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Mechanisms of PTEN loss in cancer: It's all about diversity

Virginia Álvarez-Garcia1, Yasmine Tawil1, Helen M Wise1

  • 1Institute of Biological Chemistry, Biophysics and Bioengineering, Heriot-Watt University, Edinburgh, EH14 4AS, UK.

Seminars in Cancer Biology
|February 11, 2019
PubMed

Insights

Loss of the PTEN tumor suppressor gene is common in many cancers, often due to gene deletion or silencing rather than mutation. This review examines PTEN loss mechanisms across seven common tumor types.

Area of Science:

  • Oncology
  • Molecular Biology
  • Biochemistry

Background:

  • PTEN (phosphatase and tensin homolog) is a crucial tumor suppressor.
  • It counteracts the PI3K/AKT/mTOR pathway, a key driver in oncogenesis.
  • Loss of PTEN function is a frequent event in various cancers.

Purpose of the Study:

  • To review PTEN loss mechanisms in seven common cancer types.
  • To discuss regulatory mechanisms contributing to reduced PTEN protein levels in cancer.

Main Methods:

  • Literature review of PTEN alterations in common cancers.
  • Analysis of PTEN gene deletion, silencing, and mutation frequencies.
  • Examination of PTEN protein expression via immunohistochemistry.

Main Results:

  • PTEN loss is prevalent, primarily through single-copy deletion or gene silencing.
  • Mutations in the PTEN coding sequence are infrequent (<10%) in most cancers, except glioblastoma and endometrial cancer.
  • Reduced PTEN protein levels are observed in tumors with little to no detectable PTEN.

Conclusions:

  • PTEN loss is a significant oncogenic event driven by genetic and epigenetic alterations.
  • Understanding PTEN regulation is key to explaining its reduced levels in cancer.
  • Further research into PTEN's role can inform cancer therapy development.

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