Endocrine oncology

PI3K/AKT/mTOR Activation Is Associated With Malignant Severity and Poorer Prognosis in Parathyroid Carcinomas

J Clin Endocrinol MetabPublished Mechanistic study

Authors' conclusion

Our findings highlight that the activation of the PI3K/AKT/mTOR pathyway in PCa patients suggests their degree of malignancy, possibly leading to poor outcomes.

Study context

Population
Patients with parathyroid carcinoma recruited from dual centers over a 10-year period; follow-up up to 117 months66 tumor tissues sequenced
Participants
64 vs 29
Comparison
Parathyroid carcinoma (PCa) vs controls; PI3K/AKT/mTOR-mutated vs no targeted variants
  • PCan = 64
  • Controlsn = 29reference
Outcome
mTORC1 activity (immunohistochemistry)
Methodological detailsdual-centre
  • Dual-centre

Main finding

As reported in the abstract

OutcomePCa
High mTORC148.5%

Further findings

PI3K/AKT/mTOR variants in PCa samples
24.2% · 16
Biochemistry and survival: PI3K/AKT/mTOR-mutated vs no targeted variants · follow-up up to 117 months · significantly lower disease-free survival (DFS) with PI3K/AKT/mTOR-mutated
P < 0.001
Biochemistry and survival: PI3K/AKT/mTOR-mutated vs no targeted variants · follow-up up to 117 months · significantly lower overall survival (OS) with PI3K/AKT/mTOR-mutated
P < 0.01
  • PI3K/AKT/mTOR variants in PCa samples: 16/66 samples

PI3K/AKT/mTOR variants in PCa samples

Majority of variant cases lacked CDC73 variants
Higher mTORC1 activity in PCa with vs without PI3K/AKT/mTOR variants

Biochemistry and survival: PI3K/AKT/mTOR-mutated vs no targeted variants · follow-up up to 117 months

Higher serum PTH, alkaline phosphatase and creatinine in PI3K/AKT/mTOR-mutated group

Original publication

PI3K/AKT/mTOR Activation Is Associated With Malignant Severity and Poorer Prognosis in Parathyroid Carcinomas. J Clin Endocrinol Metab. Published 20 January 2025. doi:10.1210/clinem/dgaf042

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