Hyperphosphorylated PTEN exerts oncogenic properties

PTEN is a multifaceted tumor suppressor that is highly sensitive to alterations in expression or function. The PTEN C-tail domain, which is rich in phosphorylation sites, has been implicated in PTEN stability, localization, catalytic activity, and protein interactions, but its role in tumorigenesis remains unclear. To address this, we utilized several mouse strains with nonlethal C-tail mutations. Mice homozygous for a deletion that includes S370, S380, T382 and T383 contain low PTEN levels and hyperactive AKT but are not tumor prone. Analysis of mice containing nonphosphorylatable or phosphomimetic versions of S380, a residue hyperphosphorylated in human gastric cancers, reveal that PTEN stability and ability to inhibit PI3K-AKT depends on dynamic phosphorylation-dephosphorylation of this residue. While phosphomimetic S380 drives neoplastic growth in prostate by promoting nuclear accumulation of β-catenin, nonphosphorylatable S380 is not tumorigenic. These data suggest that C-tail hyperphosphorylation creates oncogenic PTEN and is a potential target for anti-cancer therapy.

PTEN is a multifaceted tumor suppressor that is highly sensitive to alterations in expression or function. The PTEN C-tail domain, which is rich in phosphorylation sites, has been implicated in PTEN stability, localization, catalytic activity, and protein interactions, but its role in tumorigenesis remains unclear.
To address this, we utilized several mouse strains with nonlethal C-tail mutations. Mice homozygous for a deletion that includes S370, S380, T382 and T383 contain low PTEN levels and hyperactive AKT but are not tumor prone. Analysis of mice containing nonphosphorylatable or phosphomimetic versions of S380, a residue hyperphosphorylated in human gastric cancers, reveal that PTEN stability and ability to inhibit PI3K-AKT depends on dynamic phosphorylation-dephosphorylation of this residue. While phosphomimetic S380 drives neoplastic growth in prostate by promoting nuclear accumulation of β-catenin, nonphosphorylatable S380 is not tumorigenic. These data suggest that C-tail hyperphosphorylation creates oncogenic PTEN and is a potential target for anti-cancer therapy.
The PTEN tumor suppressor gene is mutated in the germline of patients with PTEN hamartoma tumor syndrome (PHTS) and in a high proportion of sporadic cancers [1][2][3][4] . In addition to biallelic PTEN mutations, human cancers often show loss of only a single PTEN allele characteristic of haploinsufficient tumor suppressor genes 5,6 . Partial loss of PTEN can be a driver of tumorigenesis, which was suggested by the graded reduction of PTEN levels in mice, with PTEN dosage inversely correlating with tumor susceptibility [7][8][9] . Even subtle reductions in PTEN level increase tumor susceptibility in these experiments, highlighting that faithful regulation of PTEN expression and activity are critical for tumor suppression 10,11 . Mechanisms regulating PTEN expression and activity are complex, where deregulation can occur in various ways, including epigenetic silencing, transcriptional repression, microRNA regulation, interruption of competitive endogenous RNA networks, aberrant post-translational modification, and subcellular mislocalization [12][13][14][15] . In addition, PTEN homodimerizes and has many binding partners that modulate its function 16,17 , further adding to the notion that PTEN is a tumor suppressor with numerous vulnerabilities.
Insights into the regulation and functions of PTEN mostly involve studies in cultured cells. Extending these studies at the organismal level to demonstrate relevance to tumor suppression is particularly challenging because PTEN is essential for mouse development, with embryogenesis halting around day 9.5 in Pten -/mice [18][19][20] . Various mutations found in PHTS patients have been successfully modelled in mice, with heterozygous mutants typically showing cancer predisposition and embryonic lethality in homozygotes 17,21 . This includes missense mutations in the phosphatase domain, reinforcing that negative regulation of the oncogenic PI3K-AKT-mTORC signaling network through dephosphorylation of the lipid signaling intermediate PIP3 is a major tumor suppressive function of PTEN 4,22 . The close correlation between AKT hyperactivity and increased tumor susceptibility in Pten mouse models further supports this notion [7][8][9]17,23 . However, several mouse strains modeling Pten mutations found in human cancers develop tumor phenotypes in the absence of marked AKT alterations. This includes mice heterozygous for a C2 domain missense mutation at phenylalanine 341 or a C-terminal truncating mutation that causes chromosomal instability 24,25 , as well as mice homozygous for a deletion of residues 401-403 (TKV) spanning the PTEN PDZ-binding domain (PDZ-BD). In-depth analysis of these Pten ΔTKV/ΔTKV mice uncovered that a centrosome-associated PTEN pool recruits Dlg1-Eg5 to duplicated centrosomes via the PDZ-BD to establish symmetrical bipolar spindles that properly segregate chromosomes 26 . PTEN accumulation at centrosomes requires phosphorylation of S380, a residue that is not a mutational target in human cancers but whose hyperphosphorylation is a hallmark of human gastric cancers [27][28][29] . S380 is located within the PTEN C-tail domain spanning amino acids 352-400 and part of a cluster of CK2 phosphorylated serine and threonine residues that also includes S370, T382, T383 and S385 14,[30][31][32][33][34][35] . Ectopic expression of PTEN variants with mutations in these residues in cultured cells indicated that C-tail phosphorylation enhances PTEN stability while reducing membrane localization and phosphatase activity 14,31,33,36 . This seems paradoxical, but when phosphorylated, the C-tail interacts with the C2 and phosphatase domains to form a "closed" conformation. This conformer is less susceptible to ubiquitin-mediated degradation and caspase 3 cleavage, yet is less capable of interacting with proteins that target PTEN to the plasma membrane, resulting in it being less catalytically active 12,14,37,38 .
