Mutations of PIK3CA in anaplastic oligodendrogliomas, high-grade astrocytomas, and medulloblastomas
Daniel K Broderick1, Chunhui Di, Timothy J Parrett
1Brain Tumor Center, Department of Pathology, Duke University Medical Center, Durham, NC 27710, USA.
Abstract:
The phosphatidylinositol 3'-kinase pathway is activated in multiple advanced cancers, including glioblastomas, through inactivation of the PTEN tumor suppressor gene. Recently, mutations in PIK3CA, a member of the family of phosphatidylinositol 3'-kinase catalytic subunits, were identified in a significant fraction (25-30%) of colorectal cancers, gastric cancers, and glioblastomas and in a smaller fraction of breast and lung cancers. These mutations were found to cluster into two major "hot spots" located in the helical and catalytic domains. To determine whether PIK3CA is genetically altered in brain tumors, we performed a large-scale mutational analysis of the helical and catalytic domains. A total of 13 mutations of PIK3CA within these specific domains were identified in anaplastic oligodendrogliomas, anaplastic astrocytomas, glioblastoma multiforme, and medulloblastomas, whereas no mutations were identified in ependymomas or low-grade astrocytomas. These observations implicate PIK3CA as an oncogene in a wider spectrum of adult and pediatric brain tumors and suggest that PIK3CA may be a useful diagnostic marker or a therapeutic target in these cancers.
Insights
Mutations in PIK3CA, a gene in the phosphatidylinositol 3'-kinase pathway, were found in several brain tumors. These PIK3CA alterations suggest it may be an oncogene and a potential therapeutic target for brain cancers.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- The phosphatidylinositol 3 -kinase (PI3K) pathway is frequently activated in advanced cancers.
- PTEN tumor suppressor gene inactivation is a common mechanism for PI3K pathway activation.
- PIK3CA mutations are found in various cancers, including colorectal, gastric, and glioblastomas.
Purpose of the Study:
- To investigate the genetic alterations of PIK3CA in brain tumors.
- To determine if PIK3CA mutations are present in specific brain tumor types.
Main Methods:
- Large-scale mutational analysis of the helical and catalytic domains of PIK3CA.
- Screening of various brain tumor samples including anaplastic oligodendrogliomas, anaplastic astrocytomas, glioblastoma multiforme, medulloblastomas, ependymomas, and low-grade astrocytomas.
Main Results:
- Identified 13 PIK3CA mutations within the helical and catalytic domains.
- Mutations were found in anaplastic oligodendrogliomas, anaplastic astrocytomas, glioblastoma multiforme, and medulloblastomas.
- No PIK3CA mutations were detected in ependymomas or low-grade astrocytomas.
Conclusions:
- PIK3CA is genetically altered in a spectrum of adult and pediatric brain tumors.
- These findings implicate PIK3CA as an oncogene in brain tumorigenesis.
- PIK3CA may serve as a diagnostic marker or therapeutic target for brain cancers.
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