PMID- 38024667 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231201 IS - 2470-1343 (Electronic) IS - 2470-1343 (Linking) VI - 8 IP - 45 DP - 2023 Nov 14 TI - Mutational Landscape and In-Silico Analysis of TP53, PIK3CA, and PTEN in Patients with Breast Cancer from Khyber Pakhtunkhwa. PG - 43318-43331 LID - 10.1021/acsomega.3c07472 [doi] AB - Herein, we report the mutational spectrum of three breast cancer candidate genes (TP53, PIK3CA, and PTEN) using WES for identifying potential biomarkers. The WES data were thoroughly analyzed using SAMtools for variant calling and identification of the mutations. Various bioinformatic tools (SIFT, PolyPhen-2, Mutation Taster, ISPRED-SEQ, SAAFEQ-SEQ, ConSurf, PROCHECK etc.) were used to determine the pathogenicity and nature of the SNVs. Selected interaction site (IS) mutations were visualized in PyMOL after building 3D structures in Swiss-Model. Ramachandran plots were generated by using the PROCHECK server. The selected IS mutations were subjected to molecular dynamic simulation (MDS) studies using Gromacs 4.5. STRING and GeneMANIA were used for the prediction of gene-gene interactions and pathways. Our results revealed that the luminal A molecular subtype of the breast cancer was most common, whereas a high percentage of was Her2 negatives. Moreover, the somatic mutations were more common as compared to the germline mutations in TP53, PIK3CA, and PTEN. 20% of the identified mutations are reported for the first time from Khyber Pakhtunkhwa. In the enrolled cohort, 23 mutations were nonsynonymous SNVs. The frequency of mutations was the highest in PIK3CA, followed by TP53 and PTEN. A total of 13 mutations were found to be highly pathogenic. Four novel mutations were identified on PIK3CA and one each on PTEN and TP53. SAAFEQ-SEQ predicted the destabilizing effect for all mutations. ISPRED-SEQ predicted 9 IS mutations (6 on TP53 and 3 on PIK3CA), whereas no IS mutation was predicted on PTEN. The TP53 IS mutations were TP53(R43H), TP53(Y73X), TP53(K93Q), TP53(K93R), TP53(D149E), and TP53(Q199X); whereas for PIK3CA, the IS mutations were PIK3CA(L156V), PIK3CA(M610K), and PIK3CA(H1047R). Analysis from the ConSurf Web server revealed five SNVs with a highly conserved status (conservation score 9) across TP53 and PTEN. TP53(P33R) was found predominant in the grade 3 tumors, whereas PTEN(p.C65S) was distributed on ER+, ER-, PR+, PR-, Her2+, and Her2- patients. TP53(p.P33R) mutation was found to be recurring in the 14/19 (73.6%) patients and, therefore, can be considered as a potential biomarker. Finally, these mutations were studied in the context of their potential association with different hormonal and social factors. CI - (c) 2023 The Authors. Published by American Chemical Society. FAU - Ahmad, Hilal AU - Ahmad H AD - Institute of Basic Medical Sciences Khyber Medical University, Khyber Medical University, Phase V, Peshawar 25000, Pakistan. FAU - Ali, Asif AU - Ali A AD - Institute of Basic Medical Sciences Khyber Medical University, Khyber Medical University, Phase V, Peshawar, Peshawar 25000, Pakistan. AD - College of Medicine, Gulf Medical University, Ajman 4184, United Arab Emirates. AD - School of Medicine, University of Glasgow, Glasgow G12 8QQ, U.K. FAU - Ali, Roshan AU - Ali R AD - Institute of Basic Medical Sciences Khyber Medical University, Khyber Medical University, Phase V, Peshawar 25000, Pakistan. FAU - Khalil, Ali Talha AU - Khalil AT AUID- ORCID: 0000-0002-9848-8723 AD - Department of Pathology, Lady Reading Hospital Medical Teaching Institution (LRH-MTI), Peshawar, Khyber Pakhtunkhwa 25000, Pakistan. FAU - Khan, Ishaq AU - Khan I AD - Institute of Basic Medical Sciences Khyber Medical University, Khyber Medical University, Phase V, Peshawar 25000, Pakistan. FAU - Khan, Mah Muneer AU - Khan MM AUID- ORCID: 0000-0001-7862-2721 AD - General Surgery, Khyber Teaching Hospital Medical Teaching Institute, Peshawar 25000, Pakistan. FAU - Alorini, Mohammed AU - Alorini M AD - Department of Basic Medical Sciences, Unaizah College of Medicine and Medical Sciences, Qassim University, Unaizah, 56219, Saudi Arabia. LA - eng PT - Journal Article DEP - 20231102 PL - United States TA - ACS Omega JT - ACS omega JID - 101691658 PMC - PMC10652387 COIS- The authors declare no competing financial interest. EDAT- 2023/11/29 18:42 MHDA- 2023/11/29 18:43 PMCR- 2023/11/02 CRDT- 2023/11/29 16:14 PHST- 2023/09/27 00:00 [received] PHST- 2023/10/10 00:00 [revised] PHST- 2023/10/11 00:00 [accepted] PHST- 2023/11/29 18:43 [medline] PHST- 2023/11/29 18:42 [pubmed] PHST- 2023/11/29 16:14 [entrez] PHST- 2023/11/02 00:00 [pmc-release] AID - 10.1021/acsomega.3c07472 [doi] PST - epublish SO - ACS Omega. 2023 Nov 2;8(45):43318-43331. doi: 10.1021/acsomega.3c07472. eCollection 2023 Nov 14.