Abstract
Clinically, deregulation of PTEN function resulting in reduced PTEN expression and/or activity is implicated in human disease. Cowden syndrome (CS) is an autosomal dominant disorder characterized by benign and malignant tumors. CS-related individual features occur commonly in the general population. Approximately 25 % of patients diagnosed with CS have pathogenic germline PTEN mutations, which increase lifetime risks of breast, thyroid, uterine, renal, and other cancers. PTEN testing and intensive cancer surveillance allow for early detection and treatment of these cancers for mutation-positive patients and their relatives. In this methods chapter, we highlight our protocol for identifying patients at risk of harboring a germline PTEN mutation.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Zhou XP, Woodford-Richens K, Lehtonen R et al (2001) Germline mutations in BMPR1A/ALK3 cause a subset of cases of juvenile polyposis syndrome and of Cowden and Bannayan-Riley-Ruvalcaba syndromes. Am J Hum Genet 69(4):704–711
Waite KA, Eng C (2002) Protean PTEN: form and function. Am J Hum Genet 70(4):829–844
Tan MH, Mester J, Peterson C et al (2011) A clinical scoring system for selection of patients for PTEN mutation testing is proposed on the basis of a prospective study of 3042 probands. Am J Hum Genet 88(1):42–56
Ngeow J, Mester J, Rybicki LA et al (2011) Incidence and clinical characteristics of thyroid cancer in prospective series of individuals with Cowden and Cowden-like syndrome characterized by germline PTEN, SDH, or KLLN alterations. J Clin Endocrinol Metab 96(12):E2063–E2071
Tan MH, Mester JL, Ngeow J et al (2012) Lifetime cancer risks in individuals with germline PTEN mutations. Clin Cancer Res 18(2):400–407
Eng C (2000) Will the real Cowden syndrome please stand up: revised diagnostic criteria. J Med Genet 37(11):828–830
Mester J, Eng C (2012) Estimate of de novo mutation frequency in probands with PTEN hamartoma tumor syndrome. Genet Med 14(9):819–822
Marsh DJ, Coulon V, Lunetta KL et al (1998) Mutation spectrum and genotype-phenotype analyses in Cowden disease and Bannayan-Zonana syndrome, two hamartoma syndromes with germline PTEN mutation. Hum Mol Genet 7(3):507–515
Orloff MS, Eng C (2008) Genetic and phenotypic heterogeneity in the PTEN hamartoma tumour syndrome. Oncogene 27(41):5387–5397
Eng C (2003) PTEN: one gene, many syndromes. Hum Mutat 22(3):183–198
Zbuk KM, Eng C (2007) Cancer phenomics: RET and PTEN as illustrative models. Nat Rev Cancer 7(1):35–45
Georgescu MM, Kirsch KH, Kaloudis P et al (2000) Stabilization and productive positioning roles of the C2 domain of PTEN tumor suppressor. Cancer Res 60(24):7033–7038
Pezzolesi MG, Li Y, Zhou XP et al (2006) Mutation-positive and mutation-negative patients with Cowden and Bannayan-Riley-Ruvalcaba syndromes associated with distinct 10q haplotypes. Am J Hum Genet 79(5):923–934
van der Stoep N, van Paridon CD, Janssens T et al (2009) Diagnostic guidelines for high-resolution melting curve (HRM) analysis: an interlaboratory validation of BRCA1 mutation scanning using the 96-well LightScanner. Hum Mutat 30(6):899–909
Nguyen-Dumont T, Calvez-Kelm FL, Forey N et al (2009) Description and validation of high-throughput simultaneous genotyping and mutation scanning by high-resolution melting curve analysis. Hum Mutat 30(6):884–890
Schouten JP, McElgunn CJ, Waaijer R et al (2002) Relative quantification of 40 nucleic acid sequences by multiplex ligation-dependent probe amplification. Nucleic Acids Res 30(12):e57
Acknowledgements
We apologize to authors whose works or relevant references were not cited due to word limitations. American Cancer Society, Breast Cancer Research Foundation, Arthur Blank Foundation, US Department of Defense Breast Cancer Research Program, Doris Duke Charitable Foundation, William Randolph Hearst Foundations, Susan G. Komen for the Cure, Ambrose Monell Foundation, National Cancer Institute, and National Institutes of Health are gratefully acknowledged for funding C.E.’s patient-oriented research over the last 17 years. C.E is the Sondra J. and Stephen R. Hardis Chair of Cancer Genomic Medicine at the Cleveland Clinic and is an American Cancer Society Clinical Research Professor.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer Science+Business Media New York
About this protocol
Cite this protocol
Ngeow, J., Eng, C. (2016). Germline PTEN Mutation Analysis for PTEN Hamartoma Tumor Syndrome. In: Salmena, L., Stambolic, V. (eds) PTEN. Methods in Molecular Biology, vol 1388. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4939-3299-3_6
Download citation
DOI: https://doi.org/10.1007/978-1-4939-3299-3_6
Published:
Publisher Name: Humana Press, New York, NY
Print ISBN: 978-1-4939-3297-9
Online ISBN: 978-1-4939-3299-3
eBook Packages: Springer Protocols