“…However, the spontaneous and incomplete conversion of all pre-malignant lesions to HNSCC also presents an intriguing opportunity to evaluate the utility of this model for investigating those molecular events responsible for the progression of only a subset of lesions to malignancy. Although previous models of oral tumorigenesis expressed CCND1 , mutant Kras , Tp53 , Tgfbr1 , or Notch1 (Spiotto et al, 2013), we specifically chose to investigate the contribution of mutant PIK3CA in promoting the development of HNSCCs given accumulating genomic sequencing evidence pointing to a potential role for PIK3CA amplification and/or mutation as a key driver event (Gillison et al, 2018; Hayes et al, 2015; Leemans et al, 2018; Cancer Genome Atlas Network, 2015). Aberrant PI3K signaling enhances tumorigenic potential by increasing cell proliferation and survival and promoting migration, invasion, metabolism, angiogenesis, as well as resistance to chemotherapy (Hafsi et al, 2012; Wong et al, 2010; Yuan and Cantley, 2008).…”