2020
DOI: 10.3390/genes11070719
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PTEN Alterations and Their Role in Cancer Management: Are We Making Headway on Precision Medicine?

Abstract: Alterations in the tumor suppressor phosphatase and tensin homolog (PTEN) occur in a substantial proportion of solid tumors. These events drive tumorigenesis and tumor progression. Given its central role as a downregulator of the phosphoinositide 3-kinase (PI3K)/Akt/mammalian target of rapamycin (mTOR) pathway, PTEN is deeply involved in cell growth, proliferation, and survival. This gene is also implicated in the modulation of the DNA damage response and in tumor immune microenvironment modeling. Desp… Show more

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Cited by 92 publications
(66 citation statements)
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References 111 publications
(174 reference statements)
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“…While this combination of genes may lead to the inhibition of liver cancer development, changes to individual genes, such as the inhibition of the tumor suppressor gene Phosphatase and tensin homologue deleted on chromosome 10 (PTEN) may have the potential to increase the development of other neoplasms. PTEN acts on the phosphoinositide 3-kinase (PI3K)-AKT-mammalian target of rapamycin (mTOR) pathway and is one of the most commonly disrupted tumor suppressors in human cancer [ 46 ]. Its inhibition or loss is considered a founder genetic event for the induction and progression of tumor development [ 47 ].…”
Section: Discussionmentioning
confidence: 99%
“…While this combination of genes may lead to the inhibition of liver cancer development, changes to individual genes, such as the inhibition of the tumor suppressor gene Phosphatase and tensin homologue deleted on chromosome 10 (PTEN) may have the potential to increase the development of other neoplasms. PTEN acts on the phosphoinositide 3-kinase (PI3K)-AKT-mammalian target of rapamycin (mTOR) pathway and is one of the most commonly disrupted tumor suppressors in human cancer [ 46 ]. Its inhibition or loss is considered a founder genetic event for the induction and progression of tumor development [ 47 ].…”
Section: Discussionmentioning
confidence: 99%
“…PTEN regulates PI3K via dephosphorylating phosphatidylinositol-3, 4, 5-trisphosphate (PIP3). The loss of or gain in function is seen in several cancers including breast, brain and prostate [ 17 , 18 ]. Increased PI3K signaling and tumorigenesis is observed in PTEN knock-in mice with PTEN mutations [ 18 ].…”
Section: Signaling Molecules and Factors Contributing To Pi3k Inhimentioning
confidence: 99%
“…Upon complete activation, Akt induces multiple downstream cytosolic and nuclear effectors. This mechanism, considered as the “core” of cell survival and cell cycle progression, is turned off by several phosphatases (PTEN, TSC1, TSC2, and LKB1) that dephosphorylate mTORC1 and PIP3 ( 29 31 ) ( Figure 1 ).…”
Section: Biology and Actionability Of Pik3ca Mutatmentioning
confidence: 99%