PMID- 31209687 OWN - NLM STAT- MEDLINE DCOM- 20200109 LR - 20211204 IS - 1573-7217 (Electronic) IS - 0167-6806 (Linking) VI - 177 IP - 2 DP - 2019 Sep TI - Somatic loss of PIK3R1 may sensitize breast cancer to inhibitors of the MAPK pathway. PG - 325-333 LID - 10.1007/s10549-019-05320-x [doi] AB - PURPOSE: The PI3K pathway, which includes the PI3K catalytic subunits p110alpha (PIK3CA) and the PI3K regulatory subunit p85alpha (PIK3R1), is the most frequently altered pathway in cancer. We encountered a breast cancer patient whose tumor contained a somatic alteration in PIK3R1. Some commercial sequencing platforms suggest that somatic mutations in PIK3R1 may sensitize cancers to drugs that inhibit the mammalian target of rapamycin (mTOR). However, a review of the preclinical and clinical literature did not find evidence substantiating that hypothesis. The purpose of this study was to knock out PIK3R1 in order to determine the optimal therapeutic approach for breast cancers lacking p85alpha. METHODS: We created an isogenic cellular system by knocking out both alleles of the PIK3R1 gene in the non-tumorigenic human breast cell line MCF-10A. Knockout cells were compared with wild-type cells by measuring growth, cellular signaling, and response to drugs. RESULTS: We observed hyperphosphorylation of MEK in these knockouts, which sensitized PIK3R1-null cells to a MEK inhibitor, trametinib. However, they were not sensitized to the mTOR inhibitor, everolimus. CONCLUSIONS: Our findings suggest that breast cancers with loss of p85alpha may not respond to mTOR inhibition, but may be sensitive to MEK inhibition. FAU - Turturro, Sanja B AU - Turturro SB AD - Division of Hematology, Oncology, and Cell Therapy, Department of Internal Medicine, Rush University Medical Center, 1725 W. Harrison St., Chicago, IL, 60612, USA. FAU - Najor, Matthew S AU - Najor MS AD - Division of Hematology, Oncology, and Cell Therapy, Department of Internal Medicine, Rush University Medical Center, 1725 W. Harrison St., Chicago, IL, 60612, USA. FAU - Yung, Timothy AU - Yung T AD - Division of Hematology, Oncology, and Cell Therapy, Department of Internal Medicine, Rush University Medical Center, 1725 W. Harrison St., Chicago, IL, 60612, USA. FAU - Portt, Liam AU - Portt L AD - Division of Hematology, Oncology, and Cell Therapy, Department of Internal Medicine, Rush University Medical Center, 1725 W. Harrison St., Chicago, IL, 60612, USA. FAU - Malarkey, Christopher S AU - Malarkey CS AD - School of Pharmacy, Rueckert-Hartman College for Health Professions, Regis University, 3333 Regis Boulevard, H-28, Denver, CO, 80221-1099, USA. FAU - Abukhdeir, Abde M AU - Abukhdeir AM AUID- ORCID: 0000-0003-1172-5819 AD - Division of Hematology, Oncology, and Cell Therapy, Department of Internal Medicine, Rush University Medical Center, 1725 W. Harrison St., Chicago, IL, 60612, USA. abde_abukhdeir@rush.edu. FAU - Cobleigh, Melody A AU - Cobleigh MA AD - Division of Hematology, Oncology, and Cell Therapy, Department of Internal Medicine, Rush University Medical Center, 1725 W. Harrison St., Chicago, IL, 60612, USA. LA - eng PT - Journal Article DEP - 20190617 PL - Netherlands TA - Breast Cancer Res Treat JT - Breast cancer research and treatment JID - 8111104 RN - 0 (Antineoplastic Agents) RN - 0 (Biomarkers, Tumor) RN - 0 (Protein Kinase Inhibitors) RN - EC 2.7.1.- (PIK3R1 protein, human) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.1.137 (Class Ia Phosphatidylinositol 3-Kinase) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Animals MH - Antineoplastic Agents/pharmacology MH - Biomarkers, Tumor MH - Breast Neoplasms/*diagnosis/*genetics MH - Cell Line, Tumor MH - Cell Proliferation/drug effects MH - Class Ia Phosphatidylinositol 3-Kinase/*genetics/metabolism MH - Disease Models, Animal MH - Drug Resistance, Neoplasm/*genetics MH - Female MH - Gene Knockdown Techniques MH - Gene Targeting MH - Humans MH - *MAP Kinase Signaling System MH - Middle Aged MH - Neoplasm Metastasis MH - Neoplasm Staging MH - Protein Kinase Inhibitors/*pharmacology MH - Proto-Oncogene Proteins c-akt/metabolism MH - Signal Transduction/drug effects MH - TOR Serine-Threonine Kinases/metabolism OTO - NOTNLM OT - BREAST CANCER OT - Cellular signaling OT - MEK OT - PIK3R1 OT - Trametinib EDAT- 2019/06/19 06:00 MHDA- 2020/01/10 06:00 CRDT- 2019/06/19 06:00 PHST- 2019/05/31 00:00 [received] PHST- 2019/06/10 00:00 [accepted] PHST- 2019/06/19 06:00 [pubmed] PHST- 2020/01/10 06:00 [medline] PHST- 2019/06/19 06:00 [entrez] AID - 10.1007/s10549-019-05320-x [pii] AID - 10.1007/s10549-019-05320-x [doi] PST - ppublish SO - Breast Cancer Res Treat. 2019 Sep;177(2):325-333. doi: 10.1007/s10549-019-05320-x. Epub 2019 Jun 17.