Autoimmunity, intestinal lymphoid hyperplasia, and defects in mucosal B-cell homeostasis in patients with PTEN hamartoma tumor syndrome

Mario Heindl, Norman Hndel, Joanne Ngeow, Janina Kionke, Christian Wittekind, Manja Kamprad, Anne Rensing-Ehl, Stephan Ehl, Julia Reifenberger, Christoph Loddenkemper, Jochen Maul, Albrecht Hoffmeister, Stefan Aretz, Wieland Kiess, Charis Eng, Holm H. Uhlig*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

67 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)1093-1096.e6
JournalGastroenterology
Volume142
Issue number5
DOIs
Publication statusPublished - May 2012
Externally publishedYes

ASJC Scopus Subject Areas

  • Hepatology
  • Gastroenterology

Keywords

  • Bannayan Riley Ruvalcaba Syndrome
  • Cowden Syndrome
  • Hamartoma Tumor Syndrome

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