The Impact of PIK3R1 Mutations and Insulin–PI3K–Glycolytic Pathway Regulation in Prostate Cancer

<jats:title>Abstract</jats:title> <jats:sec> <jats:title>Purpose:</jats:title> <jats:p>Oncogenic alterations of the PI3K/AKT pathway occur in &amp;gt;40% of patients with metastatic castration-resistant pro...

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Main Authors: Chakraborty, Goutam, Nandakumar, Subhiksha, Hirani, Rahim, Nguyen, Bastien, Stopsack, Konrad H, Kreitzer, Christoph, Rajanala, Sai Harisha, Ghale, Romina, Mazzu, Ying Z, Pillarsetty, Naga Vara Kishore, Lee, Gwo-Shu Mary, Scher, Howard I, Morris, Michael J, Traina, Tiffany, Razavi, Pedram, Abida, Wassim, Durack, Jeremy C, Solomon, Stephen B, Vander Heiden, Matthew G, Mucci, Lorelei A, Wibmer, Andreas G, Schultz, Nikolaus, Kantoff, Philip W
Format: Article
Language:English
Published: American Association for Cancer Research (AACR) 2023
Online Access:https://hdl.handle.net/1721.1/148201
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author Chakraborty, Goutam
Nandakumar, Subhiksha
Hirani, Rahim
Nguyen, Bastien
Stopsack, Konrad H
Kreitzer, Christoph
Rajanala, Sai Harisha
Ghale, Romina
Mazzu, Ying Z
Pillarsetty, Naga Vara Kishore
Lee, Gwo-Shu Mary
Scher, Howard I
Morris, Michael J
Traina, Tiffany
Razavi, Pedram
Abida, Wassim
Durack, Jeremy C
Solomon, Stephen B
Vander Heiden, Matthew G
Mucci, Lorelei A
Wibmer, Andreas G
Schultz, Nikolaus
Kantoff, Philip W
author_facet Chakraborty, Goutam
Nandakumar, Subhiksha
Hirani, Rahim
Nguyen, Bastien
Stopsack, Konrad H
Kreitzer, Christoph
Rajanala, Sai Harisha
Ghale, Romina
Mazzu, Ying Z
Pillarsetty, Naga Vara Kishore
Lee, Gwo-Shu Mary
Scher, Howard I
Morris, Michael J
Traina, Tiffany
Razavi, Pedram
Abida, Wassim
Durack, Jeremy C
Solomon, Stephen B
Vander Heiden, Matthew G
Mucci, Lorelei A
Wibmer, Andreas G
Schultz, Nikolaus
Kantoff, Philip W
author_sort Chakraborty, Goutam
collection MIT
description <jats:title>Abstract</jats:title> <jats:sec> <jats:title>Purpose:</jats:title> <jats:p>Oncogenic alterations of the PI3K/AKT pathway occur in &amp;gt;40% of patients with metastatic castration-resistant prostate cancer, predominantly via PTEN loss. The significance of other PI3K pathway components in prostate cancer is largely unknown.</jats:p> </jats:sec> <jats:sec> <jats:title>Experimental Design:</jats:title> <jats:p>Patients in this study underwent tumor sequencing using the MSK-IMPACT clinical assay to capture single-nucleotide variants, insertions, and deletions; copy-number alterations; and structural rearrangements, or were profiled through The Cancer Genome Atlas. The association between PIK3R1 alteration/expression and survival was evaluated using univariable and multivariable Cox proportional-hazards regression models. We used the siRNA-based knockdown of PIK3R1 for functional studies. FDG-PET/CT examinations were performed with a hybrid positron emission tomography (PET)/CT scanner for some prostate cancer patients in the MSK-IMPACT cohort.</jats:p> </jats:sec> <jats:sec> <jats:title>Results:</jats:title> <jats:p>Analyzing 1,417 human prostate cancers, we found a significant enrichment of PIK3R1 alterations in metastatic cancers compared with primary cancers. PIK3R1 alterations or reduced mRNA expression tended to be associated with worse clinical outcomes in prostate cancer, particularly in primary disease, as well as in breast, gastric, and several other cancers. In prostate cancer cell lines, PIK3R1 knockdown resulted in increased cell proliferation and AKT activity, including insulin-stimulated AKT activity. In cell lines and organoids, PIK3R1 loss/mutation was associated with increased sensitivity to AKT inhibitors. PIK3R1-altered patient prostate tumors had increased uptake of the glucose analogue 18F-fluorodeoxyglucose in PET imaging, suggesting increased glycolysis.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions:</jats:title> <jats:p>Our findings describe a novel genomic feature in metastatic prostate cancer and suggest that PIK3R1 alteration may be a key event for insulin–PI3K–glycolytic pathway regulation in prostate cancer.</jats:p> </jats:sec>
