Skip to main content
  • 1850 Accesses

Abstract

PTEN hamartoma tumor syndrome (PHTS) (Marsh et al. 1999) can be defined as a syndromic condition including one or more hamartomas which has its biological basis in a germline mutation of the Phosphatase and Tensin Homolog deleted on Chromosome 10 (PTEN) gene. Following such assumption, PHTS includes patients with the previous diagnosis of Cowden syndrome (CS) (Weary et al. 1972), Bannayan-Riley-Ruvalcaba syndrome (BRRS) (Cohen 1990), Proteus syndrome (PS) (Wiedemann et al. 1983), Proteus-like syndrome (PLS) (Zhou et al. 2000) and Lhermitte-Duclos syndrome (LDS) (Dastur et al. 1975). Conversely, those conditions not including hamartomas within their phenotype but presenting with a PTEN mutation (Butler et al. 2005) cannot be considered as part of the PHTS spectrum. Currently, failure to detect a PTEN mutation doesn’t imply the ruling out of a clinical diagnosis of CS, BRRS, PS, PLS or LDS in patients who fulfill the clinical diagnostic criteria for these conditions; however, the term PHTS should be avoided in this case.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 269.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 349.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 499.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Agrawal S, Pilarski R, Eng C (2005) Different splicing defects lead to differential effects downstream of the lipid and protein phosphatase activities of PTEN. Hum Mol Genet 2005 Jul 13 [Epub ahead of print].

    Google Scholar 

  • Ahmed SF, Marsh DJ, Weremowicz S, Morton CC, Williams DM, Eng C (1999) Balanced translocation of 10q and 13q, including the PTEN gene, in a boy with an HCGsecreting tumor and the Bannayan-Riley-Ruvalcaba syndrome. J Clin Endocrinol Metab 84: 4665–4670.

    Article  CAS  Google Scholar 

  • Butler MG, Dasouki MJ, Zhou XP, Talebizadeh Z, Brown M, Takahashi TN, Miles JH, Wang CH, Stratton R, Pilarski R, Eng C (2005) Subset of individuals with autism spectrum disorders and extreme microcephaly associated with germline PTEN tumour suppressor gene mutations. J Med Genet 42: 318–321.

    Article  PubMed  CAS  Google Scholar 

  • Chen J, Lindblom P, Lindblom A (1998) A study of the PTEN/MMAC1 gene in 136 breast cancer families. Hum Genet 102: 124–125.

    PubMed  CAS  Google Scholar 

  • Cohen MM Jr (1990) Bannayan-Riley-Ruvalcaba syndrome: renaming three formerly recognized syndromes as one etiologic entity. Am J Med Genet 35: 291–292.

    Article  PubMed  Google Scholar 

  • Dahia PLM, Aguiar RCT, Alberta J, Kum JB, Caron S, Sill H, Marsh DJ, Ritz J, Freedman A, Stiles C, Eng C (1999) PTEN is inversely correlated with the cell survival factor Akt/PKB and is inactivated via multiple mechanisms in haematological malignancies. Hum Molec Genet 8: 185–193.

    Article  PubMed  CAS  Google Scholar 

  • Dastur HM, Pandya SK, Deshpande DH (1975) Diffuse cerebellar hypertrophy Lhermitte-Duclos disease. Neurol India 23: 53–56.

    PubMed  CAS  Google Scholar 

  • Denu JM, Stuckey JA, Saper MA, Dixon JE (1996) Form and function in protein dephosphorylation. Cell 87: 361–364.

    Article  PubMed  CAS  Google Scholar 

  • De Vivo I, Gertig DM, Nagase S, Hankinson SE, O’Brien R, Speizer FE, Parsons R, Hunter DJ (2000) Novel germline mutations in the PTEN tumour suppressor gene found in women with multiple cancers. J Med Genet 37: 336–341.

    Article  PubMed  Google Scholar 

  • Di Cristofano A, Pesce B, Cordon-Cardo C, Pandolfi PP (1998) Pten is essential for embryonic development and tumour suppression. Nat Genet 19: 348–355.

