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标题：Prognostic role of PIK3CA mutations and their association with hormone receptor expression in breast cancer: a meta-analysis
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作者：Bo Pang ; Shi Cheng ; Shi-Peng Sun 等
期刊名称：Scientific Reports
电子版ISSN：2045-2322
出版年度：2014
卷号：4
DOI：10.1038/srep06255
出版社：Springer Nature
摘要：The phosphatidylinositol-4, 5-bisphosphate 3-kinase, catalytic subunit alpha ( PIK3CA ) gene is frequently mutated in breast cancer (BCa). Sex hormone receptors (HRs), including estrogen receptor (ER) and progesterone receptor (PR) play pivotal roles in BCa. In this study, we evaluated the association between PIK3CA mutations and ER/PR expression and the prognostic role of PIK3CA mutations in BCa patients, and in particular, HR-positive BCa. Thirty-two studies involving 5719 cases of BCa obtained from database searches were examined. PIK3CA gene mutations correlated significantly with ER/PR expression ( p p = 0.03) but not overall survival (OS) (HR 1.14, 95%CI 0.72–1.82, p = 0.57) in unsorted BCa patients. PIK3CA mutations were not associated with OS (HR 1.06, 95%CI 0.67–1.67, p = 0.81) or RFS (HR 0.86, 95%CI 0.53–1.40, p = 0.55) in HR-positive BCa patients. In conclusion, PIK3CA mutations were significantly related to ER/PR expression and RFS in unsorted BCa patients. However, the clinical implications of PIK3CA mutations may vary according to different mutant exons. And PIK3CA mutations alone may have limited prognostic value for HR-positive BCa patients.