Genetic Epidemiology, Translational Neurogenomics, Psychiatric Genetics and Statistical Genetics Laboratories investigate the pattern of disease in families, particularly identical and non-identical twins, to assess the relative importance of genes and environment in a variety of important health problems.
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PMID
21932420
TITLE
Oncogenic PIK3CA mutations in colorectal cancers and polyps.
ABSTRACT
Oncogenic PIK3CA mutations contribute to colorectal tumorigenesis by activating AKT signaling to decrease apoptosis and increase tumor invasion. A synergistic association of PIK3CA mutation with KRAS mutation has been suggested to increase AKT signaling and resistance to antiepidermal growth factor receptor inhibitor therapy for advanced colorectal cancer, although studies have been conflicting. We sought to clarify this by examining PIK3CA mutation frequency in relation to other key molecular features of defined pathways of tumorigenesis. PIK3CA mutation was assessed by high resolution melt analysis in 829 colorectal cancer samples and 426 colorectal polyps. Mutations were independently correlated with clinicopathological features including patient age, sex and tumor location as well as molecular features including microsatellite instability, KRAS and BRAF mutation, MGMT methylation and the CpG Island Methylator Phenotype (CIMP). Mutation of the helical (Exon 9) and catalytic (Exon 20) domain mutation hotspots were also examined independently. Overall, PIK3CA mutation was positively correlated with KRAS mutation (p < 0.001), MGMT methylation (p = 0.007) and CIMP (p < 0.001). Novel, exon-specific associations linked Exon 9 mutations to a subgroup of cancers characterized by KRAS mutation, MGMT methylation and CIMP-Low, whilst Exon 20 mutations were more closely linked to features of serrated pathway tumors including BRAF mutation, microsatellite instability and CIMP-High or Low. PIK3CA mutations were uncommonly, but exclusively, seen in tubulovillous adenomas (4/124, 3.2%) and 1/4 (25.0%) tubulovillous adenomas with a focus of cancer. These data provide insight into the molecular events driving traditional versus serrated pathway tumorigenesis.
Copyright © 2011 UICC.
DATE PUBLISHED
2012 Aug 15
HISTORY
PUBSTATUS PUBSTATUSDATE
accepted 2011/08/31
received 2011/11/17
aheadofprint 2011/11/19
entrez 2011/09/21 06:00
pubmed 2011/09/21 06:00
medline 2012/09/01 06:00
AUTHORS
NAME COLLECTIVENAME LASTNAME FORENAME INITIALS AFFILIATION AFFILIATIONINFO
Whitehall VL Whitehall Vicki L J VL Queensland Institute of Medical Research, Brisbane, Australia. Whitehall@qimr.edu.au
Rickman C Rickman Celestine C
Bond CE Bond Catherine E CE
Ramsnes I Ramsnes Ingunn I
Greco SA Greco Sonia A SA
Umapathy A Umapathy Aarti A
McKeone D McKeone Diane D
Faleiro RJ Faleiro Rebecca J RJ
Buttenshaw RL Buttenshaw Ron L RL
Worthley DL Worthley Daniel L DL
Nayler S Nayler Sam S
Zhao ZZ Zhao Zhen Zhen ZZ
Montgomery GW Montgomery Grant W GW
Mallitt KA Mallitt Kylie-Ann KA
Jass JR Jass Jeremy R JR
Matsubara N Matsubara Nagahide N
Notohara K Notohara Kenji K
Ishii T Ishii Tatsuhiro T
Leggett BA Leggett Barbara A BA
INVESTIGATORS
JOURNAL
VOLUME: 131
ISSUE: 4
TITLE: International journal of cancer
ISOABBREVIATION: Int. J. Cancer
YEAR: 2012
MONTH: Aug
DAY: 15
MEDLINEDATE:
SEASON:
CITEDMEDIUM: Internet
ISSN: 1097-0215
ISSNTYPE: Electronic
MEDLINE JOURNAL
MEDLINETA: Int J Cancer
COUNTRY: United States
ISSNLINKING: 0020-7136
NLMUNIQUEID: 0042124
PUBLICATION TYPE
PUBLICATIONTYPE TEXT
Journal Article
Research Support, Non-U.S. Gov't
COMMENTS AND CORRECTIONS
GRANTS
GENERAL NOTE
KEYWORDS
MESH HEADINGS
DESCRIPTORNAME QUALIFIERNAME
Aged
Base Sequence
Cohort Studies
Colonic Polyps genetics
Colorectal Neoplasms genetics
DNA Primers genetics
Female genetics
Humans genetics
Male genetics
Middle Aged genetics
Oncogenes genetics
Phosphatidylinositol 3-Kinases genetics
SUPPLEMENTARY MESH
GENE SYMBOLS
CHEMICALS
REGISTRYNUMBER NAMEOFSUBSTANCE
0 DNA Primers
EC 2.7.1.- Phosphatidylinositol 3-Kinases
EC 2.7.1.137 PIK3CA protein, human
OTHER ID's