In this work, we examined the physiological relevance of the PTEN C-tail domain and its phosphorylation status by introducing subtle, non-lethal mutations. We show that C-tail mutant mice with an S380A substitution or a deletion that includes S370, S380, T382 and T383, display low levels of PTEN and increased AKT signaling with no tumor predisposition. On the other hand, mice carrying an S380D phosphomimetic mutation exhibit β-catenin hyperactivity in addition to PTEN instability and AKT hyperactivity. We show this drives prostate neoplasia and have found support that this mechanism may be clinically relevant in gastric and prostate cancer.

PTEN mutant S380A is unstable and causes chromosome missegregation
We used CRISPR-Cas9 gene editing in FVB fertilized eggs to introduce an S380A missense mutation in the endogenous Pten locus. In doing so, we also obtained mice containing an in-frame deletion of amino acids 369-383, which includes four C-tail phosphorylation sites, S370, S380, T382 and T383 ( Fig. 1a and Supplementary Fig. 1a). We refer to the allele encoding this mutant as Pten Δ4 . Pten S380A/A and Pten Δ4/Δ4 mice were born at Mendelian frequency from heterozygous crosses and were overtly indistinguishable from control littermates.
Western blot analysis of tissues and MEFs of Pten S380A/A (A/A) and Pten Δ4/Δ4 (Δ4/Δ4) mice revealed that both PTEN S380A and PTEN Δ4 are expressed at subnormal levels ( Fig. 1b-e, Supplementary Fig.1b-d). In all tissues analyzed, PTEN S380A was reduced to the same or a slightly lower level than PTEN in corresponding tissues of Pten +/-( + /-) mice, except for lung. PTEN Δ4 levels were always most profoundly reduced regardless of tissue ( Fig.1c-e, Supplementary Fig. 1d). Cycloheximide chase experiments in MEFs indicated that low PTEN S380A and PTEN Δ4 levels were caused by protein instability (Fig. 1f, Supplementary  Fig. 1e). Complementary cell fractionation experiments on MEFs and prostates revealed that, in contrast to Pten +/cells, nuclear PTEN in Pten S380A/A and Pten Δ4/Δ4 cells was not reduced (Fig. 1g), whereas cytoplasmic and membrane-associated PTEN levels were markedly decreased regardless of genotype.
Detailed analysis of mitotic Pten S380A/A and Pten Δ4/Δ4 MEFs revealed defects reminiscent of those observed earlier in Pten ΔTKV/ΔTKV MEFs 26 supporting the idea that S380 phosphorylation is required for DLG1mediated centrosomal accumulation of PTEN (Supplementary Fig. 2 and Supplementary Note). However, because the same mitotic phenotypes have also been observed in Pten +/-MEFs 26 , they could alternatively be due to the PTEN instability in Pten S380A/A and Pten Δ4/Δ4 MEFs.

