The functions ascribed to PTEN have become more diverse since its discovery as a putative phosphatase mutated in many human tumors. Although it can dephosphorylate lipids and proteins, it also has functions independent of phosphatase activity in normal and pathological states. In addition, control of PTEN function is very complex. It is positively and negatively regulated at the transcriptional level, as well as post-translationally by phosphorylation, ubiquitylation, oxidation and acetylation. Although most of its tumor suppressor activity is likely to be caused by lipid dephosphorylation at the plasma membrane, PTEN also resides in the cytoplasm and nucleus, and its subcellular distribution is under strict control. Deregulation of PTEN function is implicated in other human diseases in addition to cancer, including diabetes and autism. Journal of Cell Science 4072 and protein levels (but decreases phosphorylation of PTEN at S370 and S385, and its stability), and the ability of SPRY2 to restrain proliferation is abolished in PTEN-negative cells (Edwin et al., 2006).Resistin, a cytokine involved in inflammation and insulin resistance, increases PTEN expression in human aortic vascular endothelial cells by activating p38 MAPK and activating transcription factor 2 (ATF2), which leads to decreased activation of PKB and of its target, endothelial nitric oxide synthase (eNOS, also known as NOS3). This provides a potential mechanism for resistin-mediated impairment of insulin signaling and of its role in cardiovascular diseases (Shen et al., 2006). Furthermore, phytoestrogens such as genistein (in soy), resveratrol (in red wine) and quercetin (in fruit and vegetables) also lead to increased PTEN expression, with a concomitant decrease in phospho-PKB levels and increase in levels of the CDK inhibitor p27 (Waite et al., 2005). Epidemiological data suggest that phytoestrogen consumption can protect against cancer (Park and Surh, 2004;Verheus et al., 2007). Upregulation of PTEN expression might therefore be one basis for these beneficial effects. Indeed, mammary glands of rats fed with soy protein or a genistein-supplemented diet display higher PTEN levels and a higher apoptotic index (Dave et al., 2005). The same is true for MCF-7 cells cultured in serum from such rats (Dave et al., 2005). Similarly, indole-3-carbinol, a phytochemical derived from cruciferous vegetables such as broccoli, upregulates PTEN expression in the cervical epithelium in a mouse model for cervical cancer (Qi et al., 2005).
Negative regulation of PTEN transcriptionMost of the data so far have demonstrated positive regulation of PTEN transcription. Negative regulation of PTEN expression has also been shown, however (Fig. 1). Mitogenactivated protein kinase kinase-4 (MKK4) inhibits PTEN transcription by activating NFB, which binds to a site in the PTEN promoter (Xia et al., 2007). Transforming growth factor (TGF) also decreases PTEN transcription in pancreatic cancer cells (Chow et al., 2007) , 2006). Phytoestrogens, such as genistein from soybea...