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2. PTEN: A NEGATIVE REGULATOR OF CELL AND AXON
GROWTH
Activationof phosphoinositide3-kinase (PI3K) in response toa varietyof
extracelluar stimuli including growth factors, mitogens, and hormones regu-
lates key biological processes including cell growth, proliferation, survival,
andmotility. This lipidkinasephosphorylates converts the lipid secondmessen-
ger phosphatidylinositol (4,5) bisphosphate (PIP 2 ) into phosphatidylinositol
(3,4,5) trisphosphate (PIP 3 ), which in turn recruits and activates
phosphatidylinositol-dependent kinase 1/2 (PDK1/2), resulting in the activa-
tion of AKT ( Song,Ouyang,&Bao, 2005; Vogt,Gymnopoulos,&Hart, 2009 )
( Fig. 7.1 ). On the other side, PTEN functions both as a dual specificity protein
phosphatase and lipid phosphatase. Although it can dephosphorylate protein
substrates such as FAK (focal adhesion kinase), PTEN's predominant
enzymatic activity seems to be the dephosphorylation of the 3 0 phosphate of
the inositol ring in PIP 3 , resulting in the biphosphate product PIP 2 (PtdIns
(4,5)P 2 ) Di Cristofano & Pandolfi, 2000; Leslie & Downes, 2004;
Tamguney & Stokoe, 2007 )( Fig. 7.1 ). Thus, inactivation of PTEN results in
the accumulation of PIP 3 and hyperactivation of AKT. As PI3K/AKT signals
control the cell metabolism, growth, proliferation, and survival, deregulation
PTEN has been closely associated with development of certain tumor cells
( Carracedo, Alimonti, & Pandolfi, 2011; Di Cristofano & Pandolfi, 2000 ). In
the nervous system, neuron-specific loss of PTEN during mouse development
causes high levels of phosphorylated AKT and a gradual increase in soma size
without causing abnormal proliferation ( Kwon, Zhu, Zhang, & Baker, 2003;
Kwon et al., 2001 ). In the mature CNS, PTEN depletion in neurons has
been shown to prevent apoptotic cell death in acute and degenerative injury
models ( Kirby et al., 2011; Li et al., 2009; Park et al., 2008; Shi et al., 2011 ).
In addition to its role in cell growth and survival, recent studies point to the
importance of PTEN in regulating axon growth/regeneration. Because
multiple downstream effectors of PTEN operate in both neuronal soma and
axon terminal, PTEN is ideally positioned to coordinate different steps of
axon growth during development and injury-induced axon regeneration.
2.1. PTEN is an intrinsic blocker of axon regrowth
Several studies have indicated PTEN as a factor within neurons that impede
axon regeneration. These studies have shown that pharmacological or
genetic inactivation of PTEN in neurons enhances axon regeneration both
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