PTEN C-tail mutant mice are not tumor prone despite AKT hyperactivity
Because PTEN deficiency is tightly associated with tumorigenesis, we expected C-tail mutant mice to be tumor prone. However, Pten S380A/A and Pten Δ4/Δ4 mice showed no evidence of tumor predisposition at 9 months (Fig. 2a,b), an age where macroscopic tumors are known to be readily detectable in Pten +/mice 18,19,21 . We reasoned that a possible explanation for this discrepancy might be that Pten +/mice used in tumorigenesis studies were on a C57BL/6 or a C57BL/6 ×129 genetic background while our C-tail mutants were on a pure FVB background. To examine this further, we used CRISPR-Cas9 gene editing in FVB fertilized eggs to introduce an out-of-frame deletion in Pten exon 2, thereby creating a knockout allele ( Supplementary Fig. 3a). When screened for macroscopic tumors at 9 months, the resulting FVB Pten +/strain showed high tumor predisposition with lymphomas and pheochromocytomas as the most prominent tumors (Fig. 2a,b, Supplementary Fig. 3b). However, we did not detect a susceptibility to breast tumors on an FVB background. Most of the sacrificed Pten +/mice exhibited lymphadenopathy (Fig. 2c), a prominent nonneoplastic phenotype previously reported for Pten +/mice on a C57BL/6 or a C57BL/6 ×129 genetic background and typically requiring euthanasia before 12-14 months of age. Lymphadenopathy was not observed in C-tail mutant mice which allowed for complementary assessment at 16 months for tumors with longer latencies, but again there were no differences in tumorigenesis between Pten S380A/A , Pten Δ4/ Δ4 and Pten +/+ mice (Fig. 2d,e).
PTEN is considered one of the most prominent tumor suppressors by virtue of its unique PIP 3 lipid phosphatase activity, which led us to hypothesize that the lack of tumor predisposition of our C-tail mutant mice might be due to preservation of this key catalytic function despite the low levels at which PTEN S380A and PTEN Δ4 are expressed. To test this idea, we measured the extent to which PI3K-AKT signaling is inhibited in lung, liver, spleen and prostate of Pten S380A/A and Pten Δ4/Δ4 mice relative to these same four tissues of Pten +/and Pten +/+ mice (Fig. 2f, Supplementary Fig. 3c). We used 2-month-old mice because at this age no tumors are detectable regardless of genotype. None of the Pten +/tissues analyzed showed evidence of activated PI3K-AKT signaling, as AKT phosphorylation by PDK1 and mTORC2 at residues T308 and S473, respectively, appeared normal. Consistent with this, prominent targets of activated AKT such as TSC2 T1462 , GSK3α S21 and GSK3β S9 , showed normal levels of phosphorylation. By contrast, Pten Δ4/Δ4 mice consistently showed robust phosphorylation at AKT T308 , TSC2 T1462 , GSK3α S21 and GSK3β S9 in all four tissues. Increased phosphorylation of these substrates also occurred in prostate and spleen of Pten S380A/A mice, albeit to a lesser extent. Furthermore, phosphorylation at AKT S473 was elevated in select tissues Pten Δ4/Δ4 mice. These data indicate that PTEN insufficiency and increased PI3K-AKT signaling per se do not necessarily correlate with tumor predisposition.
PTEN dose reduction is not a potent driver of prostate cancer Support that PTEN dosage drives cancer progression originated from the observation that graded reduction of PTEN in mice inversely correlates with prostate cancer progression 7 . This study included Pten +/+ , Pten +/-, Pten -/H , and PB-Cre conditional Pten -/mice, but not Pten H/H (homozygous hypomorphic) mice. This leaves open the possibility that (epi)genetic events that affect the functional integrity of the remaining PTEN produced by prostate epithelial cells of Pten +/and Pten -/H are the main driver of neoplastic growth. To further investigate this, we wanted to generate a Pten H/H mouse strain with a concordant PTEN reduction to Pten +/mice, reasoning that if PTEN dosage alone drives tumor formation, both genotypes should theoretically exhibit similar predisposition to prostate tumorigenesis.
