Title : Decoupling of the PI3K Pathway via Mutation Necessitates Combinatorial Treatment in HER2+ Breast Cancer.

Pub. Date : 2015

PMID : 26181325






4 Functional Relationships(s)
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1 We observed that combinations of lapatinib plus AKTi were synergistic in HER2(+)/PIK3CA(mut) cell lines but not in HER2(+)/PIK3CA(wt) cell lines. Lapatinib phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha Homo sapiens
2 This revealed that p-S6RP levels were less well attenuated by lapatinib in HER2(+)/PIK3CA(mut) cells compared to HER2(+)/PIK3CAwt cells and that lapatinib + AKTi reduced p-S6RP levels to those achieved in HER2(+)/PIK3CA(wt) cells with lapatinib alone. Lapatinib phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha Homo sapiens
3 We also found that that compensatory up-regulation of p-HER3 and p-HER2 is blunted in PIK3CA(mut) cells following lapatinib + AKTi treatment. Lapatinib phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha Homo sapiens
4 We used a nonlinear ordinary differential equation model to support the idea that PIK3CA mutations act as downstream activators of AKT that blunt lapatinib inhibition of downstream AKT signaling and that the effects of PIK3CA mutations can be countered by combining lapatinib with an AKTi. Lapatinib phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha Homo sapiens