Mizoguchi Masahiro, Nutt Catherine L, Mohapatra Gayatry, Louis David N
Molecular Neuro-Oncology Laboratory, Department of Pathology and Neurosurgical Service, Massachusetts General Hospital, Charlestown, MA 02129, USA.
Brain Pathol. 2004 Oct;14(4):372-7. doi: 10.1111/j.1750-3639.2004.tb00080.x.
Genetic alterations of PI3K (phosphoinositide 3-kinase) subunits have been documented in a number of tumor types, with increased PI3K activity linked to gene amplification and mutation of catalytic subunits, as well as mutations of regulatory subunits. Among high grade gliomas, activation of the PI3K-AKT signaling pathway through loss of PTEN function is common. We therefore investigated whether genetic alteration of class IA PI3Ks might provide a mechanism for deregulation of this pathway in glioblastomas. We studied a series of glioblastomas with FISH to assess copy number of catalytic subunits (PIK3CA and PIK3CD) and with PCR-SSCP to screen for somatic mutations of conserved regions of both catalytic and regulatory subunits. FISH revealed frequent balanced copy number increases of both PIK3CA and PIK3CD, and one case showed an extra copy limited to PIK3CA. One glioblastoma exhibited a 9-bp deletion that encompassed the exon-intron junction of exon 12 of PIK3R1, documenting for the first time a mutation within a PI3K regulatory subunit in human glioblastoma. This deletion would be predicted to yield a truncated protein that lacks the inhibitory domain, resulting in increased PI3K activity. Furthermore, the case with selected PIK3CA copy number gain and the case with a truncating PIK3R1 mutation both featured AKT activation without PTEN mutation. These results suggest that genetic alterations of class IA PI3K subunit genes can occasionally play a role in human glioblastoma by activating the PI3K-AKT signaling pathway independently of PTEN mutation.
PI3K(磷脂酰肌醇3激酶)亚基的基因改变在多种肿瘤类型中均有记载,PI3K活性增加与催化亚基的基因扩增和突变以及调节亚基的突变有关。在高级别胶质瘤中,通过PTEN功能缺失激活PI3K-AKT信号通路很常见。因此,我们研究了IA类PI3K的基因改变是否可能为胶质母细胞瘤中该信号通路的失调提供一种机制。我们对一系列胶质母细胞瘤进行了荧光原位杂交(FISH)以评估催化亚基(PIK3CA和PIK3CD)的拷贝数,并通过聚合酶链反应-单链构象多态性分析(PCR-SSCP)筛选催化亚基和调节亚基保守区域的体细胞突变。FISH显示PIK3CA和PIK3CD均频繁出现平衡的拷贝数增加,且有一例显示仅PIK3CA有额外拷贝。一例胶质母细胞瘤表现出一个9碱基对的缺失,该缺失涵盖PIK3R1外显子12的外显子-内含子交界处,首次证明了人类胶质母细胞瘤中PI3K调节亚基内存在突变。预计该缺失会产生一种缺乏抑制结构域的截短蛋白,导致PI3K活性增加。此外,PIK3CA拷贝数增加的病例和PIK3R1截短突变的病例均表现出AKT激活而无PTEN突变。这些结果表明,IA类PI3K亚基基因的改变偶尔可通过独立于PTEN突变激活PI3K-AKT信号通路在人类胶质母细胞瘤中发挥作用。