Studies of prostate cancer pathogenesis and development of new therapies have been hampered by a lack of appropriate mouse models. We have generated PSA-Cre-ER T2 mice that express the tamoxifen-dependent Cre-ER T2 recombinase selectively in prostatic epithelium, thus allowing us to target floxed genes selectively in epithelial cells of fully differentiated prostate of adult mice and to modulate the number of genetically altered cells. Our present mouse model, in which prostate carcinogenesis is initiated through Cre-ER T2 -mediated somatic biallelic ablation of the tumor suppressor gene PTEN after puberty, closely mimics the course of human cancer formation. Indeed, mutant mice developed prostate epithelium hyperplasia within 4 weeks after PTEN ablation and prostatic intraepithelial neoplasia (PIN) in all lobes within 2-3 months, with the highest incidence in the dorsolateral lobe, which is considered to be the most similar to the peripheral zone of the human prostate, in which adenocarcinoma is preferentially localized. Eight to 10 months after PTEN ablation some PINs of the dorsolateral lobe had progressed to adenocarcinoma, but no distant metastases were found up to 20 months after PTEN ablation, indicating that progression to metastasis requires an additional mutation or mutations. Interestingly, monoallelic Cre-ER T2 -mediated PTEN ablation in epithelial cells of adult prostate also generated focal hyperplasia and PINs, but exclusively in the dorsolateral lobe, and in much lower number and after a longer latency. However, no progression to adenocarcinoma was observed. Because PTEN expression was undetectable in epithelial cells from these PINs, loss of PTEN function appears to act as a permissive event for uncontrolled cell proliferation.Cre-ER T2 ͉ prostate cancer ͉ prostatic intraepithelial neoplasia ͉ somatic mutagenesis P rostate cancer, the most common cancer among North American and European men, affects one in nine men over 65 years of age. Its progression proceeds through a series of defined states, which include prostatic intraepithelial neoplasia (PIN) and prostate adenocarcinoma in situ, followed by locally invasive adenocarcinoma and eventually metastatic cancer. Because there is currently no effective cure for advanced stages of this disease, it is the third-leading cause of male cancer deaths (1, 2).PTEN (phosphatase and tensin homolog deleted on chromosome 10), a tumor suppressor gene residing within 10q23, is frequently deleted in various advanced human cancers, and PTEN mutations have been identified in 10-15% of all prostate tumors and in up to 60% of advanced prostate cancers (refs. 3 and 4 and references therein). PTEN is a lipid phosphatase that dephosphorylates phosphoinositides at position 3 of the inositol ring. The membrane phosphoinositide and the second messager, phosphatidylinositol 3,4,5-trisphosphate [PI(3,4,5)P 3 ], have been identified as physiological substrates of PTEN. Growth factorstimulated production of PI(3,4,5)P 3 results in activation of cell survival and proliferat...