The tumor suppressor PTEN is altered in many cancers, including breast cancer, but only a handful of factors are known to control its expression. PTEN plays a vital role in cell survival and proliferation by regulating Akt phosphorylation, a key component of the phosphatidylinositol 3 kinase (PI3K) pathway. Here we show that insulin-like growth factor-II (IGF-II), which signals through PI3K, regulates PTEN expression in the mammary gland. IGF-II injection into mouse mammary gland significantly increased PTEN expression. Transgenic IGF-II expression also increased mammary PTEN protein, leading to reductions in Akt phosphorylation, epithelial proliferation, and mammary morphogenesis. IGF-II induced PTEN promoter activity and protein levels and this involved the immediate early gene egr-1.
Thus, we have identified a novel negative feedback loop within the PI3K pathway where IGF-II induces PTEN expression to modulate its physiologic effects.PTEN 1 is emerging as the most frequently altered tumor suppressor gene other than p53 (1). PTEN is mutated in Cowden's syndrome, a condition of familial cancer predisposition, and is frequently altered in a variety of spontaneous cancers including breast cancers (2-4). The loss of even one PTEN allele in mice leads to a high incidence of tumors in a variety of tissues (3,5). Breast cancer in humans is associated with a loss of heterozygosity or mutation of the PTEN gene, and decreased PTEN expression has been associated with invasive breast cancer and poor prognosis (2, 6, 7). The principal activity of PTEN is to dephosphorylate a phospholipid second messenger, phosphatidylinositol 3,4,5-triphosphate (PIP3), produced by phosphatidylinositol 3 kinase (PI3K) (8, 9). PIP3 is the major activator of the cell survival kinase Akt (8, 9). Thus, negative regulation of the PI3K pathway by PTEN is critical, and the loss of PTEN function creates an environment conducive to tumorigenesis.Despite the obvious importance of PTEN, only a handful of molecules are known to control its expression. Intracellular molecules reported to regulate PTEN transcription include p53 (10), peroxisome proliferator-activated receptor ␥ (11) and Egr-1 (12). These proteins induce PTEN promoter activity and putative binding sites for each have been identified in the PTEN promoter. Transforming growth factor  and progesterone have also been proposed to alter PTEN expression. Transforming growth factor  inhibited PTEN expression, but the nature of this regulation is unknown (13). Endometrial PTEN levels were higher during the secretory compared with the proliferative phase of the menstrual cycle implying an association with progesterone levels (14). Given the critical role of PTEN in the control of cell survival and proliferation, it stands to reason that extracellular factors such as hormones or growth factors should also influence PTEN expression.Insulin-like growth factors (IGFs) are potent mitogens that impact development, are implicated as risk factors in breast cancer, and are overexpressed in human cancers (...