To generate a hypomorphic Pten allele, we used CRISPR-Cas9 gene editing in fertilized eggs to insert a neo gene cassette in intron 3 of the endogenous Pten locus (Fig. 3a). The neo coding sequence is known to contain a cryptic exon that reduces the amount of wildtype transcript and is frequently used to create hypomorphic alleles [39][40][41] . We used C57BL/6 because this genetic background is frequently used in prostate cancer studies and aligns more closely with earlier PTEN dosage reduction studies, which were performed on a mixed C57BL/6 ×129 background 7,8 . Western blot analysis of prostates from mice with two copies of the resulting Pten hypomorphic allele (designated HN allele) showed that PTEN levels were reduced compared to Pten +/+ prostates, but not enough to match levels in prostates of Pten +/males on a C57BL/6 genetic background ( Supplementary Fig. 4a,b). To further reduce PTEN dosage we used a second round of editing to insert a polyomavirus polyadenylation (P) sequence that has previously been used to create hypomorphic alleles in mice into the HN allele ( Fig. 3a) 39,42 . Western blot analysis of prostate lysates of mice homozygous for the resulting HNP Pten allele revealed that their PTEN levels PTEN levels at each timepoint were assessed by WB for PTEN, with Tubulin as loading control. g Cell fractionation of MEFs and 2-month-old prostates of the specified genotypes. Indicated fractions (C, cytoplasm; M, membrane; N, nuclear) were blotted and probed for PTEN, P-PTEN S380 , and compartment-specific proteins. Chromatin and cytoskeletal fractions were also analyzed but lacked PTEN and were thus not shown. Blots in (b-e) are representative of at least 3 individual samples. f was performed on 2 independent cell lines and (g) on 3 independent prostates. Source data are provided as a Source Data file. a Overall and (b) tumor-specific incidence of tumors at 9 months in FVB mice of indicated genotypes. Number of mice (n) for (a-c) is indicated in (a). Incidence of specific tumors is based on macroscopic screening. "Other tumors" include lipomas and tumors in breast, uterus and liver. Photos above graph show examples of below graphed tumors. c Incidence at 9 months of lymphadenopathy. We note that the incidence in +/+ was 0%. Photo depicts an example of lymphadenopathy in a submandibular lymph node of a Pten +/mouse. d, e As (a, b) but now at 16 months, number of mice is indicated in (d). Pten +/mice typically don't reach 16 months of age and are therefore excluded. f WBs of lysates from indicated tissues and genotypes harvested at 2 months and probed with indicated antibodies. Blot is representative of at least 3 individual samples. Ponceau S (PonS) staining served as loading control. Statistical significance was assessed by two-sided Fisher's exact test compared to +/+. Scale bars are 5 mm. Source data are provided as a Source Data file.
Next, we prepared paraffin-embedded prostates of 6-month-old Pten HNP/HNP (HNP/HNP), Pten +/-, and Pten +/+ mice and serially sectioned these, collecting 5 µm sections for H&E staining and PIN lesion quantitation every 200 µm. Consistent with earlier studies 7,9,19 , Pten +/prostates were highly prone to tumorigenesis, with 10% and 0.3% of prostate tubules containing PIN III and PIN IV lesions, respectively. In contrast, Pten HNP/HNP prostates had almost no high-grade lesions, showing PIN III lesions in only 0.4% of tubules and no PIN IV lesions. However, PIN II lesions did form at increased rates in Pten HNP/HNP prostates compared to Pten +/+ prostates (4.2% versus 0.3%), indicative of a mild tumor-predisposition (Fig. 3d). The observed differences in lesion incidence and grade give credence to the idea that PTEN dose reduction is not the central driver of prostate tumorigenesis in Pten +/mice.

PIN lesions formation in Pten +/mice involves further PTEN dysfunction
The most obvious mechanism of PIN lesion formation in Pten +/mice would be a loss of function of the remaining wildtype allele. However, this is difficult to assess by screening for (epi)genetic changes due to the relatively small size of PIN lesions and the presence of nonneoplastic cells. To bypass this problem, we utilized P-AKT S473 as a marker for functional loss of PTEN based on the previously reported observation that biallelic inactivation of Pten in PB-Cre;Pten Flox/Flox mice is characterized by a marked increase in P-AKT S473 levels 7 . We independently confirmed this and found high plasma membrane levels of P-AKT S473 in PB-Cre;Pten Flox/Flox lesions to closely correlate with markedly reduced PTEN immunolabeling (Fig. 4a).
Consistent with P-AKT S473 western blot data on prostates of 2month-old Pten +/mice (Fig. 2f, Supplementary Fig. 3c), normal prostate tissue of 6-month-old Pten +/mice did not show evidence of elevated P-AKT S473 immunostaining (Fig. 4a). In contrast, PIN lesions in these prostates consistently exhibited high P-AKT S473 and low PTEN labeling, reminiscent of Pten -/-PIN lesions (Fig. 4a-c). Strikingly, even emerging lesions showed such staining patterns, suggesting that functional loss of PTEN is an early or initiating event in neoplastic transformation (Fig. 4b, Supplementary Fig. 5a). On the other hand, P-AKT S473 and PTEN staining in PIN lesions of 6-month-old Pten HPN/HPN mice was indistinguishable from adjacent normal prostate tissue (Fig. 4a,c).