    Article  PubMed  Google Scholar 

  • Li DM, Sun H (1998) PTEN/MMAC1/TEP1 suppresses the tumorigenicity and induces G1 cell cycle arrest in human glioblastoma cells. Proc Nat Acad Sci USA 95: 15406–15411.

    Article  PubMed  CAS  Google Scholar 

  • Li J, Yen C, Liaw D, Podsypanina K, Bose S, Wang SI, Puc J, Miliaresis C, Rodgers L, McCombie R, Bigner SH, Giovanella BC, Ittmann M, Tycko B, Hibshoosh H, Wigler MH, Parsons R (1997) PTEN, a putative protein tyrosine phosphatase gene mutated in human brain, breast, and prostate cancer. Science 275: 1943–1946.

    Article  PubMed  CAS  Google Scholar 

  • Liaw D, Marsh DJ, Li J, Dahia PL, Wang SI, Zheng Z, Bose S, Call KM, Tsou HC, Peacocke M, Eng C, Parsons R (1997) Germline mutations of the PTEN gene in Cowden disease, an inherited breast and thyroid cancer syndrome. Nat Genet 16: 64–67.

    Article  PubMed  CAS  Google Scholar 

  • Lynch ED, Ostermeyer EA, Lee MK, Arena JF, Ji H, Dann J, Swisshelm K, Suchard D, MacLeod PM, Kvinnsland S, Gjertsen BT, Heimdal K, Lubs H, Moller P, King MC (1997) Inherited mutations in PTEN that are associated with breast cancer, Cowden syndrome and juvenile polyposis. Am J Hum Genet 61: 1254–1260.

    Article  PubMed  CAS  Google Scholar 

  • Marsh DJ, Dahia PL, Caron S, Kum JB, Frayling IM, Tomlinson IP, Hughes KS, Eeles RA, Hodgson SV, Murday VA, Houlston R, Eng C (1998a) Germline PTEN mutations in Cowden syndrome-like families. J Med Genet 35: 881–885.

    Article  PubMed  CAS  Google Scholar 

  • Marsh DJ, Coulon V, Lunetta KL, Rocca-Serra P, Dahia PL, Zheng Z, Liaw D, Caron S, Duboue B, Lin AY, Richardson AL, Bonnetblanc JM, Bressieux JM, Cabarrot-Moreau A, Chompret A, Demange L, Eeles RA, Yahanda AM, Fearon ER, Fricker JP, Gorlin RJ, Hodgson SV, Huson S, Lacombe D, Eng C (1998b) Mutation spectrum and genotype-phenotype analyses in Cowden disease and Bannayan-Zonana syndrome, two hamartoma syndromes with germline PTEN mutation. Hum Mol Genet 7: 507–515.

    Article  PubMed  CAS  Google Scholar 

  • Marsh DJ, Kum JB, Lunetta KL, Bennett MJ, Gorlin RJ, Ahmed SF, Bodurtha J, Crowe C, Curtis MA, Dasouki M, Dunn T, Feit H, Geraghty MT, Graham JM Jr, Hodgson SV, Hunter A, Korf BR, Manchester D, Miesfeldt S, Murday VA, Nathanson KL, Parisi M, Pober B, Romano C, Eng C (1999) PTEN mutation spectrum and genotype-phenotype correlations in Bannayan-Riley-Ruvalcaba syndrome suggests a single entity with Cowden syndrome. Hum Mol Genet 8: 1461–1472.

    Article  PubMed  CAS  Google Scholar 

  • Myers MP, Stolarov JP, Eng C, Li J, Wang SI, Wigler MH, Parsons R, Tonks NK (1997) P-TEN, the tumor suppressor from human chromosome 10q23, is a dualspecificity phosphatase. Proc Nat Acad Sci USA 94: 9052–9057.

