising from GCTs are molecularly heterogeneous; however, a large fraction of testicular ENTs could be stratified by two distinct sets of genetic alterations, including MYCN/MYC amplification with concurrent suppression of the p53 pathway, and activation of the PI3K pathway with co-occurring CDK4 amplification. Moreover, the novel gene fusions identified in a subset of testicular GCT-derived ENTs overlap with molecularly defined tumors of embryonic-type neuroectodermal features in the central nervous system, indicating the potential common driving events for tumorigenesis from different anatomic sites.
Journal • Tumor mutational burden
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KRAS (KRAS proto-oncogene GTPase) • PIK3CA (Phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha) • TMB (Tumor Mutational Burden) • MYC (V-myc avian myelocytomatosis viral oncogene homolog) • MDM2 (E3 ubiquitin protein ligase) • MYCN (MYCN Proto-Oncogene BHLH Transcription Factor) • CDK4 (Cyclin-dependent kinase 4) • ATRX (ATRX Chromatin Remodeler) • BCOR (BCL6 Corepressor) • PIK3CG (Phosphatidylinositol-4,5-Bisphosphate 3-Kinase Catalytic Subunit Gamma) • CCND2 (Cyclin D2) • BRD4 (Bromodomain Containing 4) • PIK3C2B (Phosphatidylinositol-4-Phosphate 3-Kinase Catalytic Subunit Type 2 Beta)
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TP53 mutation • PIK3CA mutation • TMB-L • MDM2 amplification • CDK4 amplification • MDM2 mutation • PIK3CB mutation
12ms
CDK4/6 Tumor, Abemaciclib, Paclitaxel (clinicaltrials.gov)
P1/2, N=30, Completed, Yonsei University | Active, not recruiting --> Completed
Trial completion • Pan tumor
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CCND1 (Cyclin D1) • CDK4 (Cyclin-dependent kinase 4) • CDK6 (Cyclin-dependent kinase 6)
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CCND1 amplification • CDK4 amplification • CCND1 mutation
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paclitaxel • Verzenio (abemaciclib)
12ms
Molecular profile of adult primary leptomeningeal gliomatosis aligns with glioblastoma, IDH-wildtype. (PubMed, Brain Pathol)
Only one case, with relatively localized disease at diagnosis, received chemoradiation therapy and survived 535 days, raising the possibility that early diagnosis and timely treatment could improve outcome. A detailed list of previously reported cases is provided in a supplementary table.
Journal
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TP53 (Tumor protein P53) • PTEN (Phosphatase and tensin homolog) • CDKN2A (Cyclin Dependent Kinase Inhibitor 2A) • NF1 (Neurofibromin 1) • TERT (Telomerase Reverse Transcriptase) • CDK4 (Cyclin-dependent kinase 4) • CDKN2B (Cyclin Dependent Kinase Inhibitor 2B) • GLI1 (GLI Family Zinc Finger 1)
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TP53 mutation • PTEN mutation • CDKN2A deletion • CDK4 amplification • TERT mutation • TERT promoter mutation
1year
Overdiagnosis of atypical lipomatous tumors/well-differentiated liposarcomas by morphological diagnosis using only HE stained specimens: a case-control study with MDM2/CDK4 immunostaining and MDM2/CDK4 fluorescence in situ hybridization. (PubMed, BMC Cancer)
Morphological diagnosis alone can accurately diagnose lipomas. However, it has a propensity to overdiagnose ALT/WDLPS. Thus, MDM2 FISH should be used more proactively, not only for lesions with obvious morphological abnormalities, but also for lipomatous tumors that are clinically suggestive of ALT/WDLPS.
