PMID- 23891627 OWN - NLM STAT- MEDLINE DCOM- 20140106 LR - 20211203 IS - 1097-6868 (Electronic) IS - 0002-9378 (Linking) VI - 209 IP - 5 DP - 2013 Nov TI - Oncogenic PIK3CA gene mutations and HER2/neu gene amplifications determine the sensitivity of uterine serous carcinoma cell lines to GDC-0980, a selective inhibitor of Class I PI3 kinase and mTOR kinase (TORC1/2). PG - 465.e1-9 LID - S0002-9378(13)00752-7 [pii] LID - 10.1016/j.ajog.2013.07.020 [doi] AB - OBJECTIVE: To evaluate PIK3CA mutational status and c-erbB2 gene amplification in a series of primary uterine serous carcinomas (USC) cell lines. To assess the efficacy of GDC-0980, a potent inhibitor of Class I PI3 kinase and mTOR kinase (TORC1/2), against primary USC harboring HER2/neu gene amplification and/or PIK3CA mutations. STUDY DESIGN: Twenty-two primary USC cell lines were evaluated for c-erbB2 oncogene amplification by fluorescence in situ hybridization (FISH) assays and for PIK3CA gene mutations by direct DNA sequencing of exons 9 and 20. In vitro sensitivity to GDC-0980 was evaluated by flow-cytometry-based viability and proliferation assays. Downstream cellular responses to GDC-0980 were assessed by measuring phosphorylation of the 4-EBP1 protein by flow-cytometry. RESULTS: Five of 22 (22.7%) USC cell lines contained oncogenic PIK3CA mutations although 9 (40.9%) harbored c-erbB2 gene amplification by FISH. GDC-0980 caused a strong differential growth inhibition in FISH+ USC when compared with FISH- (GDC-0980 IC50 mean +/- SEM = 0.29 +/- 0.05 muM in FISH+ vs 1.09 +/- 0.20 muM in FISH- tumors, P = .02). FISH+ USC harboring PIK3CA mutations were significantly more sensitive to GDC-0980 exposure when compared with USC cell lines harboring wild-type PIK3CA (P = .03). GDC-0980 growth-inhibition was associated with a significant and dose-dependent decline in phosphorylated 4-EBP1 levels. CONCLUSION: Oncogenic PIK3CA mutations and c-erbB2 gene amplification may represent biomarkers to identify patients harboring USC who may benefit most from the use of GDC-0980. CI - Copyright (c) 2013 Mosby, Inc. All rights reserved. FAU - English, Diana P AU - English DP AD - Department of Obstetrics, Gynecology, and Reproductive Sciences, Yale University School of Medicine, New Haven, CT. FAU - Bellone, Stefania AU - Bellone S FAU - Cocco, Emiliano AU - Cocco E FAU - Bortolomai, Ileana AU - Bortolomai I FAU - Pecorelli, Sergio AU - Pecorelli S FAU - Lopez, Salvatore AU - Lopez S FAU - Silasi, Dan-Arin AU - Silasi DA FAU - Schwartz, Peter E AU - Schwartz PE FAU - Rutherford, Thomas AU - Rutherford T FAU - Santin, Alessandro D AU - Santin AD LA - eng GR - CA-16359/CA/NCI NIH HHS/United States GR - R01 CA122728-01A4/CA/NCI NIH HHS/United States GR - R01 CA154460-01A1/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20130724 PL - United States TA - Am J Obstet Gynecol JT - American journal of obstetrics and gynecology JID - 0370476 RN - 0 (1-(4-((2-(2-aminopyrimidin-5-yl)-7-methyl-4-morpholinothieno(3,2-d)pyrimidin-6-yl)methyl)piperazin-1-yl)-2-hydroxypropan-1-one) RN - 0 (Antineoplastic Agents) RN - 0 (Bridged Bicyclo Compounds, Heterocyclic) RN - 0 (Pyrimidines) 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 (TOR Serine-Threonine Kinases) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Antineoplastic Agents/*therapeutic use MH - Bridged Bicyclo Compounds, Heterocyclic/*therapeutic use MH - Carcinoma, Papillary/drug therapy/*genetics MH - Cell Line, Tumor MH - Class I Phosphatidylinositol 3-Kinases/*antagonists & inhibitors MH - Drug Resistance, Neoplasm/genetics MH - Endometrial Neoplasms/drug therapy/*genetics MH - Female MH - Gene Amplification/genetics MH - Genes, erbB-2/*genetics MH - Humans MH - In Situ Hybridization, Fluorescence MH - Middle Aged MH - Mutation MH - Phosphatidylinositol 3-Kinases/*genetics MH - Pyrimidines/*therapeutic use MH - TOR Serine-Threonine Kinases/*antagonists & inhibitors OTO - NOTNLM OT - GDC-0980 OT - HER2/neu OT - PIK3CA OT - endometrial neoplasms OT - mTOR inhibitor OT - uterine serous tumors EDAT- 2013/07/31 06:00 MHDA- 2014/01/07 06:00 CRDT- 2013/07/30 06:00 PHST- 2013/05/08 00:00 [received] PHST- 2013/07/06 00:00 [revised] PHST- 2013/07/22 00:00 [accepted] PHST- 2013/07/30 06:00 [entrez] PHST- 2013/07/31 06:00 [pubmed] PHST- 2014/01/07 06:00 [medline] AID - S0002-9378(13)00752-7 [pii] AID - 10.1016/j.ajog.2013.07.020 [doi] PST - ppublish SO - Am J Obstet Gynecol. 2013 Nov;209(5):465.e1-9. doi: 10.1016/j.ajog.2013.07.020. Epub 2013 Jul 24.