    Article  PubMed  CAS  Google Scholar 

  • Nelen MR, Padberg GW, Peeters EAJ, Lin AY, van den Helm B, Frants RR, Coulon V, Goldstein AM, van Reen MMM, Easton DF, Eeles RA, Hodgson S, Mulvihill JJ, Murday VA, Tucker MA, Mariman ECM, Starink TM, Ponder BAJ, Ropers HH, Kremer H, Longy M, Eng C (1996) Localization of the gene for Cowden disease to 10q22-23. Nat Genet 13: 114–116.

    Article  PubMed  CAS  Google Scholar 

  • Nelen MR, van Staveren CG, Peeters EAJ, Ben Hassel M, Gorlin RJ, Hamm H, Lindboe CF, Fryns JP, Sijmons RH, Woods DG, Mariman ECM, Padberg GW, Kremer H (1997) Germline mutations in the PTEN/ MMAC1 gene in patients with Cowden disease. Hum Mol Genet 6: 1383–1387.

    Article  PubMed  CAS  Google Scholar 

  • Newton HB (2004) Molecular neuro-oncology and development of targeted therapeutic strategies for brain tumors. Part 2: PI3K/Akt/PTEN, mTOR, SHH/PTCH and angiogenesis. Expert Rev Anticancer Ther 4(1): 105–128.

    Article  PubMed  CAS  Google Scholar 

  • Pilarski R, Eng C (2004) Will the real Cowden syndrome please stand up (again)? Expanding mutational and clinical spectra of the PTEN hamartoma tumour syndrome. J Med Genet 41: 323–326.

    Article  PubMed  CAS  Google Scholar 

  • Podsypanina K, Ellenson LH, Nemes A, Gu J, Tamura M, Yamada KM, Cordon-Cardo C, Catoretti G, Fisher PE, Parsons R (1999) Mutation of Pten/Mmac1 in mice causes neoplasia in multiple organ systems. Proc Natl Acad Sci USA 96: 1563–1568.

    Article  PubMed  CAS  Google Scholar 

  • Steck PA, Pershouse MA, Jasser SA, Yung WKA, Lin H, Ligon AH, Langford LA, Baumgard ML, Hattier T, Davis T, Frye C, Hu R, Swedlund B, Teng DHF, Tavtigian SV (1997) Identification of a candidate tumour suppressor gene, MMAC1, at chromosome 10q23.3 that is mutated in multiple advanced cancers. Nat Genet 15: 356–362.

    Article  PubMed  CAS  Google Scholar 

  • Suzuki A, de la Pompa JL, Stambolic V, Elia AJ, Sasaki T, del Barco Barrantes I, Ho A, Wakeham A, Itie A, Khoo W, Fukumoto M, Mak TW (1998) High cancer susceptibility and embryonic lethality associated with mutation of the PTEN tumor suppressor gene in mice. Curr Biol 8: 1169–1178.

    Article  PubMed  CAS  Google Scholar 

  • Tamura M, Gu J, Matsumoto K, Aota S, Parsons R, Yamada KM (1998) Inhibition of cell migration, spreading, and focal adhesions by tumor suppressor PTEN. Science 280: 1614–1617.

    Article  PubMed  CAS  Google Scholar 

  • Tsou HC, Teng DH, Ping XL, Brancolini V, Davis T, Hu R, Xie XX, Gruener AC, Schrager CA, Christiano AM, Eng C, Steck P, Ott J, Tavtigian SV, Peacocke M (1997) The role of MMAC1 mutations in early-onset breast cancer: causative in association with Cowden syndrome and excluded in BRCA1-negative cases. Am J Hum Genet 61: 1036–1043.

    Article  PubMed  CAS  Google Scholar 

  • Vivanco I, Sawyers CL (2002) The phosphatidylinositol 3-kinase-Akt pathway in human cancer. Nature Rev Cancer 2: 489–501.

    Article  CAS  Google Scholar 

  • Weary PE, Gorlin RJ, Gentry WC Jr, Comer JE, Greer KE (1972) Multiple hamartoma syndrome (Cowden’s disease). Arch Dermatol 106: 682–690.