Journal
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MDM2 (E3 ubiquitin protein ligase) • CDK4 (Cyclin-dependent kinase 4)
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MDM2 amplification • CDK4 amplification
1year
Palbociclib and Pembrolizumab in Central Nervous System Metastases (clinicaltrials.gov)
P2, N=45, Recruiting, Massachusetts General Hospital | N=30 --> 45 | Trial completion date: Sep 2025 --> Sep 2026 | Trial primary completion date: Sep 2024 --> Sep 2025
Enrollment change • Trial completion date • Trial primary completion date
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CDKN2A (Cyclin Dependent Kinase Inhibitor 2A) • CCND1 (Cyclin D1) • CCNE1 (Cyclin E1) • CDK4 (Cyclin-dependent kinase 4) • CDK6 (Cyclin-dependent kinase 6) • CCND2 (Cyclin D2) • CCND3 (Cyclin D3)
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CCNE1 amplification • CCND1 amplification • CDK4 amplification
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Keytruda (pembrolizumab) • Ibrance (palbociclib)
1year
Biomimetic Targeted Co-Delivery System Engineered from Genomic Insights for Precision Treatment of Osteosarcoma. (PubMed, Adv Sci (Weinh))
Furthermore, it is observed that this co-delivery system can activate immune microenvironment, increasing CD8+ T cell infiltration and converting osteosarcoma from an immune-cold to an immune-hot tumor. In summary, the co-delivery system is an effective therapeutic strategy and holds promise as a novel approach for osteosarcoma treatment.
Journal • PARP Biomarker
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HRD (Homologous Recombination Deficiency) • CD8 (cluster of differentiation 8) • CD276 (CD276 Molecule)
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CDK4 amplification • CD276 expression
1year
GLI1, CDK4, and MDM2 Co-Amplification Gastric Plexiform Fibromyxoma: A Case Report and Literature Review. (PubMed, Genes Chromosomes Cancer)
No recurrence was observed during the follow-up period of 8 months. This study aims to improve our understanding of PF by analyzing the clinicopathological characteristics of this case, including immunohistochemical (IHC) and genetic examination, and reviewing relevant literature.
Review • Journal
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TP53 (Tumor protein P53) • MDM2 (E3 ubiquitin protein ligase) • CDK4 (Cyclin-dependent kinase 4) • SDHB (Succinate Dehydrogenase Complex Iron Sulfur Subunit B) • CD34 (CD34 molecule) • GLI1 (GLI Family Zinc Finger 1) • MALAT1 (Metastasis associated lung adenocarcinoma transcript 1) • STAT6 (Signal transducer and activator of transcription 6)
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TP53 mutation • CDK4 amplification • TP53 amplification • CDK4 mutation
1year
ACQUIRED CYCLIN D AMPLIFICATION IS A MECHANISM FOR RESISTANCE TO CDK4/6 INHIBITORS IN DEDIFFERENTIATED LIPOSARCOMA (CTOS 2024)
We reviewed demographic data, treatment histories, and overall response rates (ORR). We identified five patients with DDLPS who were treated with CDK4/6i, palbociclib and abemaciclib. In untreated WD/DD LPS, baseline alterations in cyclin D are rare. Our analysis revealed that three patients with DDLPS acquired either cyclin D1 or cyclin D2 amplification in progressing samples following treatment with CDK4/6i. Unlike breast cancer, where cyclin E1 amplification is a well-established driver of resistance to CDK4/6i, these findings suggest a potential role for cyclin D amplification in acquired resistance in LPS.
PD(L)-1 Biomarker • IO biomarker
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HER-2 (Human epidermal growth factor receptor 2) • RB1 (RB Transcriptional Corepressor 1) • CCND1 (Cyclin D1) • CCNE1 (Cyclin E1) • AURKA (Aurora kinase A) • CCND2 (Cyclin D2)
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HR positive • HER-2 negative • CCNE1 amplification • RB1 mutation • CCND1 amplification • CCNE1 overexpression • CDK4 amplification • EGFR positive • MDM2 amplification + CDK4 amplification
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MSK-IMPACT
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Ibrance (palbociclib) • Verzenio (abemaciclib)
1year
Low-Grade Uterine Adenosarcoma with Overexpression of MDM2 and CDK4 by Immunohistochemistry: A Case Report and Literature Review. (PubMed, Case Rep Oncol)
This study demonstrates that immunohistochemistry for MDM2 and CDK4 can help elucidate the molecular genetic features of UA. Further studies are needed to correlate the expression of these genes with the biological behavior of UA.
Review • Journal
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MDM2 (E3 ubiquitin protein ligase) • CDK4 (Cyclin-dependent kinase 4)
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CDK4 amplification • MDM2 overexpression