PMID- 24341335 OWN - NLM STAT- MEDLINE DCOM- 20140623 LR - 20220408 IS - 1471-2407 (Electronic) IS - 1471-2407 (Linking) VI - 13 DP - 2013 Dec 17 TI - PIK3CA, HRAS and PTEN in human papillomavirus positive oropharyngeal squamous cell carcinoma. PG - 602 LID - 10.1186/1471-2407-13-602 [doi] AB - BACKGROUND: Recent genomic evidence suggests frequent phosphatidylinositide 3-kinase (PI3K) pathway activation in human papillomavirus (HPV) positive oropharyngeal squamous cell carcinoma. Mutations/amplification of the gene encoding p110alpha catalytic subunit of phosphoinositide 3-kinase (PIK3CA), loss of phosphatase and tensin homolog (PTEN) and HRAS mutations are known to activate PI3K pathway. METHODS AND RESULTS: PIK3CA mutations were identified by Sanger sequencing in 23 of 75 (31%) HPV-positive oropharyngeal carcinomas, including exon 9 (p.E545K [n = 10] and p.E542K [n = 5]) or exon 20 (p.H1047Y, n = 2) mutations. Five rare and one novel (p.R537Q) PIK3CA mutations were identified. HRAS mutation (p.Q61L) was detected in 1 of 62 tested cases. PIK3CA amplification by fluorescence in situ hybridization (FISH) was identified in 4 cases (4/21, 20%), while PTEN loss was seen in 7 (7/21, 33%) cases (chromosome 10 monosomy [n = 4], homozygous deletion [n = 3]). CONCLUSIONS: Overall, genetic alterations that likely lead to PI3K pathway activation were identified in 34 of 75 cases (45%) and did not correlate with disease specific survival. These findings offer a molecular rationale for therapeutic targeting of PI3K pathway in patients with HPV-positive oropharyngeal carcinoma. FAU - Chiosea, Simion I AU - Chiosea SI AD - Department of Pathology, University of Pittsburgh, 200 Lothrop St, Pittsburgh, PA 15213, USA. chioseasi@upmc.edu. FAU - Grandis, Jennifer R AU - Grandis JR FAU - Lui, Vivian W Y AU - Lui VW FAU - Diergaarde, Brenda AU - Diergaarde B FAU - Maxwell, Jessica H AU - Maxwell JH FAU - Ferris, Robert L AU - Ferris RL FAU - Kim, Seungwon W AU - Kim SW FAU - Luvison, Alyssa AU - Luvison A FAU - Miller, Megan AU - Miller M FAU - Nikiforova, Marina N AU - Nikiforova MN LA - eng GR - P50 CA097190/CA/NCI NIH HHS/United States GR - R01 CA098372/CA/NCI NIH HHS/United States GR - R01 DE023685/DE/NIDCR NIH HHS/United States GR - P50CA97190/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 - 20131217 PL - England TA - BMC Cancer JT - BMC cancer JID - 100967800 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 3.1.3.67 (PTEN Phosphohydrolase) RN - EC 3.6.5.2 (HRAS protein, human) RN - EC 3.6.5.2 (Proto-Oncogene Proteins p21(ras)) SB - IM MH - Adult MH - Aged MH - Carcinoma, Squamous Cell/*genetics/metabolism/mortality/pathology/*virology MH - Class I Phosphatidylinositol 3-Kinases MH - Exons MH - Female MH - Humans MH - Male MH - Middle Aged MH - Mutation MH - Neoplasm Staging MH - Oropharyngeal Neoplasms/*genetics/metabolism/mortality/pathology/*virology MH - PTEN Phosphohydrolase/*genetics/metabolism MH - *Papillomaviridae MH - Papillomavirus Infections MH - Phosphatidylinositol 3-Kinases/*genetics/metabolism MH - Proto-Oncogene Proteins p21(ras)/*genetics/metabolism MH - Risk Factors PMC - PMC3878565 EDAT- 2013/12/18 06:00 MHDA- 2014/06/24 06:00 PMCR- 2013/12/17 CRDT- 2013/12/18 06:00 PHST- 2013/06/02 00:00 [received] PHST- 2013/12/06 00:00 [accepted] PHST- 2013/12/18 06:00 [entrez] PHST- 2013/12/18 06:00 [pubmed] PHST- 2014/06/24 06:00 [medline] PHST- 2013/12/17 00:00 [pmc-release] AID - 1471-2407-13-602 [pii] AID - 10.1186/1471-2407-13-602 [doi] PST - epublish SO - BMC Cancer. 2013 Dec 17;13:602. doi: 10.1186/1471-2407-13-602.