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Consensus on the diagnosis and treatment of PROS (PIK3CA-related overgrowth spectrum). Russian version

https://doi.org/10.21682/2311-1267-2023-10-2-117-123

Abstract

PROS (PIK3CA-Related Overgrowth Spectrum) encompasses vascular malformations, lipomatosis and other multiple congenital anomalies resulting from activating somatic mutations in the PIK3CA gene. PROS includes macrodactyly, hemimegalencephaly, muscle hemihypertrophy, facial infiltrating lipomatosis CLOVES, megalencephaly, vascular malformations (capillary, venous, lymphatic, arteriovenous and combined vascular malformations), skin disorders, epidermal nevi, etc.

The experts of the Russian Society of Pediatric Oncologists and Hematologists, Russian Association of Pediatric Surgeons and Russian Society of Medical Geneticists developed this consensus statement of diagnostics and treatment of PROS.

About the Authors

G. B. Sagoyan
N.N. Blokhin National Medical Research Centre of Oncology, Ministry of Health of Russia
Russian Federation

Researcher, Pediatric Oncologist Department No. 1 (Chemotherapy of Tumors of Thoracoabdominal Localization) of the Research Institute of Pediatric Oncology and Hematology named after Academician of the Russian Academy of Medical Sciences L.A. Durnov,

23 Kashirskoe Shosse, Moscow, 115522



N. V. Zhukov
Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Ministry of Health of Russia
Russian Federation

Dr. of Sci. (Med.), Professor, Head of Interdisciplinary Oncology Department,

1 Samory Mashela St., Moscow, 117997



V. V. Strelnikov
Research Centre for Medical Genetics named after Academician N.P. Bochkov
Russian Federation

Dr. of Sci. (Biol.), Associate Professor, Head of the Laboratory of Epigenetics at Research Centre for Medical Genetics named after Academician N.P. Bochkov, Professor of the Department of Molecular and Cellular Genetics,

1 Moskvorechye St., Moscow, 115522



R. A. Khagurov
Children’s City Clinical Hospital named after N.F. Filatov of Moscow City Health Department
Russian Federation

Cand. of Sci. (Med.), Surgeon of the Department of Reconstructive Microsurgery,

15 Sadovaya-Kudrinskaya St., Moscow, 123242



A. M. Suleymanova
N.N. Blokhin National Medical Research Centre of Oncology, Ministry of Health of Russia
Russian Federation

Researcher, Pediatric Oncologist Department No. 1 (Chemotherapy of Tumors of Thoracoabdominal Localization) of the Research Institute of Pediatric Oncology and Hematology named after Academician of the Russian Academy of Medical Sciences L.A. Durnov,

23 Kashirskoe Shosse, Moscow, 115522



Yu. M. Mareeva
Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Ministry of Health of Russia
Russian Federation

Pediatric Oncologist of Advisory Department,

1 Samory Mashela St., Moscow, 117997



R. V. Garbuzov
Russian Children’s Clinical Hospital of the N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia
Russian Federation

 Dr. of Sci. (Med.), Doctor of the Interventional Radiology Department,

117 Leninskiy Prosp., Moscow, 117997



E. N. Imyanitov
N.N. Petrov National Medical Research Center of Oncology, Ministry of Health of Russia
Russian Federation

Corresponding Member of RAS, Dr. of Sci. (Med.), Professor, Head of the Research Department of Biology of Tumor Growth and the Laboratory of Molecular Oncology,

68 Leningradskaya St., Pesochny, S.-Petersburg, 197758



Yu. V. Dinikina
Almazov National Medical Research Centre, Ministry of Health of Russia
Russian Federation

Cand. of Sci. (Med.), Head of the Laboratory of Pediatric Neuro-Immuno-Oncology of the Pesonalized Medicine Centre and Head of the Department of Chemotherapy for Hematologic Diseases and Bone Marrow Transplantation for Children,

