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Publication : Measurement of PIP3 levels reveals an unexpected role for p110β in early adaptive responses to p110α-specific inhibitors in luminal breast cancer.

First Author  Costa C Year  2015
Journal  Cancer Cell Volume  27
Issue  1 Pages  97-108
PubMed ID  25544637 Mgi Jnum  J:218823
Mgi Id  MGI:5618556 Doi  10.1016/j.ccell.2014.11.007
Citation  Costa C, et al. (2015) Measurement of PIP3 levels reveals an unexpected role for p110beta in early adaptive responses to p110alpha-specific inhibitors in luminal breast cancer. Cancer Cell 27(1):97-108
abstractText  BYL719, which selectively inhibits the alpha isoform of the phosphatidylinositol 3-kinase (PI3K) catalytic subunit (p110a), is currently in clinical trials for the treatment of solid tumors, especially luminal breast cancers with PIK3CA mutations and/or HER2 amplification. This study reveals that, even among these sensitive cancers, the initial efficacy of p110alpha inhibition is mitigated by rapid re-accumulation of the PI3K product PIP3 produced by the p110beta isoform. Importantly, the reactivation of PI3K mediated by p110beta does not invariably restore AKT phosphorylation, demonstrating the limitations of using phospho-AKT as a surrogate to measure PI3K activation. Consistently, we show that the addition of the p110beta inhibitor to BYL719 prevents the PIP3 rebound and induces greater antitumor efficacy in HER2-amplified and PIK3CA mutant cancers.
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