We describe herein a novel P447_L455 deletion in the C2 domain of in a patient with an ER breast cancer with an excellent response to the PI3Kα inhibitor alpelisib. Although deletions are relatively rare, a significant portion of deletions cluster within amino acids 446-460 of the C2 domain, suggesting these residues are critical for p110α function. A computational structural model of in complex with the p85 regulatory subunit and MCF10A cells expressing and were used to understand the phenotype of C2 domain deletions. Computational modeling revealed specific favorable inter-residue contacts that would be lost as a result of the deletion, predicting a significant decrease in binding energy. Coimmunoprecipitation experiments showed reduced binding of the C2 deletion mutants with p85 compared with wild-type p110α. The MCF10A cells expressing C2 deletions exhibited growth factor-independent growth, an invasive phenotype, and higher phosphorylation of AKT, ERK, and S6 compared with parental MCF10A cells. All these changes were ablated by alpelisib treatment. C2 domain deletions in generate PI3K dependence and should be considered biomarkers of sensitivity to PI3K inhibitors. .
©2017 American Association for Cancer Research.