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Epigenetic Downregulation of PTEN in Gallbladder Cancer
Dinesh Singh Tekcham1,2, Sanjeev Gupta3, Braj Raj Shrivastav4
1Centre for Genomics, Molecular and Human Genetics, Jiwaji University, Gwalior, Madhya Pradesh, 474 011, India.
Purpose:
Gallbladder cancer (GBC) is becoming a global health problem. Phosphatase and tensin homolog (PTEN), also known as guardian gene of cancer, encodes a protein, which dephosphorylates phosphatidylinositol (3,4,5) triphosphate {PtdIns (3,4,5) P3 } into phosphatidylinositol (4,5) diphosphate {PtdIns (4,5) P2} that results in the inhibition of AKT/PKB signaling pathway. PTEN plays a key role in the pathogenesis of various cancers. However, its role in GBC is still obscure. The present study was aimed to identify the epigenetic role of PTEN in GBC and GSD.
Methods:
PTEN promoter methylation was studied by methylation-specific PCR in 50 GBC and 30 GSD tissues. Transcript level expression of PTEN was analyzed by reverse transcriptase PCR and quantitative PCR in 20 GBC and 20 GSD tissue samples. Immunohistochemistry was performed on tissue microarrays of 136 GBC samples to correlate the methylation pattern with the pattern of in situ expression of PTEN protein. Student's t test was performed to test the significant level of difference between case and control samples. Values showing p ≤ 0.05 were considered significant.
Results:
MS PCR showed PTEN promoter methylation in 30% (15/50) GBC (p = 0.0486) and 22.86% (8/30) GSD (p = 0.0530) cases. RT-PCR and qPCR revealed downregulation of PTEN in advanced GBC cases (p < 0.0001), but, not in GSD (p = 0.901). Immunohistochemistry of GBC tissue microarray scored 1+ in 20.29% (p = 0.0028) and zero or negative in 50% (p < 0.0001) GBC cores.
Conclusions:
Thus, PTEN may be considered as a useful biomarker for the management of GBC, however, needs larger sample size to validate it further.
Insights
Phosphatase and tensin homolog (PTEN) gene promoter methylation and downregulation were observed in gallbladder cancer (GBC). PTEN may serve as a potential biomarker for GBC management, requiring further validation with larger studies.
Area of Science:
- Oncology
- Molecular Biology
- Epigenetics
Background:
- Gallbladder cancer (GBC) is a growing global health concern.
- Phosphatase and tensin homolog (PTEN) is a tumor suppressor gene crucial in various cancers.
- The specific role of PTEN in GBC pathogenesis remains largely unexplored.
Purpose of the Study:
- To investigate the epigenetic role of PTEN in gallbladder cancer (GBC) and gallbladder adenoma (GSD).
- To analyze PTEN promoter methylation and its correlation with gene expression in GBC and GSD tissues.
Main Methods:
- PTEN promoter methylation assessed using methylation-specific PCR in GBC and GSD tissues.
- PTEN transcript expression analyzed via RT-PCR and qPCR.
- Immunohistochemistry used to correlate methylation with protein expression in GBC tissue microarrays.
- Statistical analysis included Student's t-test with significance set at p ≤ 0.05.
Main Results:
- PTEN promoter methylation detected in 30% of GBC and 22.86% of GSD cases.
- Significant downregulation of PTEN expression observed in advanced GBC (p < 0.0001), but not in GSD (p = 0.901).
- Immunohistochemistry revealed PTEN protein loss or reduction in 70.29% of GBC samples.
Conclusions:
- Epigenetic silencing of PTEN, through promoter methylation and subsequent downregulation, is implicated in GBC development.
- PTEN demonstrates potential as a valuable biomarker for GBC management.
- Larger sample sizes are recommended for further validation of PTEN's role in GBC.
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