Characterizing multi‐PIK3CA mutations across cancer types: Toward precision oncology

Abstract Background PIK3CA mutations are implicated in various cancers, but the implications of multiple concurrent mutations and their orientations within the gene have not been fully explored. Methods In this study, we analyzed multi‐PIK3CA mutations across a diverse pan‐cancer cohort comprising 3...

Full description

Saved in:
Bibliographic Details
Main Authors: Kohei Nakamura, Marin Ishikawa, Ryutaro Kawano, Eriko Aimono, Takaaki Mizuno, Sachio Nohara, Shigeki Tanishima, Hideyuki Hayashi, Hiroshi Nishihara, The Keio PleSSision Group
Format: Article
Language:English
Published: Wiley 2024-07-01
Series:Cancer Medicine
Subjects:
Online Access:https://doi.org/10.1002/cam4.70052
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1846115497880322048
author Kohei Nakamura
Marin Ishikawa
Ryutaro Kawano
Eriko Aimono
Takaaki Mizuno
Sachio Nohara
Shigeki Tanishima
Hideyuki Hayashi
Hiroshi Nishihara
The Keio PleSSision Group
author_facet Kohei Nakamura
Marin Ishikawa
Ryutaro Kawano
Eriko Aimono
Takaaki Mizuno
Sachio Nohara
Shigeki Tanishima
Hideyuki Hayashi
Hiroshi Nishihara
The Keio PleSSision Group
author_sort Kohei Nakamura
collection DOAJ
description Abstract Background PIK3CA mutations are implicated in various cancers, but the implications of multiple concurrent mutations and their orientations within the gene have not been fully explored. Methods In this study, we analyzed multi‐PIK3CA mutations across a diverse pan‐cancer cohort comprising 3564 tumors. Results Multi‐PIK3CA mutations were present in 10.3% of all PIK3CA‐mutant tumors, predominantly occurring in breast and gynecological cancers. Notably, mutations within the helical domain (E542:E545) exclusively occurred in the trans‐orientation, contrasting with mutations in the kinase ABD and C2 domains, which mainly appeared in the cis orientation. Conclusions The distinct pattern of mutation orientations in PIK3CA suggests variable oncogenic potential, with helical domain mutations in the trans‐orientation potentially being less oncogenic. These findings highlight the importance of mutation orientation in the PIK3CA gene as potential biomarkers for targeted therapy. This understanding is crucial for designing clinical trials that leverage PI3K inhibitors, aiming for more effective and precise cancer treatment.
format Article
id doaj-art-f8b25879d84a45d8bad0b84914e2b944
institution Kabale University
issn 2045-7634
language English
publishDate 2024-07-01
publisher Wiley
record_format Article
series Cancer Medicine
spelling doaj-art-f8b25879d84a45d8bad0b84914e2b9442024-12-19T12:33:09ZengWileyCancer Medicine2045-76342024-07-011314n/an/a10.1002/cam4.70052Characterizing multi‐PIK3CA mutations across cancer types: Toward precision oncologyKohei Nakamura0Marin Ishikawa1Ryutaro Kawano2Eriko Aimono3Takaaki Mizuno4Sachio Nohara5Shigeki Tanishima6Hideyuki Hayashi7Hiroshi Nishihara8The Keio PleSSision GroupGenomics Unit, Keio Cancer Center Keio University School of Medicine Shinjuku‐ku, Tokyo JapanGenomics Unit, Keio Cancer Center Keio University School of Medicine Shinjuku‐ku, Tokyo JapanGenomics Unit, Keio Cancer Center Keio University School of Medicine Shinjuku‐ku, Tokyo JapanGenomics Unit, Keio Cancer Center Keio University School of Medicine Shinjuku‐ku, Tokyo JapanGenomics Unit, Keio Cancer Center Keio University School of Medicine Shinjuku‐ku, Tokyo JapanDepartment of Biomedical Informatics, Communication Engineering Center, Electronic Systems Business Group Mitsubishi Electric Software Co., Ltd. Amagasaki Hyogo JapanGenomics Unit, Keio Cancer Center Keio University School of Medicine Shinjuku‐ku, Tokyo JapanGenomics Unit, Keio Cancer Center Keio University School of Medicine Shinjuku‐ku, Tokyo JapanGenomics Unit, Keio Cancer Center Keio University School of Medicine Shinjuku‐ku, Tokyo JapanAbstract Background PIK3CA mutations are implicated in various cancers, but the implications of multiple concurrent mutations and their orientations within the gene have not been fully explored. Methods In this study, we analyzed multi‐PIK3CA mutations across a diverse pan‐cancer cohort comprising 3564 tumors. Results Multi‐PIK3CA mutations were present in 10.3% of all PIK3CA‐mutant tumors, predominantly occurring in breast and gynecological cancers. Notably, mutations within the helical domain (E542:E545) exclusively occurred in the trans‐orientation, contrasting with mutations in the kinase ABD and C2 domains, which mainly appeared in the cis orientation. Conclusions The distinct pattern of mutation orientations in PIK3CA suggests variable oncogenic potential, with helical domain mutations in the trans‐orientation potentially being less oncogenic. These findings highlight the importance of mutation orientation in the PIK3CA gene as potential biomarkers for targeted therapy. This understanding is crucial for designing clinical trials that leverage PI3K inhibitors, aiming for more effective and precise cancer treatment.https://doi.org/10.1002/cam4.70052cismulti‐PIK3CA mutationsPI3K inhibitorprecision oncologytrans
spellingShingle Kohei Nakamura
Marin Ishikawa
Ryutaro Kawano
Eriko Aimono
Takaaki Mizuno
Sachio Nohara
Shigeki Tanishima
Hideyuki Hayashi
Hiroshi Nishihara
The Keio PleSSision Group
Characterizing multi‐PIK3CA mutations across cancer types: Toward precision oncology
Cancer Medicine
cis
multi‐PIK3CA mutations
PI3K inhibitor
precision oncology
trans
title Characterizing multi‐PIK3CA mutations across cancer types: Toward precision oncology
title_full Characterizing multi‐PIK3CA mutations across cancer types: Toward precision oncology
title_fullStr Characterizing multi‐PIK3CA mutations across cancer types: Toward precision oncology
title_full_unstemmed Characterizing multi‐PIK3CA mutations across cancer types: Toward precision oncology
title_short Characterizing multi‐PIK3CA mutations across cancer types: Toward precision oncology
title_sort characterizing multi pik3ca mutations across cancer types toward precision oncology
topic cis
multi‐PIK3CA mutations
PI3K inhibitor
precision oncology
trans
url https://doi.org/10.1002/cam4.70052
work_keys_str_mv AT koheinakamura characterizingmultipik3camutationsacrosscancertypestowardprecisiononcology
AT marinishikawa characterizingmultipik3camutationsacrosscancertypestowardprecisiononcology
AT ryutarokawano characterizingmultipik3camutationsacrosscancertypestowardprecisiononcology
AT erikoaimono characterizingmultipik3camutationsacrosscancertypestowardprecisiononcology
AT takaakimizuno characterizingmultipik3camutationsacrosscancertypestowardprecisiononcology
AT sachionohara characterizingmultipik3camutationsacrosscancertypestowardprecisiononcology
AT shigekitanishima characterizingmultipik3camutationsacrosscancertypestowardprecisiononcology
AT hideyukihayashi characterizingmultipik3camutationsacrosscancertypestowardprecisiononcology
AT hiroshinishihara characterizingmultipik3camutationsacrosscancertypestowardprecisiononcology
AT thekeioplessisiongroup characterizingmultipik3camutationsacrosscancertypestowardprecisiononcology