PMID- 30556200 OWN - NLM STAT- MEDLINE DCOM- 20201007 LR - 20211204 IS - 1097-0347 (Electronic) IS - 1043-3074 (Print) IS - 1043-3074 (Linking) VI - 41 IP - 3 DP - 2019 Mar TI - PI3-kinase pathway biomarkers in oral cancer and tumor immune cells. PG - 615-622 LID - 10.1002/hed.25350 [doi] AB - BACKGROUND: This study investigated the hypothesis that phosphoinositide 3-kinase (PI3-kinase) pathway dysregulation in either head and neck cancer cells and/or tumor infiltrating immune cells would influence outcomes of patients with surgically treated oral tongue squamous cell carcinomas (SCC). METHODS: We constructed tissue microarrays containing 123 oral tongue SCC samples and performed immunohistochemistry using antibodies against 7 PI3-kinase pathway markers: phosphatase and tensin homolog (PTEN), Akt, p-Akt, mammalian target of rapamycin (mTOR), phosphorylated-mammalian target of rapamycin (p-mTOR), survivin, and Ki-67). Expression levels in cancer cells or tumor infiltrating immune cells were correlated with outcomes. RESULTS: Higher levels of PTEN expression in immune cells were significantly associated with improved recurrence-free survival (heart rate (HR) = 0.45, 95% confidence interval (CI) 0.23-0.90, P = .03), and overall survival (HR = 0.34, 95% CI 0.15-0.76, P = .01) on univariate and multicovariate models. CONCLUSIONS: We identified a novel, negative prognostic role of PI3-kinase activation (as determined by PTEN loss) in oral SCC infiltrating immune cells. These findings could be relevant for clinical development of PI-3 kinase inhibitors for this disease. CI - (c) 2018 Wiley Periodicals, Inc. FAU - Ibrahim, Mohammad Y AU - Ibrahim MY AD - Seton Hall University College of Arts and Sciences, Department of Internal Medicine at St. Francis Medical Center. FAU - Nunez, Maria I AU - Nunez MI AD - The University of Texas MD Anderson Cancer Center, Department of Pathology. FAU - Harun, Nusrat AU - Harun N AD - The University of Texas MD Anderson Cancer Center, Department of Biostatistics. FAU - Lee, J Jack AU - Lee JJ AD - The University of Texas MD Anderson Cancer Center, Department of Biostatistics. FAU - El-Naggar, Adel K AU - El-Naggar AK AD - The University of Texas MD Anderson Cancer Center, Department of Pathology. FAU - Ferrarotto, Renata AU - Ferrarotto R AD - The University of Texas MD Anderson Cancer Center, Department of Thoracic/Head and Neck Medical Oncology. FAU - Wistuba, Ignacio AU - Wistuba I AD - The University of Texas MD Anderson Cancer Center, Department of Pathology. AD - The University of Texas MD Anderson Cancer Center, Department of Translational Molecular Pathology. FAU - Myers, Jeffrey AU - Myers J AD - The University of Texas MD Anderson Cancer Center, Head and Neck Surgery, Houston, TX. FAU - Glisson, Bonnie S AU - Glisson BS AD - The University of Texas MD Anderson Cancer Center, Department of Thoracic/Head and Neck Medical Oncology. FAU - William, William N Jr AU - William WN Jr AD - The University of Texas MD Anderson Cancer Center, Department of Thoracic/Head and Neck Medical Oncology. LA - eng GR - P30 CA016672/CA/NCI NIH HHS/United States GR - P50 CA070907/CA/NCI NIH HHS/United States GR - P50 CA097007/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 - 20181216 PL - United States TA - Head Neck JT - Head & neck JID - 8902541 RN - 0 (BIRC5 protein, human) RN - 0 (Biomarkers) RN - 0 (Survivin) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - EC 3.1.3.67 (PTEN Phosphohydrolase) RN - EC 3.1.3.67 (PTEN protein, human) SB - IM MH - Biomarkers/metabolism MH - Carcinoma, Squamous Cell/*metabolism/mortality/pathology MH - Female MH - Humans MH - Lymphocytes/metabolism MH - Macrophages/metabolism MH - Male MH - Middle Aged MH - PTEN Phosphohydrolase/*metabolism MH - Phosphatidylinositol 3-Kinases/*metabolism MH - Proto-Oncogene Proteins c-akt/metabolism MH - Retrospective Studies MH - Signal Transduction/*physiology MH - Survival Rate MH - Survivin/metabolism MH - TOR Serine-Threonine Kinases/metabolism MH - Tongue Neoplasms/*metabolism/mortality/pathology PMC - PMC6382518 MID - NIHMS969679 OTO - NOTNLM OT - immunology OT - oral squamous cell carcinomas OT - phosphatase and tensin homolog (PTEN) OT - phosphoinositide 3-kinase pathway (PI3-kinase pathway) OT - tumor infiltrating immune cells COIS- Conflict of interest statement Dr. William N. William Jr. has received honoraria from AstraZeneca, Roche, and Genentech not related to this work, and has received research grants from Eli Lilly, Bristol Myers Squibb, Merck, Astellas Pharmaceuticals, and Boehringer Ingelheim. All other authors do not have conflicts of interest to disclose. EDAT- 2018/12/18 06:00 MHDA- 2020/10/08 06:00 PMCR- 2020/03/01 CRDT- 2018/12/18 06:00 PHST- 2018/02/20 00:00 [received] PHST- 2018/03/26 00:00 [revised] PHST- 2018/05/16 00:00 [accepted] PHST- 2018/12/18 06:00 [pubmed] PHST- 2020/10/08 06:00 [medline] PHST- 2018/12/18 06:00 [entrez] PHST- 2020/03/01 00:00 [pmc-release] AID - 10.1002/hed.25350 [doi] PST - ppublish SO - Head Neck. 2019 Mar;41(3):615-622. doi: 10.1002/hed.25350. Epub 2018 Dec 16.