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Published on: September 30, 2016
The PIK3CA gene as a mutated target for cancer therapy
John P Gustin1, David P Cosgrove, Ben Ho Park
1Department of Oncology, The Sidney Kimmel Comprehensive Cancer Center, The Johns Hopkins University, Baltimore, MD 21231, USA.
Abstract:
The development of targeted therapies with true specificity for cancer relies upon exploiting differences between cancerous and normal cells. Genetic and genomic alterations including somatic mutations, translocations, and amplifications have served as recent examples of how such differences can be exploited as effective drug targets. Small molecule inhibitors and monoclonal antibodies directed against the protein products of these genetic anomalies have led to cancer therapies with high specificity and relatively low toxicity. Recently, our group and others have demonstrated that somatic mutations in the PIK3CA gene occur at high frequency in breast and other cancers. Moreover, the majority of mutations occur at three hotspots, making these ideal targets for therapeutic development. Here we review the literature on PIK3CA mutations in cancer, as well as existing data on PIK3CA inhibitors and inhibitors of downstream effectors for potential use as targeted cancer therapeutics.
Insights
Targeted cancer therapies exploit cellular differences. PIK3CA gene mutations in cancer are frequent, particularly at specific hotspots, making them promising targets for novel drug development.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Targeted cancer therapies leverage genetic and genomic alterations for specificity.
- Somatic mutations, translocations, and amplifications in cancer cells offer unique drug targets.
- Small molecule inhibitors and monoclonal antibodies demonstrate high specificity and low toxicity.
Purpose of the Study:
- To review literature on PIK3CA mutations in various cancers.
- To explore existing data on PIK3CA inhibitors and downstream effectors.
- To assess the potential of PIK3CA as a therapeutic target for cancer treatment.
Main Methods:
- Literature review of PIK3CA mutations in cancer.
- Analysis of existing PIK3CA inhibitor data.
- Review of downstream effector inhibitors.
Main Results:
- PIK3CA gene mutations are frequent in breast and other cancers.
- The majority of PIK3CA mutations cluster at three specific hotspots.
- These hotspots represent ideal targets for therapeutic intervention.
Conclusions:
- PIK3CA mutations are a significant factor in cancer development.
- Targeting PIK3CA and its downstream pathways holds promise for novel cancer therapies.
- Further development of PIK3CA inhibitors is warranted for targeted cancer treatment.
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