PMID- 27016421 OWN - NLM STAT- MEDLINE DCOM- 20171204 LR - 20181113 IS - 1949-2553 (Electronic) IS - 1949-2553 (Linking) VI - 7 IP - 17 DP - 2016 Apr 26 TI - Prognostic implications of PIK3CA amplification in curatively resected liposarcoma. PG - 24549-58 LID - 10.18632/oncotarget.8240 [doi] AB - BACKGROUND: We investigated the epidemiologic characteristics and prognostic significance of PIK3CA mutations/amplifications in curative resected liposarcoma. PATIENTS AND METHODS: A total of 125 liposarcoma tissue samples were collected over a 12-year period. PIK3CA mutations and gene copy number amplifications were analyzed by pyrosequencing and fluorescence in situ hybridization (FISH). RESULTS: Nine of the 105 liposarcomas (8.6%) had activating PIK3CA mutation. PIK3CA mutations were more frequent in myxoid/round cell and pleomorphic tumors compared with well-differentiated/dedifferentiated tumors (13.3% vs. 2.2%, P=0.043). In FISH PIK3CA analysis, copy number gain was detected in 14 of the 101 tumors (13.9%): 11 (10.9%) tumors had increased gene copy number (polysomy) and 3 (3.0%) exhibited gene amplification. In survival analysis, patients with PIK3CA copy number gain had a worse prognosis compared to patients without PIK3CA amplification (median disease-free survival [DFS] 22.2 vs. 107.6 months p=0.005). By multivariate analysis, PIK3CA copy number gain was an independent prognostic factor for worse DFS (P=0.027; hazard ratio, 2.400; 95% confidence interval 1.105 to 5.213). PIK3CA mutation was not associated with DFS and overall survival. CONCLUSIONS: We demonstrated PIK3CA mutation and amplification in liposarcoma. PIK3CA copy number gain was an independent poor prognostic factor for DFS. Further studies are needed to evaluate the potential diagnostic and therapeutic role of PIK3CA mutations and amplifications in liposarcoma. FAU - Kim, Joo Hoon AU - Kim JH AD - Division of Medical Oncology, Department of Internal Medicine, Yonsei Cancer Center, Yonsei University College of Medicine, Seoul, Korea. FAU - Lee, Jae Seok AU - Lee JS AD - Department of Pathology, Dongguk University College of Medicine, Dongguk University Ilsan Hospital, Goyang, Korea. FAU - Kim, Eo Jin AU - Kim EJ AD - Department of Pathology, Dongguk University College of Medicine, Dongguk University Ilsan Hospital, Goyang, Korea. FAU - Park, Kyu Hyun AU - Park KH AD - Cancer Metastasis Research Center, Song Dang Institute for Cancer Research, Yonsei University College of Medicine, Seoul, Korea. FAU - Kim, Ki Hyang AU - Kim KH AD - Department of Internal Medicine, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea. FAU - Yi, Seong Yoon AU - Yi SY AD - Department of Internal Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Ilsan, Korea. FAU - Kim, Han Seong AU - Kim HS AD - Department of Pathology, Ilsan Paik Hospital, Inje University College of Medicine, Ilsan, Korea. FAU - Cho, Yong Jin AU - Cho YJ AD - Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Korea. FAU - Shin, Kyoo-Ho AU - Shin KH AD - Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Korea. FAU - Ahn, Joong Bae AU - Ahn JB AD - Division of Medical Oncology, Department of Internal Medicine, Yonsei Cancer Center, Yonsei University College of Medicine, Seoul, Korea. FAU - Hu, Hyuk AU - Hu H AD - Department of Surgery, Yonsei University College of Medicine, Seoul, Korea. FAU - Kim, Kyung Sik AU - Kim KS AD - Department of Surgery, Yonsei University College of Medicine, Seoul, Korea. FAU - Choi, Young Deuk AU - Choi YD AD - Department of Urology, Yonsei University College of Medicine, Seoul, Korea. FAU - Kim, Sunghoon AU - Kim S AD - Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Korea. FAU - Lee, Young Han AU - Lee YH AD - Department of Radiology, Yonsei University College of Medicine, Seoul, Korea. FAU - Suh, Jin-Suck AU - Suh JS AD - Department of Radiology, Yonsei University College of Medicine, Seoul, Korea. FAU - Noh, Sung Hoon AU - Noh SH AD - Department of Surgery, Yonsei University College of Medicine, Seoul, Korea. FAU - Rha, Sun Young AU - Rha SY AD - Division of Medical Oncology, Department of Internal Medicine, Yonsei Cancer Center, Yonsei University College of Medicine, Seoul, Korea. FAU - Kim, Hyo Song AU - Kim HS AD - Division of Medical Oncology, Department of Internal Medicine, Yonsei Cancer Center, Yonsei University College of Medicine, Seoul, Korea. LA - eng PT - Journal Article PL - United States TA - Oncotarget JT - Oncotarget JID - 101532965 RN - EC 2.7.1.137 (Class I Phosphatidylinositol 3-Kinases) RN - EC 2.7.1.137 (PIK3CA protein, human) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Class I Phosphatidylinositol 3-Kinases/*genetics MH - DNA Copy Number Variations MH - Female MH - *Gene Amplification MH - Humans MH - In Situ Hybridization, Fluorescence MH - Kaplan-Meier Estimate MH - Liposarcoma/diagnosis/*genetics/surgery MH - Male MH - Middle Aged MH - *Mutation MH - Prognosis MH - Young Adult PMC - PMC5029721 OTO - NOTNLM OT - PIK3CA OT - amplification OT - liposarcoma OT - mutation COIS- The authors declare no conflict of interest. EDAT- 2016/03/27 06:00 MHDA- 2017/12/05 06:00 PMCR- 2016/04/26 CRDT- 2016/03/27 06:00 PHST- 2016/01/05 00:00 [received] PHST- 2016/03/02 00:00 [accepted] PHST- 2016/03/27 06:00 [entrez] PHST- 2016/03/27 06:00 [pubmed] PHST- 2017/12/05 06:00 [medline] PHST- 2016/04/26 00:00 [pmc-release] AID - 8240 [pii] AID - 10.18632/oncotarget.8240 [doi] PST - ppublish SO - Oncotarget. 2016 Apr 26;7(17):24549-58. doi: 10.18632/oncotarget.8240.