PMID- 22949056 OWN - NLM STAT- MEDLINE DCOM- 20130314 LR - 20240513 IS - 1791-2431 (Electronic) IS - 1021-335X (Print) IS - 1021-335X (Linking) VI - 28 IP - 5 DP - 2012 Nov TI - Phosphatidylinositol-3-kinase alpha catalytic subunit gene somatic mutations in bronchopulmonary neuroendocrine tumours. PG - 1559-66 LID - 10.3892/or.2012.2017 [doi] AB - Bronchopulmonary neuroendocrine tumours (BP-NETs) comprise a large spectrum of tumours including typical carcinoids (TCs), atypical carcinoids (ACs), large-cell neuroendocrine carcinomas (LCNECs) and small-cell lung carcinomas (SCLCs) that exhibit considerably different biological aggressiveness and clinical behaviours. The phosphatidylinositol-3-kinase alpha catalytic subunit (PIK3CA) gene is known to be involved in the pathogenesis of several types of human cancers through gene amplification, deletions or somatic missense mutations within the helical and catalytic domains. However, the PIK3CA gene status in BP-NETs has yet to be explored. This study aimed to investigate the PIK3CA gene status in a large series of BP-NETs by direct gene sequencing and to analyse its correlation with the main clinicopathological parameters. To the best of our knowledge, we demonstrated for the first time a high frequency of somatic missense mutations (23.2%) in the PIK3CA gene in a series of 190 BP-NETs, including 75 TCs, 23 ACs, 17 LCNECs and 75 SCLCs. The frequency of the PIK3CA gene mutation in the kinase domain was higher (17.9%) than that in the helical domain (5.3%). When the mutational status of the PIK3CA gene was compared with the main clinical and pathological characteristics of the BP-NET patients, we found a significant association between PIK3CA gene mutations and BP-NET histology (p=0.011). Interestingly, the frequency of PIK3CA gene mutations increased with the biological aggressiveness of all BP-NETs, except LCNECs. In conclusion, our results suggest that PIK3CA gene mutations may play a key role in tumourigenesis and aggressiveness of BP-NETs. The PIK3CA gene may represent a favourable candidate for an effective therapeutic strategy in the treatment of patients with BP-NETs. FAU - Capodanno, Alessandra AU - Capodanno A AD - Department of Surgery, Division of Pathological Anatomy, University of Pisa, I-56124 Pisa, Italy. FAU - Boldrini, Laura AU - Boldrini L FAU - Ali, Greta AU - Ali G FAU - Pelliccioni, Serena AU - Pelliccioni S FAU - Mussi, Alfredo AU - Mussi A FAU - Fontanini, Gabriella AU - Fontanini G LA - eng PT - Journal Article DEP - 20120904 PL - Greece TA - Oncol Rep JT - Oncology reports JID - 9422756 RN - EC 2.7.1.- (Phosphatidylinositol 3-Kinases) RN - EC 2.7.1.137 (Class I Phosphatidylinositol 3-Kinases) RN - EC 2.7.1.137 (PIK3CA protein, human) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Class I Phosphatidylinositol 3-Kinases MH - Female MH - Gene Amplification MH - Humans MH - Lung Neoplasms/*genetics/metabolism MH - Male MH - Middle Aged MH - Mutation MH - Mutation, Missense MH - Neuroendocrine Tumors/*genetics/metabolism MH - Neurosecretory Systems/pathology MH - Phosphatidylinositol 3-Kinases/*genetics MH - Proto-Oncogene Proteins c-akt/genetics MH - Signal Transduction MH - Young Adult PMC - PMC3583575 EDAT- 2012/09/06 06:00 MHDA- 2013/03/15 06:00 PMCR- 2012/09/04 CRDT- 2012/09/06 06:00 PHST- 2012/06/19 00:00 [received] PHST- 2012/08/03 00:00 [accepted] PHST- 2012/09/06 06:00 [entrez] PHST- 2012/09/06 06:00 [pubmed] PHST- 2013/03/15 06:00 [medline] PHST- 2012/09/04 00:00 [pmc-release] AID - or-28-05-1559 [pii] AID - 10.3892/or.2012.2017 [doi] PST - ppublish SO - Oncol Rep. 2012 Nov;28(5):1559-66. doi: 10.3892/or.2012.2017. Epub 2012 Sep 4.