PIK3R1 fusion drives chemoresistance in ovarian cancer by activating ERK1/2 and inducing rod and ring-like structures




Rausio, Heidi; Cervera, Alejandra; Heuser, Vanina D.; West, Gun; Oikkonen, Jaana; Pianfetti, Elena; Lovino, Marta; Ficarra, Elisa; Taimen, Pekka; Hynninen, Johanna; Lehtonen, Rainer; Hautaniemi, Sampsa; Carpén, Olli; Huhtinen, Kaisa

PublisherElsevier

2024

 Neoplasia

Neoplasia

100987

51

1476-5586

1476-5586

DOIhttps://doi.org/10.1016/j.neo.2024.100987

https://doi.org/10.1016/j.neo.2024.100987

https://research.utu.fi/converis/portal/detail/Publication/387295157



Gene fusions are common in high-grade serous ovarian cancer (HGSC). Such genetic lesions may promote tumorigenesis, but the pathogenic mechanisms are currently poorly understood. Here, we investigated the role of a PIK3R1-CCDC178 fusion identified from a patient with advanced HGSC. We show that the fusion induces HGSC cell migration by regulating ERK1/2 and increases resistance to platinum treatment. Platinum resistance was associated with rod and ring-like cellular structure formation. These structures contained, in addition to the fusion protein, CIN85, a key regulator of PI3K-AKT-mTOR signaling. Our data suggest that the fusion-driven structure formation induces a previously unrecognized cell survival and resistance mechanism, which depends on ERK1/2-activation.

Last updated on 17/02/2026 11:14:24 AM