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Published on: May 17, 2019
The High Frequency of PIK3CA Mutations in Iranian Breast Cancer Patients
Ghasem Azizi Tabesh1, Pantea Izadi1, Forouzandeh Fereidooni2
1a Medical Genetics Department , Medical School, Tehran University of Medical Sciences , Tehran , Iran.
Abstract:
In breast cancer, somatic mutations of PIK3CA oncogene are common. We investigated the mutational status of exons 9 and 20 of the PIK3CA gene by polymerase chain reaction and direct sequencing in 80 breast tumors, and observed that 45% of these contained PIK3CA mutations in the mentioned exons. These mutations were found more in progesterone receptor positive and Her2- tumors, but this association did not reach a statistically significant level. Also, we observed a significant association between PIK3CA mutations and low-grade tumors. In our study, PIK3CA mutations were related to good and moderate prognosis in breast cancer patients.
Insights
Somatic mutations in the PIK3CA gene are frequent in breast cancer. PIK3CA mutations were linked to lower tumor grade and a better prognosis in patients, indicating potential therapeutic targets.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Somatic mutations of the PIK3CA oncogene are frequently observed in breast cancer.
- The PIK3CA gene plays a crucial role in cell growth and proliferation pathways relevant to cancer development.
Purpose of the Study:
- To investigate the frequency and clinical significance of PIK3CA gene mutations in breast tumors.
- To analyze the association of PIK3CA mutations with specific breast cancer subtypes and patient prognosis.
Main Methods:
- Polymerase chain reaction (PCR) and direct sequencing were employed.
- Analysis was performed on exons 9 and 20 of the PIK3CA gene in 80 breast tumor samples.
Main Results:
- PIK3CA mutations were identified in 45% of the analyzed breast tumors.
- A significant association was found between PIK3CA mutations and low-grade breast tumors.
- While mutations were more prevalent in progesterone receptor-positive and Her2-negative tumors, this trend was not statistically significant.
- PIK3CA mutations correlated with a good to moderate prognosis in breast cancer patients.
Conclusions:
- PIK3CA mutations are common in breast cancer and are significantly associated with lower tumor grade.
- These mutations may serve as a predictive biomarker for a favorable prognosis in breast cancer patients.
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