articleCancer DiscoveryApr 25, 2013GREEN OA

Frequent Mutation of the PI3K Pathway in Head and Neck Cancer Defines Predictive Biomarkers

The University of Texas MD Anderson Cancer Center · Harvard University · +2 more institutions

PubMed
Indexed incrossrefpubmed

Abstract

Abstract Genomic findings underscore the heterogeneity of head and neck squamous cell carcinoma (HNSCC). Identification of mutations that predict therapeutic response would be a major advance. We determined the mutationally altered, targetable mitogenic pathways in a large HNSCC cohort. Analysis of whole-exome sequencing data from 151 tumors revealed the phosphoinositide 3-kinase (PI3K) pathway to be the most frequently mutated oncogenic pathway (30.5%). PI3K pathway–mutated HNSCC tumors harbored a significantly higher rate of mutations in known cancer genes. In a subset of human papillomavirus-positive tumors, PIK3CA or PIK3R1 was the only mutated cancer gene. Strikingly, all tumors with concurrent mutation…

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