Mutation of PIK3CA, the gene coding for the p110a catalytic subunit of phosphoinositide 3-kinase (PI3K), has been reported in a limited range of human tumors. We now report that PIK3CA is also mutated in esophageal tumors. Single-strand conformational polymorphism (SSCP) and denaturing high-performance liquid chromatography (DHPLC) were used to screen all 20 exons of PIK3CA in 101 samples from 95 individuals with esophageal cancer and/or Barrett's esophagus. Somatic mutation of PIK3CA was detected in 4 of 35 (11.8%) of esophageal squamous cell carcinomas (SCC) and 3 of 50 (6%) adenocarcinomas. No mutations were detected in any of 17 samples of Barrett's esophagus. For PIK3CB, we screened exons 11 and 22, which code for the regions corresponding to the exon 9 and 20 mutational ÔhotspotsÕ of PIK3CA. No somatic changes were detected in PIK3CB This study extends previous observations in other tumor types by demonstrating the presence of somatic PIK3CA mutations in both SCC and adenocarcinoma of the esophagus, thus implicating the PI3K pathway in the initiation and/or progression of esophageal cancers. ' 2005 Wiley-Liss, Inc.Key words: phosphatidylinositide 3 0 -kinase; mutation; oncogene; esophageal cancer; Barrett's esophagus Phosphatidylinositide 3-kinases (PI3K) are a ubiquitous family of lipid kinases that catalyse the phosphorylation of phosphatidylinositol (PI), PI(4)P and PI(4,5)P 2 forming PI(3)P, PI(3,4)P 2 and PI(3,4,5)P 3 , respectively. 1 These lipid products are then able to activate a variety of downstream targets that regulate a wide range of important cellular processes, including cell proliferation, migration and survival, oncogenic transformation and intracellular trafficking of proteins. Of the PI3Ks, the most extensively studied are the class 1A sub-group, which exist as heterodimers consisting of a unique catalytic subunit (p110a, b, and d) along with one of a number of shared regulatory subunits (p85a, p85b and p55g). 1,2 Numerous genetic and functional studies have clearly established a fundamental role for the PI3K pathway in the development of neoplasia. Amplification of the PIK3CA gene (which codes for the p110a catalytic subunit of PI3K) has been reported in a number of different tumor types. 3,4 We have previously reported activating somatic mutations in the p85a regulatory subunit of PI3K (PIK3R1) in primary ovarian and colon tumors, 5 while more recently we, and others, have demonstrated a high frequency of somatic mutations in PIK3CA in a limited selection of tumor types. [6][7][8][9][10][11] Therapeutic strategies that target PI3K or its downstream targets such as Akt and mTOR are beginning to show considerable promise as potential new anticancer treatments. [12][13][14] In addition, there is increasing evidence that PI3K inhibitors can enhance the efficacy of conventional chemotherapeutic agents in both in vitro and in vivo models. 13,14 Since tumors harbouring mutations in PI3K are likely to be more susceptible to the therapeutic actions of agents that target the PI3K pathway, it i...