A. Unselected primary breast carcinomas
Author PIK3CA Mutations Exon Method mutation positive &clinical variables
# Mutations/ #Cases Tested % 9 20 Other#
Samuels [1] 1/12 8.3       Sequence all exons  
Bachman [59] 9/41 22.0 1 6 2 Sequence exons 1, 9, 20  
Campbell [60] 28/70 40.0 15 9 4 SSCP all exons & DHPLC exons 9, 20 No association with ER, grade, LN
Saal [54] 79/292^ 27.0 26 40 13 Sequence exons 1, 2, 4, 5, 7,9, 12, 13,18, 20 ER+ PR+
Her-2/neu+
Wu [9] 19/92 20.6 13 6   Sequence exon 1, 9, 20 (Frozen tissue)  
Lee [51] 26/78^ 33.3 4 22   SSCP exons 9, 20  
Levine 2005 [96] 13/72 18.1 9 4   Sequence exons 9, 20 (Frozen tissue)  
Li [52] 95/250^ 38.0 40 47 8 SSCP exon 7, 9, 20 (Frozen tissue) ER+ PR+, size. Worse survival
Buttitta [61] 46/180 25.6 23 23   SSCP all exons & direct sequence exons 9, 20 (Frozen tissue) Exon 9: lobular. No association with age, size, ER, PR, LN.
Liang [53] 33/80^ 41.2 11 22   Sequence exon 9, 20 Age, stage. No association with ER.
Maruyama [63] 54/176 30.7 17 29 8 Sequence exons 1, 2, 4,  7, 9, 18, 20 (Frozen tissue) ER+, pAKT+
Favorable prognosis.
Perez-Tenorio [55] 66/270^ 24.4 30 36   SSCP exon 9, 20 (Frozen tissue) ER+ Her2-, small size
Wood [95] 5/11 45.4 3 2   Full genome sequencing  
Barbareschi [62] 45/163 27.6 24 21   SSCP exon 9, 20 (Frozen tissue) Exon 20-improved overall and DF survival. Exon 9-worse overall and DF survival.
Benvenuti [97] 14/86 16.3 6 8   Sequence exons 9, 20 No association with age, ER, LN
Lai [72] 39/152 25.7 14 21 4 Sequence exons 7, 9, partial 4, 20 Exon 20 worse overall survival
Liedtke [98] 23/140 16.4 12 11   Sequence exon 1, 9, 20 (Frozen FNA) Exon 9: LN-, ER+
Stemke-Hale [56] 117/547^ 21.4 40 73 7 PCR-mass-spec (21 codons) (Frozen tissue) ER+ Her2+, less common in basal-like. No association with outcome in tamoxifen treated ER+.
Leong [99] 6/20 30 3 3   Sequence exon 9, 20 Two H1047R mutations, others non-hotspot
Haverty [100] 13/51 25.5 7 4 2 Sequence all exons (frozen tissue) Lack of mutation associated with chromosomal gain Her2
Board [101] 19/49 38.7 3 16   ARMS-Scorpion (3 codons) (Frozen tissue)  
Kalinsky [71] 192/590 32.5 69 101 21 PCR-mass-spec (17 codons) ER+ Her2- LN- good prognosis; ex20:LN-, ex9:older age at dx
Miron [80] 35/120 29.2 4 31   Oncomap (12 codons)  
Li [64] 29/108 26.9       Sequence exon 9, 20 (frozen tissue) ER+ PR+
Bozhanov [102] 45/144^ 31.3 18 28   Sequence exon 9, 20 (Frozen tissue) PR+, trend for better outcome
Michelucci [68] 68/176^ 35.4 25 43   Direct sequence exon 9, 20 (mostly frozen) ER+ in Her2-; lobular subtype. No survival association
Kadota [10] 25/161 15.5          
Jaiswal [50] 14/62 22.5 2 10 2 Sequence all coding exons  
Vorkas [65] 62/174^ 35.6 18 45   High resolution melt analysis, exon 9, 20  
Dunlap [79] 12/81 14.2 4 8   DHPLC exon 7, 9, 20 No association ER, Her2, LN
Lopez-Knowles [11] 12/168 7.1% 4 8   Sequence exon 9, 20 No association with intrinsic cancer subtype
Kan [50] 29/183 15.8   27 2 Mismatch Repair Detection (frozen tissue)  
Boyault [103] 22/120 18.3 10 12   Sequence exon 9, 20 (frozen tissue) ER+
Board [101] 14/47 29.8 5 9   ARMS (3 codons) Control group for study of metastatic tumors
Total 1309/4966 26.3 460 725 73    
