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Class I Phosphoinositide 3-Kinase PIK3CA/p110α and PIK3CB/p110β Isoforms in Endometrial Cancer
Fatemeh Mazloumi Gavgani1, Victoria Smith Arnesen2, Rhîan G Jacobsen3
1Department of Biological Science, University of Bergen, 5008 Bergen, Norway. Fatemeh.Mazloumi.Gavgani@uib.no.
Abstract:
The phosphoinositide 3-kinase (PI3K) signalling pathway is highly dysregulated in cancer, leading to elevated PI3K signalling and altered cellular processes that contribute to tumour development. The pathway is normally orchestrated by class I PI3K enzymes and negatively regulated by the phosphatase and tensin homologue, PTEN. Endometrial carcinomas harbour frequent alterations in components of the pathway, including changes in gene copy number and mutations, in particular in the oncogene PIK3CA, the gene encoding the PI3K catalytic subunit p110α, and the tumour suppressor PTEN. PIK3CB, encoding the other ubiquitously expressed class I isoform p110β, is less frequently altered but the few mutations identified to date are oncogenic. This isoform has received more research interest in recent years, particularly since PTEN-deficient tumours were found to be reliant on p110β activity to sustain transformation. In this review, we describe the current understanding of the common and distinct biochemical properties of the p110α and p110β isoforms, summarise their mutations and highlight how they are targeted in clinical trials in endometrial cancer.
Insights
The phosphoinositide 3-kinase (PI3K) pathway is frequently altered in endometrial cancer, particularly involving PIK3CA and PTEN. This review explores PI3K isoforms p110α and p110β, their roles, and clinical targeting.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- The phosphoinositide 3-kinase (PI3K) signaling pathway is crucial for cellular processes and frequently dysregulated in cancer.
- Endometrial carcinomas exhibit common alterations in PI3K pathway components, including PIK3CA (encoding p110α) and PTEN.
- While PIK3CB (encoding p110β) is less frequently mutated, its oncogenic potential is recognized, especially in PTEN-deficient tumors.
Purpose of the Study:
- To review the current understanding of the biochemical properties of PI3K isoforms p110α and p110β.
- To summarize mutations affecting these isoforms in endometrial cancer.
- To highlight therapeutic strategies targeting these PI3K isoforms in clinical trials for endometrial cancer.
Main Methods:
- Literature review of PI3K pathway dysregulation in endometrial cancer.
- Analysis of common and distinct biochemical properties of p110α and p110β isoforms.
- Summary of mutation data and clinical trial information for PI3K-targeted therapies.
Main Results:
- PIK3CA mutations are frequent in endometrial cancer, driving oncogenic signaling.
- PTEN loss is common and can lead to dependency on p110β activity.
- Both p110α and p110β isoforms are implicated in endometrial tumorigenesis.
Conclusions:
- Understanding the distinct roles and mutations of p110α and p110β is critical for endometrial cancer treatment.
- Targeting PI3K isoforms p110α and p110β offers promising therapeutic avenues.
- Ongoing clinical trials are evaluating the efficacy of PI3K-targeted agents in endometrial cancer.
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