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Updated: May 9, 2026

Comparative Lesions Analysis Through a Targeted Sequencing Approach
Published on: November 5, 2019
PIK3CA mutations and PTEN loss in salivary duct carcinomas
Christopher C Griffith1, Raja R Seethala, Alyssa Luvison
1Department of Pathology, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA.
Abstract:
Salivary duct carcinoma (SDC) is an aggressive malignancy that frequently presents at an advanced stage. Mutations/amplification of the gene encoding the p110α catalytic subunit of phosphoinositide 3-kinase (PIK3CA) and/or loss of the phosphatase and tensin homolog (PTEN) are known to activate the phosphoinositide 3-kinase (PI3K) pathway and may represent a therapeutic target. In 7 of 34 SDCs (20.5%) a SNaPshot polymerase chain reaction detected PIK3CA exon 9 [p.E545K (n=3) and p.E542K (n=2)] or exon 20 [p.H1047R (n=2)] mutations. PIK3CA p.E545K mutation was identified in 3 de novo SDCs with conventional morphology. The only case of SDC with anaplastic transformation showed PIK3CA p.H1047R mutation, whereas 1 of 2 PIK3CA p.E542K mutations was identified in SDC arising in a pleomorphic adenoma. None of the 16 tested SDCs showed PIK3CA amplification by fluorescence in situ hybridization. Fluorescence in situ hybridization identified PTEN loss in 8 of 16 tested SDCs (50%) [homozygous deletion (n=3), chromosome 10 monosomy (n=3), hemizygous deletion (n=2)]. Two cases showed both PIK3CA mutation and PTEN loss, suggesting that these events are not mutually exclusive. These findings offer a molecular rationale for therapeutic targeting of the PI3K pathway in patients with SDC.
Insights
Salivary duct carcinoma (SDC) involves PIK3CA gene mutations and PTEN loss, activating the PI3K pathway. These molecular alterations provide a basis for targeted therapies in SDC patients.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Salivary duct carcinoma (SDC) is an aggressive cancer often diagnosed at advanced stages.
- The phosphoinositide 3-kinase (PI3K) pathway, activated by PIK3CA mutations or PTEN loss, is a potential therapeutic target in SDC.
Purpose of the Study:
- To investigate the frequency and types of PIK3CA mutations and PTEN loss in SDC.
- To explore the potential for targeting the PI3K pathway in SDC treatment.
Main Methods:
- SNaPshot polymerase chain reaction was used to detect PIK3CA mutations in exons 9 and 20.
- Fluorescence in situ hybridization (FISH) was employed to assess PIK3CA amplification and PTEN loss.
Main Results:
- PIK3CA mutations (p.E545K, p.E542K, p.H1047R) were found in 7 of 34 SDCs (20.5%).
- PTEN loss was detected in 8 of 16 SDCs (50%) through various mechanisms including deletion and monosomy.
- Two cases exhibited both PIK3CA mutation and PTEN loss, indicating these events can co-occur.
Conclusions:
- The PI3K pathway is frequently altered in SDC through PIK3CA mutations and/or PTEN loss.
- These molecular findings support the rationale for developing PI3K pathway-targeted therapies for SDC.
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