For example, in colorectal cancer, coexistant K-Ras and PI3K mutations decrease sensitivity to PI3K and mTOR inhibition [158], and in lung cancer, the addition of a constitutively active PI3K mutant to epidermal growth factor receptor (EGFR) mutant tumors confers gefitinib resistance in vitro [160]. The gene discussed is PIK3CA; the disease is lung carcinoma.