2018
DOI: 10.1016/j.ajhg.2018.03.018
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A Saturation Mutagenesis Approach to Understanding PTEN Lipid Phosphatase Activity and Genotype-Phenotype Relationships

Abstract: Phosphatase and tensin homolog (PTEN) is a tumor suppressor frequently mutated in diverse cancers. Germline PTEN mutations are also associated with a range of clinical outcomes, including PTEN hamartoma tumor syndrome (PHTS) and autism spectrum disorder (ASD). To empower new insights into PTEN function and clinically relevant genotype-phenotype relationships, we systematically evaluated the effect of PTEN mutations on lipid phosphatase activity in vivo. Using a massively parallel approach that leverages an art… Show more

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Cited by 161 publications
(201 citation statements)
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“…As a source for pathogenic PTEN variants, we extracted 87 pathogenic missense variants from ClinVar 27 (review criteria provided and no conflicting annotations; accessed August 2018). We turned to gnomAD 26 to examine whether there are variants that are sufficiently common in the population to make it likely that they do not cause disease 21,26,28 . Of the 80 PTEN variants we analyse 29 after removing those absent from the experimental and computational data ( Fig.…”
Section: Resultsmentioning
confidence: 99%
“…As a source for pathogenic PTEN variants, we extracted 87 pathogenic missense variants from ClinVar 27 (review criteria provided and no conflicting annotations; accessed August 2018). We turned to gnomAD 26 to examine whether there are variants that are sufficiently common in the population to make it likely that they do not cause disease 21,26,28 . Of the 80 PTEN variants we analyse 29 after removing those absent from the experimental and computational data ( Fig.…”
Section: Resultsmentioning
confidence: 99%
“…We compare the length-normalized probabilities (bits-per-residue) calculated by the autoregressive model to experimental assays for the fitness of mutated biomolecules, using rank correlation (ρ) and area under the receiver-operator curve (AUC), identifying the two groups with a two-component Gaussian mixture model. The model is able to capture the effects of single amino acid deletions on PTEN phosphatase (ρ=0.67, AUC=0.83, N=340; Figure 2b; Mighell et al, 2018), multiple amino acid insertions and deletions in imidazoleglycerol-phosphate (IGP) dehydratase (ρ=0.68, AUC=0.92, N=6102; Figure 2c; Pokusaeva et al, 2018), and insertions and deletions in yeast snoRNA (ρ=0.51, AUC=0.76, N=14736; Puchta et al, 2016).…”
Section: The Generative Model Predicts Experimental Mutation Effectsmentioning
confidence: 99%
“…These included well-known oncogenic alleles (KRAS:p.G12D, SMAD4:p.D351G) and PTEN:p.R173H. A literature search confirmed that PTEN:p.R173H was identified as functionally damaging in saturation mutagenesis assays 17 .…”
Section: Case Study 2: Identifying Driver Missense Mutations Among Mementioning
confidence: 99%