PIN lesions are rare and small in 2-month-old Pten +/mice but continuously increase in size and number as these mice age (Supplementary Fig. 5b). Consistent with this and the above immunolabeling results, complementary western blot analyses of whole prostate lysates of 2-, 6-and 9-month-old Pten +/mice demonstrated a progressive and strong increase in P-AKT S473 levels that coincided with decreasing levels of PTEN (Fig. 4d, Supplementary Fig. 5e,f). Furthermore, comparison to prostate lysates of Pten Δ4/Δ4 mice indicated that the increase in P-AKT in the context of neoplastic growth in Pten +/mice is considerably more robust.

PTEN S380D is unstable and drives PIN lesion formation
The observation that Pten S380A/A mice are not tumor prone despite PTEN instability, AKT hyperactivity, and chromosomal instability led us to hypothesize that PTEN molecules that are not phosphorylated at S380 have particularly potent tumor suppressive activity. We further explored this idea specifically within the context of prostate cancer through comparative analysis of PTEN S380A and its phosphomimetic counterpart PTEN S380D , which were generated by gene editing C57BL/6 fertilized eggs. Like Pten S380A/A mice, Pten S380D/D (D/D) mice were viable and overtly indistinguishable from Pten +/+ littermates.
Western blot analysis of prostate lysates from 2-month-old mice revealed that, just like PTEN S380A , PTEN S380D expression was reduced compared to wildtype PTEN ( Fig. 5a and Supplementary Fig. 6a).
Homozygous mutation of S380 to A or D had no apparent impact on the phosphorylation status of other C-tail residues as determined by probing western blots with phospho-specific antibodies against S380/ T382/T383 and S385 (Fig. 5a, Supplementary Fig. 6b,c). PTEN S380D distinguished itself from PTEN S380A with regards to subcellular distribution in that its nuclear levels were reduced rather than preserved as observed for PTEN S380A (Fig. 5b, Supplementary Fig. 6f).
Cycloheximide chase experiments in MEFs showed PTEN S380D levels were low due to reduced protein stability (Fig. 5c, Supplementary Fig. 6d). Actinomycin D chase experiments indicated that both the amount and the stability of Pten transcripts were normal in Pten S380A/A and Pten S380D/D MEFs ( Supplementary Fig. 6e). Pten transcripts contain alternative translational start sites, which yield two isoforms, PTENα and PTENβ, with 173 and 166 amino-acid N-terminal extensions, respectively 43,44 . Both these proteins are low abundance proteins relative to PTEN, with PTENα localizing to mitochondria and PTENβ accumulating in the nucleus. To determine the impact of the S380A and S380D mutations on PTENα and PTENβ expression, we examined presented as mean values ± SEM. Statistical significance was assessed by two-tailed unpaired t-test. d WB of lysates from prostates of indicated genotype and age in months (M), probed for PTEN, AKT, P-AKT T308 and P-AKT S473 . Ponceau S (PonS) staining served as loading control. N = 2 individual prostates per genotype and timepoint, except the 9-month sample (n = 1). Source data are provided as a Source Data file.
cell fractionations of Pten S380A/A , Pten S380D/D and Pten +/+ MEFs by western blot analysis using a PTEN antibody commonly used for PTEN isoform detection. With long exposure, PTENα and PTENβ were detectable in the membrane and nuclear fractions, respectively, regardless of genotype ( Fig. 5d, Supplementary Fig. 6f). In contrast to PTEN, PTENα and PTENβ levels were not negatively impacted by the S380A and S380D mutations and even increased in nuclear fractions of Pten S380A/A MEFs.
In analyzing the impact of the S380D mutation on AKT activity, we found elevated phosphorylation of AKT at T308 and consistent with this, several AKT substrates (Fig. 5e, Supplementary Fig. 7a-d), which is like what we observed in S380A. Furthermore, key mitotic defects of Pten S380A/A MEFs were also observed in Pten S380D/D MEFs, suggesting that PTEN instability rather than lack of S380 phosphorylation affects its centrosome-associated mitotic functions (Supplementary Fig 8).
