PIK3CA Gene Mutations in Solid Malignancies: Association with Clinicopathological Parameters and Prognosis

Phosphoinositide kinases (PIKs) are a group of lipid kinases that are important upstream activators of various significant signaling pathways. Hyperactivation of the PI3K/AKT/mTOR pathways—either via mutations or genomic amplification—confers key oncogenic activity, essential for...

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Main Authors: Ali Alqahtani, Hazem S. K. Ayesh, Hafez Halawani
Format: Article
Language:English
Published: MDPI AG 2019-12-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/12/1/93
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author Ali Alqahtani
Hazem S. K. Ayesh
Hafez Halawani
author_facet Ali Alqahtani
Hazem S. K. Ayesh
Hafez Halawani
author_sort Ali Alqahtani
collection DOAJ
description Phosphoinositide kinases (PIKs) are a group of lipid kinases that are important upstream activators of various significant signaling pathways. Hyperactivation of the PI3K/AKT/mTOR pathways&#8212;either via mutations or genomic amplification&#8212;confers key oncogenic activity, essential for the development and progression of several solid tumors. Alterations in the <i>PIK3CA</i> gene are associated with poor prognosis of solid malignancies. Although the literature reports contradictory prognostic values of <i>PIK3CA</i> in aggressive cancers, most of the available data highlight the important role of <i>PIK3CA</i> mutation in mediating tumorigenesis via increased signaling of the PI3K/AKT/mTOR survival pathway. Several inhibitors of PI3K/AKT/mTOR pathways are investigated as potential therapeutic options in solid malignancies. This article reviews the role of <i>PIK3CA</i> mutations and inhibitors of PI3K/AKT/mTOR pathways in major cancer types and examines its association with clinicopathological parameters and prognosis.
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spelling doaj.art-e3785164151f4eb992b42f3986fd2e922023-09-03T10:41:15ZengMDPI AGCancers2072-66942019-12-011219310.3390/cancers12010093cancers12010093PIK3CA Gene Mutations in Solid Malignancies: Association with Clinicopathological Parameters and PrognosisAli Alqahtani0Hazem S. K. Ayesh1Hafez Halawani2Department of Internal Medicine, University of Toledo College of Medicine and Life Sciences, Toledo, OH 43614, USADepartment of Internal Medicine, University of Toledo College of Medicine and Life Sciences, Toledo, OH 43614, USADepartment of Oncology, Cabrini Cancer Center, Alexandria, LA 71301, USAPhosphoinositide kinases (PIKs) are a group of lipid kinases that are important upstream activators of various significant signaling pathways. Hyperactivation of the PI3K/AKT/mTOR pathways&#8212;either via mutations or genomic amplification&#8212;confers key oncogenic activity, essential for the development and progression of several solid tumors. Alterations in the <i>PIK3CA</i> gene are associated with poor prognosis of solid malignancies. Although the literature reports contradictory prognostic values of <i>PIK3CA</i> in aggressive cancers, most of the available data highlight the important role of <i>PIK3CA</i> mutation in mediating tumorigenesis via increased signaling of the PI3K/AKT/mTOR survival pathway. Several inhibitors of PI3K/AKT/mTOR pathways are investigated as potential therapeutic options in solid malignancies. This article reviews the role of <i>PIK3CA</i> mutations and inhibitors of PI3K/AKT/mTOR pathways in major cancer types and examines its association with clinicopathological parameters and prognosis.https://www.mdpi.com/2072-6694/12/1/93solid malignancy<i>pik3ca</i>mutationoverall survivalpi3k/akt/mtor pathway
spellingShingle Ali Alqahtani
Hazem S. K. Ayesh
Hafez Halawani
PIK3CA Gene Mutations in Solid Malignancies: Association with Clinicopathological Parameters and Prognosis
Cancers
solid malignancy
<i>pik3ca</i>
mutation
overall survival
pi3k/akt/mtor pathway
title PIK3CA Gene Mutations in Solid Malignancies: Association with Clinicopathological Parameters and Prognosis
title_full PIK3CA Gene Mutations in Solid Malignancies: Association with Clinicopathological Parameters and Prognosis
title_fullStr PIK3CA Gene Mutations in Solid Malignancies: Association with Clinicopathological Parameters and Prognosis
title_full_unstemmed PIK3CA Gene Mutations in Solid Malignancies: Association with Clinicopathological Parameters and Prognosis
title_short PIK3CA Gene Mutations in Solid Malignancies: Association with Clinicopathological Parameters and Prognosis
title_sort pik3ca gene mutations in solid malignancies association with clinicopathological parameters and prognosis
topic solid malignancy
<i>pik3ca</i>
mutation
overall survival
pi3k/akt/mtor pathway
url https://www.mdpi.com/2072-6694/12/1/93
work_keys_str_mv AT alialqahtani pik3cagenemutationsinsolidmalignanciesassociationwithclinicopathologicalparametersandprognosis
AT hazemskayesh pik3cagenemutationsinsolidmalignanciesassociationwithclinicopathologicalparametersandprognosis
AT hafezhalawani pik3cagenemutationsinsolidmalignanciesassociationwithclinicopathologicalparametersandprognosis