Related Experiment Video
Updated: Jun 20, 2026

3-D Cell Culture System for Studying Invasion and Evaluating Therapeutics in Bladder Cancer
Published on: September 13, 2018
Spectrum of phosphatidylinositol 3-kinase pathway gene alterations in bladder cancer
Fiona M Platt1, Carolyn D Hurst, Claire F Taylor
1Cancer Research UK Clinical Centre, Leeds Institute of Molecular Medicine, United Kingdom.
Purpose:
The phosphatidylinositol 3-kinase (PI3K) pathway can be activated by alterations affecting several pathway components. For rational application of targeted therapies, detailed understanding of tumor biology and approaches to predict efficacy in individual tumors are required. Our aim was to assess the frequency and distribution of pathway alterations in bladder cancer.
Experimental Design:
We examined the pathway components (PIK3CA, PTEN, TSC1, RHEB, and LKB1) and putative upstream regulators (FGFR3 and RAS genes) for mutation, allelic loss, copy number alteration, and expression in bladder tumors and cell lines.
Results:
No mutations were found in RHEB and only a single mutation in LKB1. PIK3CA mutations were detected in 25% of tumors and 26% of cell lines with a significant excess of helical domain mutations (E542K and E545K). There was over-representation but not amplification of the gene. Loss of heterozygosity of the PTEN region and homozygous deletion were found in 12% and 1.4% of tumors, and reduced expression in 49%. Forty-six percent of cell lines showed alterations that implicated PTEN. Sixteen percent of tumors and 11% of cell lines showed TSC1 mutation, and 9q loss of heterozygosity was common (57%). Pathway alterations were independently distributed, suggesting that the mutation of two pathway members may have additive or synergistic effects through noncanonical functions.
Conclusions:
PI3K pathway alterations are common in bladder cancer. The lack of redundancy of alterations suggests that single-agent PI3K-targeted therapy may not be successful in these cancers. This study provides a well-characterized series of cell lines for use in preclinical studies of targeted agents.
Insights
Alterations in the phosphatidylinositol 3-kinase (PI3K) pathway are common in bladder cancer. The study suggests single-drug therapies targeting this pathway may not be effective due to a lack of redundancy in mutations.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Genetics
Background:
- The phosphatidylinositol 3-kinase (PI3K) pathway is frequently dysregulated in various cancers.
- Understanding PI3K pathway alterations is crucial for developing effective targeted therapies in bladder cancer.
- Predicting treatment efficacy requires detailed knowledge of tumor-specific pathway biology.
Purpose of the Study:
- To investigate the frequency and distribution of alterations in key PI3K pathway components and their regulators in bladder cancer.
- To assess mutations, copy number alterations, and gene expression of PIK3CA, PTEN, TSC1, RHEB, and LKB1.
- To examine upstream regulators like FGFR3 and RAS genes in bladder tumors and cell lines.
Main Methods:
- Analysis of bladder tumors and cell lines for genetic alterations (mutation, loss of heterozygosity, copy number alteration) and gene expression.
- Focus on PIK3CA, PTEN, TSC1, RHEB, LKB1, FGFR3, and RAS genes.
- Statistical assessment of alteration frequencies and distributions.
Main Results:
- PIK3CA mutations occurred in 25% of tumors, predominantly in the helical domain.
- PTEN alterations (loss of heterozygosity, deletion, reduced expression) were found in 12% of tumors and 46% of cell lines.
- TSC1 mutations and 9q loss of heterozygosity were observed in 16% of tumors and 57% of cell lines, respectively. RHEB and LKB1 showed minimal mutations.
Conclusions:
- PI3K pathway alterations are prevalent in bladder cancer.
- The independent distribution of these alterations suggests potential additive or synergistic effects.
- The findings support the use of these characterized cell lines for preclinical testing of targeted agents, but caution against single-agent PI3K-targeted therapy due to lack of redundancy.
Related Concept Videos
PI3K/mTOR/AKT Signaling Pathway
Interactions Between Signaling Pathways
Convergence and divergence, and cross-talk between signaling pathways
Two distinct signaling pathways can converge on a single functional unit, which may either be a single protein or a complex of proteins. The response is either functionally distinct or synergistic between the two pathways but different from the response...
The JAK-STAT Signaling Pathway
mTOR Signaling and Cancer Progression
The mTOR pathway or the...
Phosphoinositides and PIPs
Different phosphoinositides are synthesized and recruited on the cytosolic face of the plasma membrane. The localization of specific phosphoinositides concentrated in separate membrane...
IP3/DAG Signaling Pathway