TY - JOUR
T1 - Autoimmunity, intestinal lymphoid hyperplasia, and defects in mucosal B-cell homeostasis in patients with PTEN hamartoma tumor syndrome
AU - Heindl, Mario
AU - Hndel, Norman
AU - Ngeow, Joanne
AU - Kionke, Janina
AU - Wittekind, Christian
AU - Kamprad, Manja
AU - Rensing-Ehl, Anne
AU - Ehl, Stephan
AU - Reifenberger, Julia
AU - Loddenkemper, Christoph
AU - Maul, Jochen
AU - Hoffmeister, Albrecht
AU - Aretz, Stefan
AU - Kiess, Wieland
AU - Eng, Charis
AU - Uhlig, Holm H.
PY - 2012/5
Y1 - 2012/5
N2 - The Phosphatase And Tensin Homolog Deleted On Chromosome 10 (PTEN) regulates the phosphoinositol-3-kinase (PI3K)-AKT signaling pathway. In a series of 34 patients with PTEN mutations, we described gastrointestinal lymphoid hyperplasia, extensive hyperplastic tonsils, thymus hyperplasia, autoimmune lymphocytic thyroiditis, autoimmune hemolytic anemia, and colitis. Functional analysis of the gastrointestinal mucosa-associated lymphoid tissue revealed increased signaling via the PI3K-AKT pathway, including phosphorylation of S6 and increased cell proliferation, but also reduced apoptosis of CD20 +CD10+ B cells. Reduced activity of PTEN therefore affects homeostasis of human germinal center B cells by increasing PI3K-AKT signaling via mammalian target of rapamycin as well as antiapoptotic signals.
AB - The Phosphatase And Tensin Homolog Deleted On Chromosome 10 (PTEN) regulates the phosphoinositol-3-kinase (PI3K)-AKT signaling pathway. In a series of 34 patients with PTEN mutations, we described gastrointestinal lymphoid hyperplasia, extensive hyperplastic tonsils, thymus hyperplasia, autoimmune lymphocytic thyroiditis, autoimmune hemolytic anemia, and colitis. Functional analysis of the gastrointestinal mucosa-associated lymphoid tissue revealed increased signaling via the PI3K-AKT pathway, including phosphorylation of S6 and increased cell proliferation, but also reduced apoptosis of CD20 +CD10+ B cells. Reduced activity of PTEN therefore affects homeostasis of human germinal center B cells by increasing PI3K-AKT signaling via mammalian target of rapamycin as well as antiapoptotic signals.
KW - Bannayan Riley Ruvalcaba Syndrome
KW - Cowden Syndrome
KW - Hamartoma Tumor Syndrome
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UR - http://www.scopus.com/inward/citedby.url?scp=84860176032&partnerID=8YFLogxK
U2 - 10.1053/j.gastro.2012.01.011
DO - 10.1053/j.gastro.2012.01.011
M3 - Article
AN - SCOPUS:84860176032
SN - 0016-5085
VL - 142
SP - 1093-1096.e6
JO - Gastroenterology
JF - Gastroenterology
IS - 5
ER -