| Literature DB >> 34102393 |
Steven Tobochnik1, William Pisano2, Emily Lapinskas2, Keith L Ligon3, Jong Woo Lee4.
Abstract
Upregulation of the PI3K/AKT/mTOR pathway has been implicated in glioma-related epileptogenesis. In this retrospective analysis, epilepsy characteristics and response to treatment were evaluated in patients with gliomas harboring somatic mutation variants in PIK3CA. A cohort of 134 patients with 150 PIK3CA variants was extracted from previously validated databases. Patients with the hotspot H1047R, R88Q, E542K, and G118D variants comprised a subset (n = 41) for epilepsy phenotyping. In multivariate analysis, the presence of H1047R (n = 15) was associated with worse seizure control (p = 0.026). These results support preclinical findings and suggest that glioma PIK3CA variation may have promise as a biomarker for epilepsy severity and response to treatment. Published by Elsevier B.V.Entities:
Keywords: Epilepsy; Focal seizure; Glioma; PIK3CA; Somatic mutation
Mesh:
Substances:
Year: 2021 PMID: 34102393 PMCID: PMC8277701 DOI: 10.1016/j.eplepsyres.2021.106681
Source DB: PubMed Journal: Epilepsy Res ISSN: 0920-1211 Impact factor: 2.991