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Published on: January 19, 2019
PTEN is a potent suppressor of small cell lung cancer
Min Cui1, Arnaud Augert, Michael Rongione
1Authors' Affiliations: Department of Embryology, Carnegie Institution, Baltimore, Maryland; 2Fred Hutchinson Cancer Research Center, Seattle, Washington; and 3Department of Biomedical Sciences, Cornell University, Ithaca, New York.
Unlabelled:
Small cell lung carcinoma (SCLC) is a highly metastatic tumor type with neuroendocrine features and a dismal prognosis. PTEN mutations and PIK3CA activating mutations have been reported in SCLC but the functional relevance of this pathway is unknown. The PTEN/PIK3CA pathway was interrogated using an AdenoCre-driven mouse model of SCLC harboring inactivated Rb and p53. Inactivation of one allele of PTEN in Rb/p53-deleted mice led to accelerated SCLC with frequent metastasis to the liver. In contrast with the high mutation burden reported in human SCLC, exome analyses revealed a low number of protein-altering mutations in mouse SCLC. Inactivation of both alleles of PTEN in the Rb/p53-deleted system led to nonmetastatic adenocarcinoma with neuroendocrine differentiation. This study reveals a critical role for the PTEN/PI3K pathway in both SCLC and lung adenocarcinoma and provides an ideal system to test the phosphoinositide 3-kinase (PI3K) pathway inhibitors as targeted therapy for subsets of patients with SCLC.
Implications:
The ability of PTEN inactivation to accelerate SCLC in a genetic mouse model suggests that targeting the PTEN pathway is a therapeutic option for a subset of human patients with SCLC. VISUAL OVERVIEW: http://mcr.aacrjournals.org/content/early/2014/04/28/1541-7786.MCR-13-0554/F1.large.jpg.
Insights
Targeting the PTEN pathway accelerates small cell lung carcinoma (SCLC) and liver metastasis in mice. This suggests PTEN pathway inhibition may be a viable therapy for certain SCLC patients.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Small cell lung carcinoma (SCLC) is a highly aggressive cancer with poor outcomes.
- The role of the PTEN/PIK3CA pathway in SCLC development and metastasis is not well understood.
Purpose of the Study:
- To investigate the functional relevance of the PTEN/PIK3CA pathway in SCLC using a genetically engineered mouse model.
- To determine the impact of PTEN inactivation on SCLC progression and metastasis.
Main Methods:
- Utilized an AdenoCre-driven mouse model with inactivated Rb and p53.
- Inactivated one or both alleles of PTEN in the mouse model.
- Performed exome analyses to assess mutation burden.
Main Results:
- Inactivation of one PTEN allele accelerated SCLC and liver metastasis.
- Exome analyses revealed a low mutation burden in mouse SCLC.
- Inactivation of both PTEN alleles resulted in nonmetastatic adenocarcinoma with neuroendocrine differentiation.
Conclusions:
- PTEN inactivation accelerates SCLC and metastasis, highlighting the PTEN pathway's critical role.
- This study provides a model for testing PI3K pathway inhibitors as targeted therapies for SCLC subsets.
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