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spelling mit-1721.1/1482012023-02-24T03:30:21Z The Impact of PIK3R1 Mutations and Insulin–PI3K–Glycolytic Pathway Regulation in Prostate Cancer Chakraborty, Goutam Nandakumar, Subhiksha Hirani, Rahim Nguyen, Bastien Stopsack, Konrad H Kreitzer, Christoph Rajanala, Sai Harisha Ghale, Romina Mazzu, Ying Z Pillarsetty, Naga Vara Kishore Lee, Gwo-Shu Mary Scher, Howard I Morris, Michael J Traina, Tiffany Razavi, Pedram Abida, Wassim Durack, Jeremy C Solomon, Stephen B Vander Heiden, Matthew G Mucci, Lorelei A Wibmer, Andreas G Schultz, Nikolaus Kantoff, Philip W <jats:title>Abstract</jats:title> <jats:sec> <jats:title>Purpose:</jats:title> <jats:p>Oncogenic alterations of the PI3K/AKT pathway occur in &amp;gt;40% of patients with metastatic castration-resistant prostate cancer, predominantly via PTEN loss. The significance of other PI3K pathway components in prostate cancer is largely unknown.</jats:p> </jats:sec> <jats:sec> <jats:title>Experimental Design:</jats:title> <jats:p>Patients in this study underwent tumor sequencing using the MSK-IMPACT clinical assay to capture single-nucleotide variants, insertions, and deletions; copy-number alterations; and structural rearrangements, or were profiled through The Cancer Genome Atlas. The association between PIK3R1 alteration/expression and survival was evaluated using univariable and multivariable Cox proportional-hazards regression models. We used the siRNA-based knockdown of PIK3R1 for functional studies. FDG-PET/CT examinations were performed with a hybrid positron emission tomography (PET)/CT scanner for some prostate cancer patients in the MSK-IMPACT cohort.</jats:p> </jats:sec> <jats:sec> <jats:title>Results:</jats:title> <jats:p>Analyzing 1,417 human prostate cancers, we found a significant enrichment of PIK3R1 alterations in metastatic cancers compared with primary cancers. PIK3R1 alterations or reduced mRNA expression tended to be associated with worse clinical outcomes in prostate cancer, particularly in primary disease, as well as in breast, gastric, and several other cancers. In prostate cancer cell lines, PIK3R1 knockdown resulted in increased cell proliferation and AKT activity, including insulin-stimulated AKT activity. In cell lines and organoids, PIK3R1 loss/mutation was associated with increased sensitivity to AKT inhibitors. PIK3R1-altered patient prostate tumors had increased uptake of the glucose analogue 18F-fluorodeoxyglucose in PET imaging, suggesting increased glycolysis.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions:</jats:title> <jats:p>Our findings describe a novel genomic feature in metastatic prostate cancer and suggest that PIK3R1 alteration may be a key event for insulin–PI3K–glycolytic pathway regulation in prostate cancer.</jats:p> </jats:sec> 2023-02-23T18:48:11Z 2023-02-23T18:48:11Z 2022 2023-02-23T18:41:31Z Article http://purl.org/eprint/type/JournalArticle https://hdl.handle.net/1721.1/148201 Chakraborty, Goutam, Nandakumar, Subhiksha, Hirani, Rahim, Nguyen, Bastien, Stopsack, Konrad H et al. 2022. "The Impact of PIK3R1 Mutations and Insulin–PI3K–Glycolytic Pathway Regulation in Prostate Cancer." Clinical Cancer Research, 28 (16). en 10.1158/1078-0432.CCR-21-4272 Clinical Cancer Research Creative Commons Attribution-Noncommercial-Share Alike http://creativecommons.org/licenses/by-nc-sa/4.0/ application/pdf American Association for Cancer Research (AACR) PMC
spellingShingle Chakraborty, Goutam
Nandakumar, Subhiksha
Hirani, Rahim
Nguyen, Bastien
Stopsack, Konrad H
Kreitzer, Christoph
Rajanala, Sai Harisha
Ghale, Romina
Mazzu, Ying Z
Pillarsetty, Naga Vara Kishore
Lee, Gwo-Shu Mary
Scher, Howard I
Morris, Michael J
Traina, Tiffany
Razavi, Pedram
Abida, Wassim
Durack, Jeremy C
Solomon, Stephen B
Vander Heiden, Matthew G
Mucci, Lorelei A
Wibmer, Andreas G
Schultz, Nikolaus
Kantoff, Philip W
The Impact of PIK3R1 Mutations and Insulin–PI3K–Glycolytic Pathway Regulation in Prostate Cancer
title The Impact of PIK3R1 Mutations and Insulin–PI3K–Glycolytic Pathway Regulation in Prostate Cancer
title_full The Impact of PIK3R1 Mutations and Insulin–PI3K–Glycolytic Pathway Regulation in Prostate Cancer
title_fullStr The Impact of PIK3R1 Mutations and Insulin–PI3K–Glycolytic Pathway Regulation in Prostate Cancer
title_full_unstemmed The Impact of PIK3R1 Mutations and Insulin–PI3K–Glycolytic Pathway Regulation in Prostate Cancer
title_short The Impact of PIK3R1 Mutations and Insulin–PI3K–Glycolytic Pathway Regulation in Prostate Cancer
title_sort impact of pik3r1 mutations and insulin pi3k glycolytic pathway regulation in prostate cancer
url https://hdl.handle.net/1721.1/148201
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