Evidence map›Paper›PMID 41793685›Full record

ArticleAsian Pacific journal of cancer prevention : APJCP2026

PIK3CA Polymorphisms in Cervical Cancer: Differential Impact of rs6443624 and rs141178472.

Harshi Srivastava, Shivanjali Raghuvanshi, Shalini Bhalla, Snehkiran Raghuvanshi, Alok Singh, Ajay Kumar Singh, Nisha Singh, Nitu Nigam, Gyanendra Kumar Sonkar, Zeeshan Iqbal and 1 more

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Article in Asian Pacific journal of cancer prevention : APJCP, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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11 authors.

Harshi SrivastavaDepartment of Pathology, King Georges' Medical University, Lucknow-226003, Uttar Pradesh, India.
Shivanjali RaghuvanshiDepartment of Pathology, King Georges' Medical University, Lucknow-226003, Uttar Pradesh, India.
Shalini BhallaDepartment of Pathology, King Georges' Medical University, Lucknow-226003, Uttar Pradesh, India.
Snehkiran RaghuvanshiDepartment of Prosthodontics, Crowns and Bridges, King Georges' Medical University, Lucknow-226003, Uttar Pradesh, India.
Alok SinghDepartment of Pathology, King Georges' Medical University, Lucknow-226003, Uttar Pradesh, India.
Ajay Kumar SinghDepartment of Pathology, King Georges' Medical University, Lucknow-226003, Uttar Pradesh, India.
Nisha SinghDepartment of Gynaecological Oncology,, King Georges' Medical University, Lucknow-226003, Uttar Pradesh, India.
Nitu NigamDepartment of CFAR,, King Georges' Medical University, Lucknow-226003, Uttar Pradesh, India.
Gyanendra Kumar SonkarDepartment of Biochemistry, King Georges' Medical University, Lucknow-226003, Uttar Pradesh, India.
Zeeshan IqbalDepartment of Pathology, King Georges' Medical University, Lucknow-226003, Uttar Pradesh, India.
Shantanu PrakashDepartment of Critical Care Medicine, King Georges' Medical University, Lucknow-226003, Uttar Pradesh, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCervical cancer remains a major cause of mortality in low- and middle-income settings. We assessed whether two PIK3CA single-nucleotide polymorphisms (SNPs) rs6443624 (A/C) and rs141178472 (C/T) are associated with disease risk, clinicopathological features, and survival. MATERIALS AND

methodsIn a prospective case control study at a tertiary center, 154 participants were enrolled (77 cases, 77 controls). Genomic DNA was isolated from FFPE cervical tumors (QIAamp DNA FFPE Tissue Kit) and genotyped using TaqMan allelic discrimination. Clinicopathological variables (FIGO stage, histology, grade, treatment, tumor-infiltrating lymphocytes [TILs]) were abstracted from records. Genotype distributions were compared by Pearson chi-square. Associations with clinicopathological features used chi-square/Fisher's exact as appropriate; ANOVA compared age across genotypes. Overall survival (OS) was estimated by Kaplan-Meier and compared with the log-rank test; mean OS with SE and 95% CI is reported.

resultsCases were predominantly locally advanced at presentation and squamous histology; most were moderately differentiated. rs6443624 differed significantly between cases and controls (χ²=21.1, p<0.001), with CC over-represented in cases and CA less frequent. rs141178472 showed no significant case control difference (χ²=2.9, p=0.086). For OS, rs6443624 showed a significant genotype effect (log-rank χ²=23.45, p=0.001): AA had the poorest survival, CA the longest, CC intermediate. rs141178472 was not associated with OS (χ²=1.06, p=0.588). Genotype clinicopathological correlations for stage group, grade, TILs, and treatment were non-significant or inconsistent, with some comparisons limited by small sample sizes.

conclusionThe PIK3CA rs6443624 variant appears to influence both susceptibility and prognosis in cervical cancer, highlighting its potential as a biomarker for molecular risk stratification. Validation in larger, multi-center cohorts incorporating HPV/p16 assessment and extended follow-up is warranted to confirm its clinical relevance.

Indexed as

AdenocarcinomaBiomarkers, TumorCarcinoma, Squamous CellClass I Phosphatidylinositol 3-KinasesGenetic Predisposition to DiseasePolymorphism, Single NucleotideUterine Cervical NeoplasmsAdultCase-Control StudiesFemaleFollow-Up StudiesGenotypeHumansMiddle AgedPrognosisProspective StudiesBiomarkers, TumorClass I Phosphatidylinositol 3-KinasesPIK3CA protein, humanCervical cancerPIK3CArs6443624Single-nucleotide polymorphism

Identifiers

PMID41793685
PMCPMC13576487

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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.