title: Deletion of Pten in the mouse enteric nervous system induces ganglioneuromatosis and mimics intestinal pseudoobstruction.
abstract: Intestinal ganglioneuromatosis is a benign proliferation of nerve ganglion cells, nerve fibers, and supporting cells of the enteric nervous system (ENS) that can result in abnormally large enteric neuronal cells (ENCs) in the myenteric plexus and chronic intestinal pseudoobstruction (CIPO). As phosphatase and tensin homolog deleted on chromosome 10 (PTEN) is a phosphatase that is critical for controlling cell growth, proliferation, and death, we investigated the role of PTEN in the ENS by generating mice with an embryonic, ENC-selective deletion within the Pten locus. Mutant mice died 2 to 3 weeks after birth, with clinical signs of CIPO and hyperplasia and hypertrophy of ENCs resulting from increased activity of the PI3K/PTEN-AKT-S6K signaling pathway. Further analysis revealed that PTEN was only expressed in developing mouse embryonic ENCs from E15.5 and that the rate of ENC proliferation decreased once PTEN was expressed. Specific deletion of the Pten gene in ENCs therefore induced hyperplasia and hypertrophy in the later stages of embryogenesis. This phenotype was reversed by administration of a pharmacological inhibitor of AKT. In some human ganglioneuromatosis forms of CIPO, PTEN expression was found to be abnormally low and S6 phosphorylation increased. Our study thus reveals that loss of PTEN disrupts development of the ENS and identifies the PI3K/PTEN-AKT-S6K signaling pathway as a potential therapeutic target for ganglioneuromatosis forms of CIPO.
authors.affiliation: Institut Curie, Centre de Recherche, Developmental Genetics of Melanocytes, Orsay, France.
authors.forename: Isabel
authors.initials: I
authors.lastname: Puig
authors.forename: Delphine
authors.initials: D
authors.lastname: Champeval
authors.forename: Pascal
authors.initials: P
authors.lastname: De Santa Barbara
authors.forename: Francis
authors.initials: F
authors.lastname: Jaubert
authors.forename: Stanislas
authors.initials: S
authors.lastname: Lyonnet
authors.forename: Lionel
authors.initials: L
authors.lastname: Larue
mesh_terms: D000818:Animals; D001483:Base Sequence; D002908:Chronic Disease; D017931:DNA Primers / Q000235:genetics; D004195:Disease Models, Animal; D017615:Enteric Nervous System / Q000196:embryology / Q000378:metabolism* / Q000473:pathology*; D005260:Female; D005729:Ganglioneuroma / Q000209:etiology* / Q000235:genetics / Q000378:metabolism / Q000473:pathology; D006801:Humans; D007150:Immunohistochemistry; D007418:Intestinal Pseudo-Obstruction / Q000209:etiology* / Q000235:genetics / Q000378:metabolism / Q000473:pathology; D008297:Male; D051379:Mice; D008810:Mice, Inbred C57BL; D018345:Mice, Knockout; D008817:Mice, Mutant Strains; D008822:Mice, Transgenic; D051059:PTEN Phosphohydrolase / Q000172:deficiency* / Q000235:genetics* / Q000378:metabolism; D011247:Pregnancy; D015398:Signal Transduction
chemical_list: D017931:DNA Primers; D051059:PTEN Phosphohydrolase; C487757:Pten protein, mouse