Evidence map›Paper›PMID 22912864›Full record

ArticlePloS one2012

Novel somatic mutations to PI3K pathway genes in metastatic melanoma.

Austin Y Shull, Alicia Latham-Schwark, Poornema Ramasamy, Kristin Leskoske, Dora Oroian, Marc R Birtwistle, Phillip J Buckhaults

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed
4.8field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 98 citations in OpenAlex.

  1. Inhibition of mTOR Signaling and Clinical Activity of Rapamycin in Head and Neck Cancer in a Window of Opportunity Trial.Clinical cancer research : an official journal of the American Association for Cancer Research · 2019
    Trial
  2. Article
  3. The Roles of PTEN in Melanoma Suppression.Pigment cell & melanoma research · 2025
    Review
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  5. Review
  6. Article
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  9. Extracellular RNA in melanoma: Advances, challenges, and opportunities.Frontiers in cell and developmental biology · 2023
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Austin Y ShullGeorgia Health Sciences University Cancer Center, Georgia Health Sciences University, Augusta, Georgia, United States of America.
Alicia Latham-Schwark
Poornema Ramasamy
Kristin Leskoske
Dora Oroian
Marc R Birtwistle
Phillip J Buckhaults
Augusta University Health · USMedical University of South Carolina · USUniversity of California, Berkeley · US

Funding

TISSUE BIOREPOSITORYP20RR017698 · NCRR · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI FAYAD, RAJA · 2002 to 2011
$22.5M
NCRR NIH HHS 3P20RR017698-07NCRR NIH HHS P20 RR017698
6 · The paper itself

Abstract

backgroundBRAF(V600) inhibitors have offered a new gateway for better treatment of metastatic melanoma. However, the overall efficacy of BRAF(V600) inhibitors has been lower than expected in clinical trials, and many patients have shown resistance to the drug's effect. We hypothesized that somatic mutations in the Phosphoinositide 3-Kinase (PI3K) pathway, which promotes proliferation and survival, may coincide with BRAF(V600) mutations and contribute to chemotherapeutic resistance.

methodsWe performed a somatic mutation profiling study using the 454 FLX pyrosequencing platform in order to identify candidate cancer genes within the MAPK and PI3K pathways of melanoma patients. Somatic mutations of theses candidate cancer genes were then confirmed using Sanger sequencing.

resultsAs expected, BRAF(V600) mutations were seen in 51% of the melanomas, whereas NRAS mutations were seen in 19% of the melanomas. However, PI3K pathway mutations, though more heterogeneous, were present in 41% of the melanoma, with PTEN being the highest mutated PI3K gene in melanomas (22%). Interestingly, several novel PI3K pathway mutations were discovered in MTOR, IRS4, PIK3R1, PIK3R4, PIK3R5, and NFKB1. PI3K pathway mutations co-occurred with BRAF(V600) mutations in 17% of the tumors and co-occurred with 9% of NRAS mutant tumors, implying cooperativity between these pathways in terms of melanoma progression.

conclusionsThese novel PI3K pathway somatic mutations could provide alternative survival and proliferative pathways for metastatic melanoma cells. They therefore may be potential chemotherapeutic targets for melanoma patients who exhibit resistance to BRAF(V600) inhibitors.

Indexed as

Mutation1-Phosphatidylinositol 4-KinaseAdolescentAdultAgedAllelesAmino Acid SequenceBase SequenceDNA Mutational AnalysisFemaleGene FrequencyGenetic Predisposition to DiseaseGenotypeHumansMaleMAP Kinase Signaling System1-Phosphatidylinositol 4-KinaseBRAF protein, humanProto-Oncogene Proteins B-rafras Proteins

Identifiers

PMID22912864
PMCPMC3422312
OpenAlexW2048522531

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.