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Parameter
Biomarker PIK3CA Full name Phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha Molecular Type Nucleic acid
Molecular Formula / Molecular Weight / Core Functional Dimensions Prognosis
Disease Breast Cancer Disease Subtypes /
Organ Breast Test Sample / Technology Platform Tumor tissue / ctDNA (NGS, dPCR)
Pathobiological Mechanisms The PIK3CA mutation activates the PI3K-AKT-mTOR signaling pathway, promoting cell proliferation and inhibiting apoptosis, and is associated with resistance to endocrine therapy.
Clinical Availability Status Clinical application (targeted therapy guidance): For advanced patients with PIK3CA mutations, PI3K inhibitors (such as aprepitant) can be used in combination with endocrine therapy.
Notes and Dynamics The combination therapy of PI3K inhibitors and immune checkpoint inhibitors is currently in the clinical trial stage for patients with PIK3CA mutations.

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This study was supported by the Scientific Research Innovation Capability Support Project for Young Faculty (SRICSPYF-ZY2025112), the Fundamental and Interdisciplinary Disciplines Breakthrough Plan of the Ministry of Education of China (JYB2025XDXM612)

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