2 Akkuratova St., S.-Petersburg, 197341



S. I. Kutsev
Research Centre for Medical Genetics named after Academician N.P. Bochkov
Russian Federation

Academician of RAS, Dr. of Sci. (Med.), Director,

Chief Freelance Specialist in Medical Genetics of the Ministry of Health of Russia,

1 Moskvorechye St., Moscow, 115522



E. K. Donyush
Russian Children’s Clinical Hospital of the N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia
Russian Federation

Cand. of Sci. (Med.), Associate Professor, Head of the Department of the Day Hospital of Hematology and Oncology at the Russian Children’s Clinical Hospital,

117 Leninskiy Prosp., Moscow, 117997



K. I. Kirgizov
N.N. Blokhin National Medical Research Centre of Oncology, Ministry of Health of Russia
Russian Federation

Cand. of Sci. (Med.), Deputy Director for Scientific Work of Research Institute of Pediatric Oncology and Hematology named after Academician of the Russian Academy of Medical Sciences L.A. Durnov,

23 Kashirskoe Shosse, Moscow, 115522



N. A. Semenova
Research Centre for Medical Genetics named after Academician N.P. Bochkov
Russian Federation

Cand. of Sci. (Med.), Leeading Research Assistant,

1 Moskvorechye St., Moscow, 115522



Yu. A. Polyaev
Russian Children’s Clinical Hospital of the N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia
Russian Federation

Dr. of Sci. (Med.), Professor, Head of the Interventional Radiology Department,

117 Leninskiy Prosp., Moscow, 117997



I. S. Kletskaya
Russian Children’s Clinical Hospital of the N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia
Russian Federation

Pathologist Pathology Department,

117 Leninskiy Prosp., Moscow, 117997



A. A. Maschan
Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Ministry of Health of Russia
Russian Federation

Corresponding Members of RAS, Dr. of Sci. (Med.), Professor, Deputy General Director – Director of the Institute of Children Hematology, Immunology and Cell Technologies,

1 Samory Mashela St., Moscow, 117997



S. R. Varfolomeeva
N.N. Blokhin National Medical Research Centre of Oncology, Ministry of Health of Russia
Russian Federation

Dr. of Sci. (Med.), Professor, Director of Research Institute of Pediatric Oncology and Hematology named after Academician of
the Russian Academy of Medical Sciences L.A. Durnov,

23 Kashirskoe Shosse, Moscow, 115522



References

1. Сагоян Г.Б., Клецкая И.С., Имянитов Е.Н., Мареева Ю.М., Жуков Н.В., Хагуров Р.А., Сулейманова А.М. Спектр синдромов избыточного роста, связанных с мутацией PIK3CA. Обзор литературы. Российскийжурнал детской гематологии и онкологии. 2022;9(1):29–44. doi: 10.21682/2311-1267-2022-9-1-29-44.

2. Canaud G., Hammill A.M., Adams D., Vikkula M., Keppler-Noreuil K.M. A review of mechanisms of disease across PIK3CA-related disorders with vascular manifestations. Orphanet J Rare Dis. 2021;16(1):306. doi: 10.1186/s13023-021-01929-8.

3. Nunnery S.E., Mayer I.A. Targeting the PI3K/AKT/mTOR Pathway in Hormone-Positive Breast Cancer Drugs. 2020;80:1685–97. doi: 10.1007/s40265-020-01394-w.

4. Madsen R.R., Vanhaesebroeck B., Semple R.K. Cancer-Associated PIK3CA Mutations in Overgrowth Disorders. Trends Mol Med. 2018;24(10):856–70. doi: 10.1016/j.molmed.2018.08.003.

5. Douzgou S., Rawson M., Baselga E., Danielpour M., Faivre L., Kashanian A., Keppler-Noreuil K.M., Kuentz P., Mancini G.M.S., Maniere M.C., Martinez-Glez V., Parker V.E., Semple R.K., Srivastava S., Vabres P., De Wit M.Y., Graham J.M. Jr, Clayton-Smith J., Mirzaa G.M., Biesecker L.G. A standard of care for individuals with PIK3CA-related disorders: An international expert consensus statement. Clin Genet. 2022;101(1):32–47. doi: 10.1111/cge.14027.