Next, we quantified PIN lesions in 6-month-old Pten S380A/A and Pten S380D/D mice. PIN lesions were very rare and always early stage in Pten S380A/A mice, just like in Pten +/+ mice (Fig. 5f), which is consistent with the generalized lack of tumor predisposition of Pten S380A/A mice on an FVB genetic background. The same was true for Pten Δ4/Δ4 mice ( Supplementary Fig. 7e). In contrast, Pten S380D/D mice were prone to prostate neoplasia, with 2% and 0.1% of tubules showing PIN II and PIN III lesions, respectively (compared to 0.2% PIN II and 0% PIN III in Pten +/+ mice). At 9 months of age, Pten S380D/D prostates contained 10-fold more PIN III lesions than at 6 months, indicating that the tumor phenotype was progressive ( Supplementary Fig. 6g). Pten S380D/D lesions showed no evidence for PTEN loss when analyzed for PTEN and P-AKT S473 levels by immunofluorescence (Fig. 5g). These findings, together with similar observations in Pten HNP/HNP mice, indicate that mild prostate tumor phenotypes can develop with certain PTEN insufficiencies but that complete functional loss of PTEN is required for progression to more advanced stages of neoplastic transformation. If so, Pten S380A/and Pten S380D/mice would be expected to develop robust prostate cancer phenotypes reminiscent of Pten +/mice. Indeed, 6-month-old Pten S380A/and Pten S380D/mice had similar amounts of PIN II, PIN III, and PIN IV lesions as Pten +/mice (Figs. 3d, 5g). Importantly, these lesions were characterized by high P-AKT S473 and low PTEN compared to flanking normal prostate tissue (Fig. 5h).
WNT signaling is elevated in Pten S380D prostate epithelial cells To determine the PTEN tumor suppressive function that requires nonphosphorylated S380, we performed genome-wide transcriptome profiling on prostates of 2-month-old Pten +/+ , Pten S380A/A , and Pten S380D/D mice. At this age, lesions are very rare even in Pten +/mice, allowing for detection of early transcriptional changes associated with S380 phosphorylation status without transcriptional alterations from neoplastic tissue. Pten S380A/A prostates contained very few differentially expressed genes (DEGs) when compared to Pten +/+ prostates (Fig. 6a). In contrast, Pten S380D/D prostates contained 790 DEGs, of which 205 were upregulated and 585 downregulated. Unbiased gene set enrichment analysis (GSEA) indicated that Pten S380D/D prostates might be subject to aberrant signaling through WNT (Fig. 6b), which has been tightly associated with cancer, including prostate cancer 45 . Overrepresentation analyses for gene sets and transcription factor targets of the canonical, the noncanonical Ca 2+ , and the noncanonical PCP WNT signaling pathways indicated that canonical WNT signaling was hyperactive in Pten S380D/D prostates (Fig. 6c,d).
To validate this, we immunostained prostate sections of Pten +/+ , Pten S380A/A , and Pten S380D/D mice for β-catenin, and quantitated epithelial cells with nuclear localization of this protein as a measure for WNT signaling activity. Indeed, Pten S380D/D mice showed evidence of markedly increased WNT activation, with 51% of epithelial cells exhibiting nuclear β-catenin versus 22% and 23% in Pten S380A/A and Pten +/+ mice, respectively (Fig. 6e). Furthermore, nuclear β-catenin fluorescence was consistently more intense in prostate epithelial cells of Pten S380D/D than in those of the other two genotypes. Complementary analysis of Pten +/-prostates further indicated that this increase was specific for Pten S380D/D prostates. We also measured Wnt/β-catenin signaling activity using a transgenic reporter that expresses a H2B-EGFP fusion protein under the control of six copies of a TCF/LEF response element and a heat shock protein 1B minimal promoter 46 . Again, Pten S380D/D prostates showed a more than two-fold increase in the proportion of prostate epithelial cells with active WNT signaling compared to Pten +/+ , Pten +/-, and Pten S380A/A mice (Fig. 6f).
PTEN S380D targets β-catenin to exert oncogenic properties Expression of non-degradable mutant β-catenin in mice is sufficient to drive tumor formation in multiple tissues, including the prostate [47][48][49] . These findings, together with data from studies in cancer cell lines showing that PTEN interacts with β-catenin and inhibits its nuclear accumulation and transcriptional activity 50,51 , led us to speculate that increased nuclear β-catenin in prostate epithelium of Pten S380D/D mice is due to aberrant PTEN-β-catenin interaction and a driver of PIN lesion formation. Our observation that human recombinant PTEN precipitated human recombinant β-catenin in vitro indicative of direct protein-protein interaction further supported this idea (Fig. 7a). As a first step to investigate this further, we examined PTEN-β-catenin complex formation in the membrane, cytoplasmic, and nuclear fractions of Pten +/+ , Pten S380A/A and Pten S380D/D prostates using a coimmunoprecipitation approach. PTEN precipitates contained βcatenin in all three fractions regardless of genotype (Fig. 7b). The amounts of β-catenin that precipitated from the membrane or cytoplasmic fractions were comparable across genotypes. By contrast, PTEN S380D consistently precipitated more β-catenin from nuclear fractions than PTEN S380A or wildtype PTEN. In case of wildtype PTEN this is particularly striking because nuclear PTEN S380D levels are considerably lower than those of wildtype PTEN (Fig. 5b).