    Article  PubMed  CAS  Google Scholar 

  • Weng LP, Smith WM, Brown JL, Eng C (2001) PTEN inhibits insulin-stimulated MEK/MAPK activation and cell growth by blocking IRS-1 phosphorylation and IRS-1/Grb-2/Sos complex formation in a breast cancer model. Hum Mol Genet 10: 605–616.

    Article  PubMed  CAS  Google Scholar 

  • Weng LP, Brown JL, Baker KM, Ostrowski MC, Eng C (2002) PTEN blocks insulin-mediated ETS-2 phosphorylation through MAP kinase, independently of the phosphoinositide 3-kinase pathway. Hum Mol Genet 11: 1687–1696.

    Article  PubMed  CAS  Google Scholar 

  • Wiedemann HR, Burgio GR, Aldenhoff P, Kunze J, Kaufmann HJ, Schirg E (1983) The proteus syndrome. Partial gigantism of the hands and/or feet, nevi, hemihypertrophy, subcutaneous tumors, microcephaly and other skull anomalies and possible accelerated growth and visceral affections. Eur J Pediatr 140: 5–12.

    Article  PubMed  CAS  Google Scholar 

  • Zhou X, Hampel H, Thiele H, Gorlin RJ, Hennekam RC, Parisi M, Winter RM, Eng C (2001) Association of germline mutation in the PTEN tumour suppressor gene and Proteus and Proteus-like syndromes. Lancet 358: 210–211.

    Article  PubMed  CAS  Google Scholar 

  • Zhou XP, Marsh DJ, Hampel H, Mulliken JB, Gimm O, Eng C (2000) Germline and germline mosaic PTEN mutations associated with a Proteous-like syndrome of hemihypertrophy, lower limb asymmetry, arteriovenous malformations and lipomatosis. Hum Mol Genet 9: 765–768.

    Article  PubMed  CAS  Google Scholar 

  • Zhou XP, Marsh DJ, Morrison CD, Chaudhury AR, Maxwell M, Reifenberger G, Eng C (2003a) Germline inactivation of PTEN and Dysregulation of the Phosphoinositol-3-Kinase/Akt pathway cause human Lhermitte-Duclos disease in adults. Am J Hum Genet 73: 1191–1198.

    Article  PubMed  CAS  Google Scholar 

  • Zhou XP, Waite KA, Pilarski R, Hampel H, Fernandez MJ, Bos C, Dasouki M, Feldman GL, Greenberg LA, Ivanovich J, Matloff E, Patterson A, Pierpont ME, Russo D, Nassif NT, Eng C (2003b) Germline PTEN promoter mutations and deletions in Cowden/Bannayan-Riley-Ruvalcaba syndrome result in aberrant PTEN protein and dysregulation of the phosphoinositol-3-kinase/Akt pathway. Am J Hum Genet 73: 404–411.

    Article  PubMed  CAS  Google Scholar 

  • Zundel W, Schindler C, Haas-Kogan D, Koong A, Kaper F, Chen E, Gottschalk AR, Ryan HE, Johnson RS, Jefferson AB, Stokoe D, Giaccia AJ (2000) Loss of PTEN facilitates HIF-1-mediated gene expression. Genes Dev 14: 391–396.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2008 Springer-Verlag/Wien

About this chapter

Cite this chapter

Romano, C. (2008). Genetics of Pten Hamartoma Tumor Syndrome (PHTS). In: Ruggieri, M., Pascual-Castroviejo, I., Di Rocco, C. (eds) Neurocutaneous Disorders Phakomatoses and Hamartoneoplastic Syndromes. Springer, Vienna. https://doi.org/10.1007/978-3-211-69500-5_27

Download citation

  • DOI: https://doi.org/10.1007/978-3-211-69500-5_27

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-21396-4

  • Online ISBN: 978-3-211-69500-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics