TY - JOUR AB - Osteosarcoma (OS) is the most common malignant bone tumor, and its sensitivity to preoperative chemotherapy is a significant prognostic factor. The present study aimed to identify potential genomic markers for the prediction of chemosensitivity in patients with OS using a genomic approach. A total of 50 pediatric and adolescent patients diagnosed with high‑grade OS were selected. Each pre‑therapeutic biopsy sample was subjected to comparative genomic hybridization array analysis and targeted exome sequencing. Although no recurrent gene mutation was observed in chemoresistant tumors, copy number analysis detected recurrent gain of chromosome 12q14.1, which was significantly more frequent (5/21; 24%) in the poor responder cohort than in the good responder cohort (0/29; 0%; P<0.01). Subsequent expression analysis revealed that CDK4 was the only gene in the 12q14.1 gained region with an expression level that was positively associated with copy number gains. In order to elucidate the effect of CDK4 on drug sensitivity, CDK4‑overexpressing OS cell lines were treated with cisplatin (CDDP); significant attenuation of CDDP sensitivity, demonstrated by increased cell viability and decreased expression of cleaved caspase‑9, was induced by enforced expression of CDK4. In addition, treatment with CDK4/6 inhibitor palbociclib in CDK4‑overexpressing U2OS cells facilitated apoptosis and a significant decrease in cell viability in a dose‑dependent manner. In conclusion, the results of the present study showed that higher expression and amplification of CDK4 in tumors is a predictive biomarker for resistance to conventional chemotherapy in patients with OS and that palbociclib is a promising drug for this therapeutically challenging cohort. AD - Division of Oncogenomics, Chiba Cancer Center Research Institute, Chuoh-ku, Chiba 260‑8717, Japan Division of Orthopedic Surgery, Chiba Cancer Center, Chuoh-ku, Chiba 260‑8717, Japan Division of Surgical Pathology, Chiba Cancer Center, Chuoh-ku, Chiba 260‑8717, Japan Division of Cancer Genetics, Chiba Cancer Center Research Institute, Chuoh-ku, Chiba 260‑8717, Japan AU - Iwata,Shintaro AU - Tatsumi,Yasutoshi AU - Yonemoto,Tsukasa AU - Araki,Akinobu AU - Itami,Makiko AU - Kamoda,Hiroto AU - Tsukanishi,Toshinori AU - Hagiwara,Yoko AU - Kinoshita,Hideyuki AU - Ishii,Takeshi AU - Nagase,Hiroki AU - Ohira,Miki DA - 2021/07/01 DO - 10.3892/or.2021.8086 IS - 1 JO - Oncol Rep KW - chemotherapy CDK4 drug sensitivity osteosarcoma overexpression PY - 2021 SN - 1021-335X 1791-2431 SP - 135 ST - CDK4 overexpression is a predictive biomarker for resistance to conventional chemotherapy in patients with osteosarcoma T2 - Oncology Reports TI - CDK4 overexpression is a predictive biomarker for resistance to conventional chemotherapy in patients with osteosarcoma UR - https://doi.org/10.3892/or.2021.8086 VL - 46 ER -