B. Studies of selected tumor phenotypes
Author PIK3CA mutations Exon Methods Tumor phenotype; PIK3CA mutation positive &clinical variables
# mutations/ positive &clinical variables
cases tested
% 9 20 Other    
Berns [84] 14/55 25 4 10     Study of trastuzumab treated patients
Lerma[105] 7/56 12 1 6   Sequence exons 9, 20 Study of Her2+, Triple Negative
Associated with Her2+ and worse outcome
Hennessy [46] 9/19 47 5 5   PCR-mass-spec (~21 codons) (frozen tissue) Study of metaplastic carcinoma
DiNicolantonio
[106]
1/15 6.7   1   Sequence exon 9, 20 Study of advanced stage everolimus treated
patients
Toi [27] 5/29 17.2   3 2 Sequence exons 9, 14-20 Study of laptinib in Stage IIIb+ progressing on
anthracyclines or taxanes
Michelucci [68] 2/22   1 1   Direct sequence exon 9, 20 (mostly frozen) Hereditary breast cancers (both mutations in
BRCA2, 0/10 BRCA1)
Ellis [73] 127/398 32 46 85 1 Sequence exon 9, 20 Study of ER+ endocrine trial cases. Exon 20
improved DF survival
Loi [57] 46/173^ 26 14 32   SSCP exon 9, 20 Study of ER+/Her2- only. PIK3CA mutation
gene signature good prognosis.
Esteva [12] 12/55 21.8 5 7   Sequencing exon 9, 20 Study of Her2+ trastuzumab treated breast
cancers
Da Silva [74] 2/12 16.7 1 1   PCR-mass-spec (13 codons) Study of primary tumors with brain metastasis
Dupont-Jensen
[75]
45/101 45 15 36   SNaPshot PCR 3 codons Study of primary tumors with subsequent
metastasis
Cizkova^ [58] 106/292 36.3 44 46   Sequence exon 9, 20 (frozen tissue)
Exons only provided for validation cohort (n-
249)
Study of ER+ tumors. Characterizes PIK3CA
mutation gene signature.
Razis [86] 38/175 21.7       Taqman SNP, 3 codons Study of trastuzumab treated metastatic
tumors. ER+, decreased time to progression
Wang [87] 7/57 12.2 2 5   Sanger sequencing exon 9, 20 (2 non-hotspot
mutations identified)
Study of Her2+ trastuzumab, taxane and
anthracycline treated.
Gonzalez-Angulo
[76]
19/47 40.4 1 18   PCR-mass-spec (~21 codons) Study of primary tumors with subsequent
metastasis
Duprez [66] 22/49 44.8 12 10   PCR-mass-spec (13 codons) Study of papillary carcinomas
Duprez [66] 14/49 28.5 1 13   PCR-mass-spec (13 codons) Study of low grade infiltrating ductal
carcinomas
Board [101] 10/45 23 7 3   ARMS-Scorpion (3 codons) Study of metastatic carcinomas
A. Unselected primary breast carcinomas
^identified tumors with 2 PIK3CA mutations: Lee-1 case, Li-7 cases, Liang-2 cases, Saal-2 cases, Perez-Tenorio-1 case, Stemke-Hale-4 cases, Loi-1 case, Cizkova-2 cases COSMIC database (Catalog of Somatic Mutations in Cancer; http://www.sanger.ac.uk/genetics/CGP/cosmic/) lists 1360 mutations in 5402 tested breast carcinomas as of 10/30/11 (overall 25% mutation), including all of the above except: Li 2005, Maruyama 2007, Perez-Tenorio 2007, Haverty 2008, Hennessy 2009, Vorkas 2010, Dupont- Jensen, Cizkova 2011, Wang 2011, Razis Gonzalez,-Angulo 2011, Duprez 2011; Board 2011.
NS-not significant; ND-not reported; DF-disease free; ER-Estrogen receptor; PR-Progesterone receptor; LN-Lymph nodes
DHPLC-denaturing high performance liquid chromatography; SSCP-Single strand conformation polymorphism; ARMS- Amplification Refractory Mutation System
Table 1: Literature review of PIK3CA mutations in invasive breast carcinomas.