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.

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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