Evidence map›Paper›PMID 34779417›Full record

ArticleThe Journal of clinical investigation2021

Therapeutic implications of activating noncanonical PIK3CA mutations in head and neck squamous cell carcinoma.

Nan Jin, Bhumsuk Keam, Janice Cho, Michelle J Lee, Hye Ryun Kim, Hayarpi Torosyan, Natalia Jura, Patrick Ks Ng, Gordon B Mills, Hua Li and 11 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
2.6field-weighted citation impact, top 9% 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

39 citing papers in PubMed, 56 citations in OpenAlex.

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  17. International journal of molecular sciences · 2025
    Review
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  19. Neddylation as a target in PIK3CA-mutated head and neck cancer.Biochemical and biophysical research communications · 2025
    Article
  20. Article
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

21 authors at 8 institutions in 3 countries.

Nan JinDepartment of Otolaryngology, Head and Neck Surgery, University of California San Francisco, San Francisco, California, USA.
Bhumsuk KeamDepartment of Internal Medicine, Seoul National University Hospital, Seoul, South Korea.
Janice ChoDepartment of Otolaryngology, Head and Neck Surgery, University of California San Francisco, San Francisco, California, USA.
Michelle J LeeDepartment of Otolaryngology, Head and Neck Surgery, University of California San Francisco, San Francisco, California, USA.
Hye Ryun KimDivision of Medical Oncology, Department of Internal Medicine, Yonsei University College of Medicine, Yonsei Cancer Center, Seoul, South Korea.
Hayarpi TorosyanCardiovascular Research Institute and.
Natalia JuraCardiovascular Research Institute and.
Patrick Ks NgInstitute for Personalized Cancer Therapy, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Gordon B MillsKnight Cancer Institute, Oregon Health & Science University, Portland, Oregon, USA.
Hua LiDepartment of Otolaryngology, Head and Neck Surgery, University of California San Francisco, San Francisco, California, USA.
Yan ZengDepartment of Otolaryngology, Head and Neck Surgery, University of California San Francisco, San Francisco, California, USA.
Zohar BarbashNovellusDx, Jerusalem, Israel.
Gabi TarcicNovellusDx, Jerusalem, Israel.
Hyunseok KangDepartment of Medicine, University of California San Francisco, San Francisco, California, USA.
Julie E BaumanDepartment of Medicine, University of Arizona, Tucson, Arizona, USA.
Mi-Ok KimDepartment of Epidemiology and Biostatistics and.
Nathan K VanLandinghamDepartment of Otolaryngology, Head and Neck Surgery, University of California San Francisco, San Francisco, California, USA.
Danielle L SwaneyDepartment of Cellular and Molecular Pharmacology, University of California San Francisco, San Francisco, California, USA.
Nevan J KroganDepartment of Cellular and Molecular Pharmacology, University of California San Francisco, San Francisco, California, USA.
Daniel E JohnsonDepartment of Otolaryngology, Head and Neck Surgery, University of California San Francisco, San Francisco, California, USA.
Jennifer R GrandisDepartment of Otolaryngology, Head and Neck Surgery, University of California San Francisco, San Francisco, California, USA.
University of California, San Francisco · USGladstone Institutes · USCardiovascular Institute Hospital · JPOregon Health & Science University · USSeoul National University Hospital · KRThe University of Texas MD Anderson Cancer Center · USUniversity of Arizona · USYonsei University · KR

Funding

Using Networks to Seed Hierarchical Whole-cell Models of CancerU54CA209891 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI IDEKER, TREY, KROGAN, NEVAN J · 2017 to 2021
$10.9M
STRUCTURAL BIOLOGY TRAINING PROGRAMT32GM008284 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KORTEMME, TANJA · 1988 to 2022
$10.1M
Integrating genomics and the protein interactome for HPV+ head and neck cancer therapyR35CA231998 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GRANDIS, JENNIFER RUBIN · 2018 to 2024
$6.2M
PI3K Pathway Mutations in Head and Neck CancerR01DE023685 · NIDCR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI GRANDIS, JENNIFER RUBIN, JOHNSON, DANIEL E · 2014 to 2023
$5.1M
Integrative bioinformatics and functional characterization of oncogenic driver aberrations in cancerU01CA217842 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI DENEEN, BENJAMIN, MILLS, GORDON B. · 2017 to 2021
$3.6M
Howard Hughes Medical InstituteNCI NIH HHS R35 CA231998NCI NIH HHS U01 CA217842NCI NIH HHS U54 CA209891NIDCR NIH HHS R01 DE023685NIGMS NIH HHS T32 GM008284
6 · The paper itself

Abstract

Alpelisib selectively inhibits the p110α catalytic subunit of PI3Kα and is approved for treatment of breast cancers harboring canonical PIK3CA mutations. In head and neck squamous cell carcinoma (HNSCC), 63% of PIK3CA mutations occur at canonical hotspots. The oncogenic role of the remaining 37% of PIK3CA noncanonical mutations is incompletely understood. We report a patient with HNSCC with a noncanonical PIK3CA mutation (Q75E) who exhibited a durable (12 months) response to alpelisib in a phase II clinical trial. Characterization of all 32 noncanonical PIK3CA mutations found in HNSCC using several functional and phenotypic assays revealed that the majority (69%) were activating, including Q75E. The oncogenic impact of these mutations was validated in 4 cellular models, demonstrating that their activity was lineage independent. Further, alpelisib exhibited antitumor effects in a xenograft derived from a patient with HNSCC containing an activating noncanonical PIK3CA mutation. Structural analyses revealed plausible mechanisms for the functional phenotypes of the majority of the noncanonical PIK3CA mutations. Collectively, these findings highlight the importance of characterizing the function of noncanonical PIK3CA mutations and suggest that patients with HNSCC whose tumors harbor activating noncanonical PIK3CA mutations may benefit from treatment with PI3Kα inhibitors.

Indexed as

MutationAnimalsClass I Phosphatidylinositol 3-KinasesHead and Neck NeoplasmsHumansMaleMiceMiddle AgedProtein DomainsSquamous Cell Carcinoma of Head and NeckThiazolesAlpelisibClass I Phosphatidylinositol 3-KinasesPIK3CA protein, humanThiazolesHead and neck cancerOncology

Identifiers

PMID34779417
PMCPMC8592538
OpenAlexW3213490135

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.