PIK3CA alterations in Middle Eastern ovarian cancers

• Main Authors: Uddin Shahab, Munkarah Adnan, Jehan Zeenath, Al-Haqawi Wael, Bavi Prashant, Abubaker Jehad, Al-Kuraya Khawla S
• Format: Article
• Language: English
• Published: BMC 2009-07-01
• Series: Molecular Cancer
• Online Access: http://www.molecular-cancer.com/content/8/1/51

<p>Abstract</p> <p>Background</p> <p>PI3K/AKTsignaling pathway plays an important role in cell growth, proliferation, and tumorgenesis of various malignancies. This signaling pathway has been shown to be frequently altered in several human cancers including ovarian cancers. However the role of this oncogenic signaling pathway has not been explored in the Middle Eastern epithelial ovarian cancer (EOC). Therefore, we investigated PI3K/AKT genetic alterations such as PIK3CA amplification, PIK3CA mutation, PTEN protein loss and their relationships with various clinicopathological characteristics in 156 EOCs.</p> <p>Results</p> <p>Fluorescence <it>in situ </it>hybridization (FISH) technique and DNA sequencing were used to analyze PIK3CA amplification and mutation respectively. Expression of PIK3CA protein expression (p110 α), PTEN, p-AKT and Ki-67 was analyzed by immunohistochemistry. <it>PIK3CA </it>amplification was seen in 54 of 152 (35.5%) EOC cases analyzed; PIK3CA gene mutations in 6/153 EOC (3.9%); <it>KRAS </it>mutations in 3/154 EOC (1.9%), BRAF mutations in 3/156 EOC (1.9%), p53 mutation in 50/154 EOC (32.5%), and loss of PTEN protein expression in 33/144 EOC (22.9%). p110 α overexpression was associated with increased phosphorylation of AKT-Ser 473 and with the proliferation marker Ki-67.</p> <p>Conclusion</p> <p>Our data showed mutual exclusivity between the molecular event of PIK3CA amplification and mutations in <it>PIK3CA</it>, <it>KRAS</it>, <it>BRAF </it>genes, which suggests that each of these alterations may individually be sufficient to drive ovarian tumor pathogenesis independently. High prevalence of genetic alterations in PI3K/AKT pathway in a Middle Eastern ovarian carcinoma provides genetic evidence supporting the notion that dysregulated PI3K/AKT pathways play an important role in the pathogenesis of ovarian cancers.</p>