Next, we examined whether β-catenin hyperactivity underlies PIN lesion formation in Pten S380D/D mice by breeding a Ctnnb1 knockout allele into the strain and quantitating PIN lesions at 6 months of age. In this analysis, PIN lesions were rarely observed in Pten S380D/D ;Cttnb1 +/mice and always early stage, whereas PIN lesion predisposition in Pten S380D/D littermates was consistent with earlier assessments (Fig. 7c). Decreased PIN lesion formation in Pten S380D/D ;Cttnb1 +/mice coincided with fewer cells exhibiting nuclear β-catenin by immunofluorescence (Fig. 7d). No increase in nuclear β-catenin localization was observed in PIN lesions of Pten +/mice relative to normal flanking tissue (Fig. 7e). Collectively, these data suggest that PTEN C-tail hyperphosphorylation increases nuclear accumulation of β-catenin to promote neoplastic growth in the prostate.
To explore the potential clinical relevance of this pro-tumorigenic mechanism, we focused on human gastric cancers characterized by hyperphosphorylation of PTEN S380 using RNA-sequencing data available from TCGA [27][28][29] . Low expression of the PTEN C-tail phosphorylation inhibitor PDZK1 has been reported to correlate with S380 hyperphosphorylation and poor clinical prognosis in gastric cancer 28 . We therefore stratified TGCA gastric tumors based on PDZK1 mRNA levels into PDZK1 low (bottom 15%) and PDZK1 high (top 15%) cohorts, compared these two groups for differentially expressed genes, and then performed an overrepresentation analysis for target genes of LEF1, a β-catenin-dependent transcription factor associated with both gastric and prostate cancer progression 52,53 . Indeed, low PDZK1 correlated with LEF1 hyperactivity, whereas high PDZK1 did not (Fig. 8a), supporting the idea that PTEN C-tail hyperphosphorylation drives protumorigenic WNT signaling in gastric cancers in which PDZK1 expression is compromised. Next, we performed the same analysis for prostate cancers in the TCGA data base. Indeed, low PDZK1 expression also correlated with LEF1 hyperactivity in this tumor type (Fig. 8b). Analysis of PTEN transcript levels indicated that gastric and prostate cancers with low PDZK1 expression do express PTEN (Supplementary Fig. 9).

Discussion
The PTEN C-terminal tail is an intriguing domain in that it is rarely mutated in human cancers (https://cancer.sanger.ac.uk/cosmic), albeit, according to in vitro studies, implicated in the regulation of key PTEN properties linked to tumor suppression, including PTEN stability, localization, phosphatase activity, and homo-and heterotypic protein interactions 12,14,31,33,[36][37][38] . By introducing subtle C-tail domain mutations compatible with mouse embryonic and postnatal development when in homozygosity, we obtained several important insights into PTEN function. First, we demonstrate that Pten mutations that substantially reduce protein level and cause AKT hyperactivity do not necessarily predispose mice to spontaneous tumors. Second, we provide evidence to suggest that initiation of neoplastic growth in prostates of Pten haploinsufficient mice requires additional loss of PTEN function. Third, we provide data to suggest that a mutation that mimics hyperphosphorylation of PTEN C-tail residue S380 drives prostate neoplasia in mice through oncogenic activation of WNT signaling and that this mechanism is potentially relevant to human cancers.  Pten S380D prostates. a Venn diagram of differentially expressed genes (DEGs) from RNAseq analyses of prostates from 2-month-old mice of indicated genotypes. ↑, upregulated genes; ↓, downregulated genes. n = 3 independent mice/genotype. b Annotations from unbiased gene set enrichment analysis. Biological processes clustered by common function. FDR, false discovery rate. Significantly enriched (FDR < 0.25, -log 10 > 0.6) processes are shown. Bars represent maximum -log 10 (FDR) per functional group, and dots represent individual annotations for pathways under a given functional group. Numbers next to bars represent the total number of significant biological processes per group. c Overrepresentation of gene sets belonging to indicated WNT signaling pathways. d Overrepresentation of transcription factor targets belonging to indicated WNT signaling pathways. -log 10 > 1.3 (FDR < 0.05) in overrepresentation analyses is considered significant. e Immunostaining of prostates of indicated genotype stained for total ß-catenin. Arrowheads point to nuclear staining. The percentage of epithelial cells with nuclear staining is graphed. N, number of prostates analyzed, with 126-558 cells counted per prostate. f Schematic of TCF/LEF reporter mouse, bred onto indicated genetic background, with representative images of anterior prostate. DNA is marked with Hoechst (blue). Scale bar is 20 µm. The percentage of GFP-positive epithelial cells in anterior prostate is graphed. Data in (e and f) is presented as mean values ± SEM and statistical significance was assessed by ordinary one-way ANOVA followed by Dunnett's multiple comparisons test compared to +/+. Source data are provided as a Source Data file.