6. Mirzaa G., Graham J.M. Jr, Keppler-Noreuil K.M. PIK3CA-Related Overgrowth Spectrum. In: Adam M.P., Everman D.B., Mirzaa G.M., eds. GeneReviews® [Internet]. Seattle (WA): University of Washington, Seattle; 1993–2023.

7. Keppler-Noreuil K.M., Rios J.J., Parker V.E., Semple R.K., Lindhurst M.J., Sapp J.C., Alomari A., Ezaki M., Dobyns W., Biesecker L.G. PIK3CArelated overgrowth spectrum (PROS): diagnostic and testing eligibility criteria, diff erential diagnosis, and evaluation. Am J Med Genet A. 2015;167A(2):287–95. doi: 10.1002/ajmg.a.36836.

8. Canaud G., López Gutiérrez J.C., Irvine A., Ankrah N., Ridolfi A., Adams D.M. LBA23 EPIK-P1: Retrospective chart review study of patients (pts) with PIK3CA-related Overgrowth Spectrum (PROS) who have received alpelisib (ALP) as part of a compassionate use programme. Dev Ther. 2021;32(Suppl 5):S1297. doi: 10.1016/j.annonc.2021.08.2097.

9. Garreta Fontelles G., Pardo Pastor J., Grande Moreillo C. Alpelisib to treat CLOVES syndrome, a member of the PIK3CA-related overgrowth syndrome spectrum. Br J Clin Pharmacol. 2022;88(8):3891–5. doi: 10.1111/bcp.15270.

10. Morin G., Degrugillier-Chopinet C., Vincent M., Fraissenon A., Aubert H., Chapelle C., Hoguin C., Dubos F., Catteau B., Petit F., Mezel A., Domanski O., Herbreteau G., Alesandrini M., Boddaert N., Boutry N., Broissand C., Kevin Han T., Branle F., Sarnacki S., Blanc1 T., Guibaud L., Canaud G. Treatment of two infants with PIK3CA-related overgrowth spectrum by alpelisib. J Exp Med. 2022;219(3):e20212148. doi: 10.1084/jem.20212148.

11. Madsen R.R., Semple R.K. PIK3CA-related overgrowth: silver bullets from the cancer arsenal? Trends Mol Med. 2022;28(4):255–7. doi: 10.1016/j.molmed.2022.02.009.

12. Parker V.E.R., Keppler-Noreuil K.M., Faivre L., Luu M., Oden N.L., De Silva L., Sapp J.C., Andrews K., Bardou M., Chen K.Y., Darling T.N., Gautier E., Goldspiel B.R., Hadj-Rabia S., Harris J., Kounidas G., Kumar P., Lindhurst M.J., Loff roy R., Martin L., Phan A., Rother K.I., Widemann B.C., Wolters P.L., Coubes C., Pinson L., Willems M., Vincent-Delorme C.; PROMISE Working Group; Vabres P., Semple R.K., Biesecker L.G. Safety and efficacy of low-dose sirolimus in the PIK3CArelated overgrowth spectrum. Genet Med. 2019;21(5):1189–98. doi: 10.1038/s41436-018-0297-9.


Review

For citations:


Sagoyan G.B., Zhukov N.V., Strelnikov V.V., Khagurov R.A., Suleymanova A.M., Mareeva Yu.M., Garbuzov R.V., Imyanitov E.N., Dinikina Yu.V., Kutsev S.I., Donyush E.K., Kirgizov K.I., Semenova N.A., Polyaev Yu.A., Kletskaya I.S., Maschan A.A., Varfolomeeva S.R. Consensus on the diagnosis and treatment of PROS (PIK3CA-related overgrowth spectrum). Russian version. Russian Journal of Pediatric Hematology and Oncology. 2023;10(2):117-130. https://doi.org/10.21682/2311-1267-2023-10-2-117-123

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ISSN 2311-1267 (Print)
ISSN 2413-5496 (Online)
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