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Characterize Disease-related Mutants of RAF Family Kinases by Using a Set of Practical and Feasible Methods
Published on: July 17, 2019
Activating PIK3CA mutations coexist with BRAF or NRAS mutations in a limited fraction of melanomas
Antonella Manca, Amelia Lissia, Mariaelena Capone
1Institute of Biomolecular Chemistry, National Research Council (CNR), Traversa La Crucca 3 - Baldinca Li Punti, Sassari, 07100, Italy. gpalmieri@yahoo.com.
Background:
Activated PI3K-AKT pathway may contribute to decrease sensitivity to inhibitors of key pathogenetic effectors (mutated BRAF, active NRAS or MEK) in melanoma. Functional alterations are deeply involved in PI3K-AKT activation, with a minimal role reported for mutations in PIK3CA, the catalytic subunit of the PI3K gene. We here assessed the prevalence of the coexistence of BRAF/NRAS and PIK3CA mutations in a series of melanoma samples.
Methods:
A total of 245 tumor specimens (212 primary melanomas and 33 melanoma cell lines) was screened for mutations in BRAF, NRAS, and PIK3CA genes by automated direct sequencing.
Results:
Overall, 110 (44.9%) samples carried mutations in BRAF, 26 (10.6%) in NRAS, and 24 (9.8%) in PIK3CA. All identified PIK3CA mutations have been reported to induce PI3K activation; those detected in cultured melanomas were investigated for their interference with the antiproliferative activity of the BRAF-mutant inhibitor vemurafenib. A reduced suppression in cell growth was observed in treated cells carrying both BRAF and PIK3CA mutations as compared with those presenting a mutated BRAF only. Among the analysed melanomas, 12/245 (4.9%) samples presented the coexistence of PIK3CA and BRAF/NRAS mutations.
Conclusions:
Our study further suggests that PIK3CA mutations account for a small fraction of PI3K pathway activation and have a limited impact in interfering with the BRAF/NRAS-driven growth in melanoma.
Insights
PIK3CA mutations are uncommon in melanoma and rarely co-occur with BRAF/NRAS mutations. Their presence shows a limited impact on drug resistance in melanoma treatment.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- The PI3K-AKT pathway is crucial in melanoma pathogenesis and can lead to resistance against targeted therapies.
- While BRAF, NRAS, and MEK are key effectors, PIK3CA mutations are less frequently implicated in PI3K-AKT pathway activation.
Purpose of the Study:
- To determine the prevalence of coexisting BRAF/NRAS and PIK3CA mutations in melanoma.
- To investigate the functional impact of PIK3CA mutations on treatment response in melanoma.
Main Methods:
- Screening of 245 melanoma specimens (primary tumors and cell lines) for BRAF, NRAS, and PIK3CA mutations using automated direct sequencing.
- Assessing the effect of PIK3CA mutations on vemurafenib sensitivity in melanoma cell lines with BRAF mutations.
Main Results:
- BRAF mutations were found in 44.9%, NRAS in 10.6%, and PIK3CA in 9.8% of samples.
- Coexistence of PIK3CA with BRAF/NRAS mutations was observed in 4.9% of cases.
- Melanoma cells with both BRAF and PIK3CA mutations exhibited reduced sensitivity to vemurafenib compared to those with BRAF mutations alone.
Conclusions:
- PIK3CA mutations represent a minor contributor to PI3K pathway activation in melanoma.
- PIK3CA mutations have a limited role in mediating resistance to BRAF/NRAS-driven melanoma growth.
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