Related Experiment Video
Updated: May 3, 2026

Performing Data Mining And Integrative Analysis Of Biomarker in Breast Cancer Using Multiple Publicly Accessible Databases
Published on: May 17, 2019
Analysis of PIK3CA mutations in breast cancer subtypes
Abstract:
Phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit α (PIK3CA) is a central element of a signaling pathway involved in cell proliferation, survival, and growth. Certain mutations in this pathway result in enhanced PI3K signaling, which is associated with oncogenic cellular transformation and cancer. The aims of this study were to characterize different types of PIK3CA mutations in exons 9 and 20 in a series of primary breast carcinomas and to correlate the results with clinicopathologic parameters and survival. We used frozen tissue samples and sequenced exons 9 and 20 for a series of 241 patients with a diagnosis of breast carcinoma. We found that 15.8% of the primary breast carcinomas possessed PIK3CA mutations in either exon 9 or exon 20. The rate of PIK3CA mutations was increased in HR(+)/HER2(-) tumors (18.6%), but this difference did not reach a statistical significance. The lowest rate of mutations was observed in HR(+)/HER2(+) tumors (5.3%). No statistically significant association was found between the presence of PIK3CA mutations and the prognostic/clinical features of breast cancer, including histologic subtype, Her2 status, axillary lymph node involvement, tumor grade, and tumor stage. However, the presence of the H1047R mutation in 10 samples was associated with a statistically significantly worse overall survival. PIK3CA mutation was found to be a frequent genetic change in all breast cancer subtypes but occurred with the highest rate in HR(+)/HER2(-) tumors. Further studies are needed to validate the prognostic impact of different PIK3CA mutations.
Insights
Phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit α (PIK3CA) mutations are common in breast cancer, particularly in HR(+)/HER2(-) subtypes. The H1047R mutation is linked to worse overall survival, warranting further investigation.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- The PIK3CA gene encodes a key enzyme in the PI3K/AKT pathway, crucial for cell growth and survival.
- Mutations in PIK3CA can lead to aberrant signaling, promoting cancer development and progression.
- Understanding PIK3CA mutation profiles in breast cancer is vital for targeted therapies.
Purpose of the Study:
- To investigate the frequency and types of PIK3CA mutations in exons 9 and 20 in primary breast carcinomas.
- To correlate these mutations with clinicopathologic features and patient survival.
- To identify potential prognostic implications of specific PIK3CA mutations.
Main Methods:
- DNA was extracted from frozen tissue samples of 241 primary breast carcinoma patients.
- Exons 9 and 20 of the PIK3CA gene were sequenced to identify mutations.
- Statistical analyses were performed to correlate mutation status with clinical parameters and survival data.
Main Results:
- PIK3CA mutations were identified in 15.8% of the analyzed breast carcinomas.
- Mutations were most frequent in hormone receptor-positive/HER2-negative (HR(+)/HER2(-)) tumors (18.6%).
- The H1047R mutation was significantly associated with poorer overall survival.
Conclusions:
- PIK3CA mutations are frequent genetic alterations in breast cancer across various subtypes.
- While overall mutation presence didn't correlate with most clinical features, the H1047R variant shows prognostic significance.
- Further research is necessary to validate the prognostic impact of specific PIK3CA mutations in breast cancer management.
Related Concept Videos
Cancer-Critical Genes II: Tumor Suppressor Genes
When the function of certain critical genes, especially those involved in cell cycle regulation and cell growth signaling cascades, gets disrupted, it upsets the cell cycle progression. Such cells with unchecked cell cycles start proliferating uncontrollably and eventually develop into tumors.
Such genes that act...
PI3K/mTOR/AKT Signaling Pathway
Cancer Survival Analysis
mTOR Signaling and Cancer Progression
The mTOR pathway or the...

