2018
DOI: 10.1038/nrurol.2018.9
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Clinical implications of PTEN loss in prostate cancer

Abstract: Genomic aberrations of the PTEN tumour suppressor gene are among the most common in prostate cancer. Inactivation of PTEN by deletion or mutation is identified in ∼20% of primary prostate tumour samples at radical prostatectomy and in as many as 50% of castration-resistant tumours. Loss of phosphatase and tensin homologue (PTEN) function leads to activation of the PI3K-AKT (phosphoinositide 3-kinase-RAC-alpha serine/threonine-protein kinase) pathway and is strongly associated with adverse oncological outcomes,… Show more

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Cited by 488 publications
(406 citation statements)
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“…Numerous recent studies have explored the genomic basis for development of localized prostate cancer, showing distinct evolutionary paths in nonindolent versus indolent disease. The fate of tumors to progress from their somatic progenitors is set early, with alterations in ATM, PTEN, and MYC subclones having predictive power for the existence of higher grade disease including occult oligometastases at the time of radical prostatectomy [9][10][11][12][13]. As the vast majority of these alterations occur as copy number gains or deletions, the percentage of the genome affected by large chromosomal rearrangements is similarly predictive of biochemical recurrence and poor outcome [10,14,15].…”
Section: Introductionmentioning
confidence: 99%
“…Numerous recent studies have explored the genomic basis for development of localized prostate cancer, showing distinct evolutionary paths in nonindolent versus indolent disease. The fate of tumors to progress from their somatic progenitors is set early, with alterations in ATM, PTEN, and MYC subclones having predictive power for the existence of higher grade disease including occult oligometastases at the time of radical prostatectomy [9][10][11][12][13]. As the vast majority of these alterations occur as copy number gains or deletions, the percentage of the genome affected by large chromosomal rearrangements is similarly predictive of biochemical recurrence and poor outcome [10,14,15].…”
Section: Introductionmentioning
confidence: 99%
“…Although anoikis suppression is a generally relevant mechanisms for tumor progression, it may have particular clinical importance in slowly progressing cancers such as PCa where cancers can be diagnosed in indolent phase, and there is a strong need to be able to both predict and inhibit the likelihood of disease progression (4). Previously anoikis resistance in PCa cancer has been linked mechanistically to regulation of cell adhesion, cytoskeleton (1), PTEN inhibition (6), and AR activity (44).…”
Section: Discussionmentioning
confidence: 99%
“…Mechanistically anoikis resistance in PCa has been linked to changes in cell adhesion, cytoskeleton, as well as deregulated intracellular survival pathways (1). Tumor suppressor phosphatase PTEN is inactivated in a large fraction of high grade PCas (4), and prostate-specific PTEN deletion in a mouse model leads to metastatic PCa (5). Importantly, both PTEN deletion, and hyperactivity of PTEN downstream target AKT increases anoikis resistance (68).…”
Section: Introductionmentioning
confidence: 99%
“…Examples with heavy mutation burden include ANKRD30A, an ankyrin-repeat containing gene linked with breast cancer 27 , and TPTE, a phosphatase linked to the PTEN pathway 28 (Figure 4c). Given their high mutation load and interactions with cancer pathways relevant to patient stratification schemes 29 , thesaurus mutations that fill gaps in their mutation profiles offer direct opportunities to test their translational relevance.…”
Section: Thesaurus Annotation Uncovers Recurrent Patterns In Gene Fammentioning
confidence: 99%