PMID- 28945300 OWN - NLM STAT- MEDLINE DCOM- 20180720 LR - 20220410 IS - 1097-0347 (Electronic) IS - 1043-3074 (Linking) VI - 39 IP - 12 DP - 2017 Dec TI - Upregulation of pAKT(Ser473) expression in progression of HPV-positive oropharyngeal squamous cell carcinoma. PG - 2397-2405 LID - 10.1002/hed.24910 [doi] AB - BACKGROUND: PIK3CA alterations have been shown to be a frequent event in oropharyngeal squamous cell cancer (SCC), especially in human papillomavirus (HPV)-related tumors. METHODS: Tissue microarrays (TMAs) were used to evaluate pAKT(Ser473)/(Thr308), total protein kinase B (AKT)(pan) and phosphatase and tensin homolog (PTEN) expression in primary tumors and corresponding nodal disease in oropharyngeal SCC. The HPV status was determined in regard of HPV16 DNA and RNA. Survival analysis was performed by using Kaplan-Meier curves, log-rank testing, and multivariate Cox regression analysis. RESULTS: HPV16 is a prognostic predictive marker for advanced oropharyngeal SCC. pAKT(Ser473) and PTEN are highly expressed in HPV-related oropharyngeal SCCs in contrast to pAKT(Thr308). The pAKT(Ser473) expression increased from primary tumors to progressive nodal disease (21.1%; P < .011). CONCLUSION: Activation of phosphoinositide 3-kinase (PI3K)/pAKT(Ser473) frequently occurs in advanced HPV-positive oropharyngeal SCC and elevated pAKT(Ser473) levels represent a feature during progression of oropharyngeal SCC, indicating a critical role of the mammalian target of rapamycin (mTOR) complex. Further studies are required to evaluate specific drugs targeting PI3K/AKT/mTOR in consideration of PIK3CA alterations. CI - (c) 2017 Wiley Periodicals, Inc. FAU - Horn, Dominik AU - Horn D AUID- ORCID: 0000-0001-5017-0815 AD - Department of Oral and Cranio-Maxillofacial Surgery, Heidelberg University Hospital, Heidelberg, Germany. FAU - Freudlsperger, Christian AU - Freudlsperger C AD - Department of Oral and Cranio-Maxillofacial Surgery, Heidelberg University Hospital, Heidelberg, Germany. FAU - Holzinger, Dana AU - Holzinger D AD - Molecular Diagnostics of Oncogenic Infections, German Cancer Research Center (DKFZ), Heidelberg, Germany. FAU - Kunzmann, Kevin AU - Kunzmann K AD - Institute for Medical Biometry and Informatics, Heidelberg University Hospital, Heidelberg, Germany. FAU - Plinkert, Peter AU - Plinkert P AD - Department of Otorhinolaryngology, Head and Neck Surgery, Heidelberg University Hospital, Heidelberg, Germany. FAU - Dyckhoff, Gerhard AU - Dyckhoff G AD - Department of Otorhinolaryngology, Head and Neck Surgery, Heidelberg University Hospital, Heidelberg, Germany. FAU - Hoffmann, Jurgen AU - Hoffmann J AD - Department of Oral and Cranio-Maxillofacial Surgery, Heidelberg University Hospital, Heidelberg, Germany. FAU - Freier, Kolja AU - Freier K AD - Department of Oral and Cranio-Maxillofacial Surgery, Heidelberg University Hospital, Heidelberg, Germany. FAU - Hess, Jochen AU - Hess J AD - Department of Otorhinolaryngology, Head and Neck Surgery, Heidelberg University Hospital, Heidelberg, Germany. AD - Research Group Molecular Mechanisms of Head and Neck Tumors, German Cancer Research Center (DKFZ), Heidelberg, Germany. LA - eng PT - Journal Article DEP - 20170925 PL - United States TA - Head Neck JT - Head & neck JID - 8902541 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 3.1.3.67 (PTEN protein, human) SB - IM MH - Adult MH - Aged MH - Analysis of Variance MH - Biopsy, Needle MH - Carcinoma, Squamous Cell/*genetics/pathology/surgery/virology MH - Class I Phosphatidylinositol 3-Kinases/*genetics MH - Cohort Studies MH - Disease Progression MH - Disease-Free Survival MH - Female MH - *Gene Expression Regulation, Neoplastic MH - Head and Neck Neoplasms/*genetics/pathology/surgery/virology MH - Humans MH - Immunohistochemistry MH - Kaplan-Meier Estimate MH - Male MH - Middle Aged MH - Multivariate Analysis MH - Oropharyngeal Neoplasms/*genetics/pathology/surgery/virology MH - PTEN Phosphohydrolase/*genetics MH - Papillomavirus Infections/*complications/mortality MH - Prognosis MH - Retrospective Studies MH - Risk Assessment MH - Squamous Cell Carcinoma of Head and Neck MH - Survival Analysis MH - Up-Regulation OTO - NOTNLM OT - human papillomavirus OT - lymph node metastasis OT - oropharyngeal squamous cell carcinoma OT - protein kinase B (AKT) OT - tissue microarray EDAT- 2017/09/26 06:00 MHDA- 2018/07/22 06:00 CRDT- 2017/09/26 06:00 PHST- 2016/12/04 00:00 [received] PHST- 2017/06/06 00:00 [revised] PHST- 2017/07/06 00:00 [accepted] PHST- 2017/09/26 06:00 [pubmed] PHST- 2018/07/22 06:00 [medline] PHST- 2017/09/26 06:00 [entrez] AID - 10.1002/hed.24910 [doi] PST - ppublish SO - Head Neck. 2017 Dec;39(12):2397-2405. doi: 10.1002/hed.24910. Epub 2017 Sep 25.