Related Experiment Video
Updated: May 3, 2026

Pre-clinical Evaluation of Tyrosine Kinase Inhibitors for Treatment of Acute Leukemia
Published on: September 19, 2013
PTEN posttranslational inactivation and hyperactivation of the PI3K/Akt pathway sustain primary T cell leukemia
Ana Silva1, J Andrés Yunes, Bruno A Cardoso
1Unidade de Biologia do Cancro, Instituto de Medicina Molecular, Faculdade de Medicina da Universidade de Lisboa, Lisbon, Portugal.
Abstract:
Mutations in the phosphatase and tensin homolog (PTEN) gene leading to PTEN protein deletion and subsequent activation of the PI3K/Akt signaling pathway are common in cancer. Here we show that PTEN inactivation in human T cell acute lymphoblastic leukemia (T-ALL) cells is not always synonymous with PTEN gene lesions and diminished protein expression. Samples taken from patients with T-ALL at the time of diagnosis very frequently showed constitutive hyperactivation of the PI3K/Akt pathway. In contrast to immortalized cell lines, most primary T-ALL cells did not harbor PTEN gene alterations, displayed normal PTEN mRNA levels, and expressed higher PTEN protein levels than normal T cell precursors. However, PTEN overexpression was associated with decreased PTEN lipid phosphatase activity, resulting from casein kinase 2 (CK2) overexpression and hyperactivation. In addition, T-ALL cells had constitutively high levels of ROS, which can also downmodulate PTEN activity. Accordingly, both CK2 inhibitors and ROS scavengers restored PTEN activity and impaired PI3K/Akt signaling in T-ALL cells. Strikingly, inhibition of PI3K and/or CK2 promoted T-ALL cell death without affecting normal T cell precursors. Overall, our data indicate that T-ALL cells inactivate PTEN mostly in a nondeletional, posttranslational manner. Pharmacological manipulation of these mechanisms may open new avenues for T-ALL treatment.
Insights
PTEN inactivation in T-ALL often occurs post-translationally, not via gene mutation. Targeting CK2 and ROS pathways can restore PTEN activity and kill T-ALL cells.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Mutations in the phosphatase and tensin homolog (PTEN) gene are common drivers of cancer, leading to PI3K/Akt pathway activation.
- PTEN protein deletion and subsequent PI3K/Akt pathway activation are frequently observed in various cancers, including T cell acute lymphoblastic leukemia (T-ALL).
Purpose of the Study:
- To investigate the mechanisms of PTEN inactivation in primary T-ALL cells.
- To explore potential therapeutic strategies targeting PTEN inactivation pathways in T-ALL.
Main Methods:
- Analysis of PTEN gene lesions, mRNA, and protein levels in primary T-ALL patient samples.
- Assessment of PTEN lipid phosphatase activity in relation to casein kinase 2 (CK2) and reactive oxygen species (ROS) levels.
- Inhibition of CK2 and ROS in T-ALL cells and evaluation of effects on PTEN activity, PI3K/Akt signaling, and cell viability.
Main Results:
- Most primary T-ALL cells exhibited PTEN inactivation without PTEN gene alterations, showing normal mRNA but increased protein levels.
- Increased PTEN protein levels correlated with decreased lipid phosphatase activity due to CK2 and ROS hyperactivation.
- CK2 inhibitors and ROS scavengers restored PTEN activity, inhibited PI3K/Akt signaling, and induced T-ALL cell death.
Conclusions:
- PTEN inactivation in T-ALL predominantly occurs through post-translational modifications rather than gene deletions.
- Targeting CK2 and ROS pathways represents a promising therapeutic approach for T-ALL, selectively eliminating cancer cells.
More Related Videos
Related Concept Videos
Inhibition of Cdk Activity
Abnormal Proliferation
mTOR Signaling and Cancer Progression
The mTOR pathway or the...
The Intrinsic Apoptotic Pathway
The JAK-STAT Signaling Pathway
PI3K/mTOR/AKT Signaling Pathway

