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Published on: September 30, 2016
Common PIK3CA mutants and a novel 3' UTR mutation are associated with increased sensitivity to saracatinib
John J Arcaroli1, Kevin S Quackenbush, Rebecca W Powell
1Division of Medical Oncology, University of Colorado Denver and University of Colorado Cancer Center, Denver, Colorado 80045, USA.
Purpose:
Dysregulation of the phosphoinositide 3-kinase (PI3K) and Src signaling pathways commonly occur in colorectal cancer. Mutations in the PIK3CA gene are associated with an increase in severity of disease and worse clinical outcomes. Elevated levels of Src have been identified in premalignant lesions and are suggested to play a central role in tumor progression. Because these pathways appear to enhance tumor growth and metastasis, molecularly targeted agents for both pathways are currently being evaluated in early-phase clinical trials.
Experimental Design:
We used colorectal cancer cell lines and a patient-derived explant model to investigate the efficacy of saracatinib. Mutations in the PIK3CA were evaluated to examine the association between mutations in the PIK3CA gene and sensitivity to saracatinib.
Results:
We have identified a subset of patients with a PIK3CA (exon 9 and 20) mutation with increased sensitivity to saracatinib. A novel 3' untranslated region (UTR) mutation was also shown to be associated with increased sensitivity to saracatinib and have a reduced affinity for miR-520a and miR-525a. Importantly, we show that Src inhibition reduces the interaction between Src and p85, subsequently decreasing Akt-dependent signaling.
Conclusion:
These results indicate that a personalized approach in targeting Src in PIK3CA-mutant patients with colorectal cancers may prove effective in a subset of patients with this genetic alteration.
Insights
Targeting Src in PIK3CA-mutant colorectal cancer patients with saracatinib shows promise. Specific PIK3CA mutations correlate with increased sensitivity, suggesting a personalized treatment approach for this subset.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Genetics
Background:
- Dysregulation of phosphoinositide 3-kinase (PI3K) and Src signaling pathways is common in colorectal cancer.
- PIK3CA gene mutations are linked to increased disease severity and poorer clinical outcomes.
- Elevated Src levels in premalignant lesions suggest a role in colorectal cancer progression.
Purpose of the Study:
- To investigate the efficacy of saracatinib in colorectal cancer.
- To determine the association between PIK3CA mutations and sensitivity to saracatinib.
- To explore the impact of Src inhibition on Akt-dependent signaling.
Main Methods:
- Utilized colorectal cancer cell lines and patient-derived explant models.
- Evaluated PIK3CA mutations (exon 9 and 20) for correlation with saracatinib sensitivity.
- Assessed the effect of Src inhibition on Src-p85 interaction and Akt signaling.
Main Results:
- Identified a subset of patients with PIK3CA mutations (exon 9 and 20) exhibiting increased sensitivity to saracatinib.
- Discovered a novel 3' untranslated region (UTR) mutation associated with saracatinib sensitivity and reduced affinity for miR-520a/miR-525a.
- Demonstrated that Src inhibition decreases Src-p85 interaction, leading to reduced Akt-dependent signaling.
Conclusions:
- Saracatinib shows potential as a targeted therapy for a subset of colorectal cancer patients with PIK3CA mutations.
- A personalized approach targeting Src in PIK3CA-mutant colorectal cancers may be effective.
- Further research into the specific genetic alterations and their impact on therapeutic response is warranted.
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