“…In this study, we developed a PTEN mutation-associated signature that included seven genes (GDPD2, GRB7, KCNK9, MUC3A, MYT1, RPS6KA6, and TSPYL5) that were selected by LASSO-Cox analysis, and by reviewing previous studies, we found that RPS6KA6 and TSPYL5 had been reported to be associated with the occurrence and development of EC. Ribosomal S6 kinase 4 (RSK4) is a tumor suppressor gene product (also known as RPS6KA6) that has been shown to be significantly downregulated in multiple malignancies—including those of the breast, colon, kidney, ovarian, and acute myeloid leukemia [ 20 – 27 ]; and it can inhibit tumor cell proliferation, invasion, and the epithelial mesenchymal transformation [ 28 , 29 ]. One study [ 30 ] showed that hypermethylation of RSK4 in EC resulted in a lowered expression level of RSK4 in EC relative to normal endometrial tissues and that reduced RSK4 methylation was associated with higher EC grade.…”