A large body of in vitro evidence indicates that C-tail phosphorylation reduces PTEN phosphatase activity 14,[27][28][29][30][31][32][33][34][35][36] . While data from our in vivo analysis of PTEN S380D prostates are consistent with this, those of PTEN Δ4 and PTEN S380A prostates are not, in that both mutants also exhibit reduced phosphatase activity despite a lack of critical phosphorylation. Our assessment of phosphatase activity is based on steady state levels of AKT T308 phosphorylation, which is a direct target of PI3K whose activity PTEN counteracts. AKT hyperactivity was further validated by increased phosphorylation of well-established AKT substrates. Increased AKT phosphorylation, which in PTEN Δ4 tissues was widespread, did not result in predisposition to tumorigenesis. This is even more surprising given that hitherto PTEN mutations that have been modeled in mice that show evidence of increased AKT phosphorylation are also tumor prone 7,8,21,23 . Strikingly, these models typically show aberrant AKT phosphorylation at the S473 mTORC2 target site. S473 was not subject to hyperphosphorylation in all PTEN S380A tissues examined, as well as in a subset of PTEN Δ4 tissues, indicating that PTEN's ability to inhibit mTORC2 activity is largely preserved 54 . It is therefore conceivable that complementary phosphorylation by mTORC2 at S473 is a requirement to generate oncogenic AKT kinase activity. However, both T308 and S473 are hyperphosphorylated in PTEN Δ4 prostates without causing tumor predisposition, which would argue against this explanation. It remains possible that T308 and S473 hyperphosphorylation in this tissue does not reach a level high enough to elicit AKT-mediated oncogenicity.
Beyond insufficiently high T308 and S473 modification, what might be other potential reasons for the uncoupling of AKT hyperactivity and tumorigenesis in our C-tail models? Although membraneassociated and cytoplasmic levels of PTEN S380A and PTEN Δ4 were markedly reduced, nuclear levels of these proteins were not. This raises the possibility that tumor suppressive functions beyond inhibition of AKT phosphorylation remain intact and their perturbation is a requirement for initiation of cellular transformation. The observation that nuclear PTEN S380D levels are low supports this idea. It is conceivable that PTEN that cannot be phosphorylated at S380, which applies to both PTEN S380A and PTEN Δ4 , reinforces a prominent tumor suppressive function that counteracts the pro-tumorigenic effects of uncontrolled PI3K-AKT signaling. This does not include PTEN's role in faithful chromosome segregation because all C-tail mutants exhibited centrosome-associated mitotic defects and were prone to aneuploidy. The abovementioned subcellular localization data on PTEN S380A and PTEN S380D highlight their distinct cellular properties and are in keeping with previously reported data indicating that the S380A mutation drives nuclear import by exposing the N-terminal PTEN NLS motif 55 . The distinct properties of PTEN S380A and PTEN S380D are further underscored by our observation that nuclear β-catenin c Percentage of prostate tubules (n = 5) with indicated PIN lesions at 6 months. PIN IV were not present and are therefore not depicted. d Immunostaining of prostates of indicated genotypes stained for total ß-catenin. Asterisks indicate epithelial cells with nuclear staining. Scale bar represents 10 µm. The percentage of epithelial cells with nuclear staining is graphed. 5 prostates per genotype were analyzed, with 137-230 cells counted per prostate. e As in (d) but now for Pten +/-PIN lesions and for Pten +/normal surrounding tissue. Data in (c-e) are presented as mean values ± SEM. Statistical significance in (c-e) was assessed by a two-tailed unpaired t-test. Source data are provided as a Source Data file.
Another feature of C-tail phosphorylation in vitro, PTEN protein stabilization, was observed in vivo, in that both PTEN S380A and PTEN Δ4 were expressed at markedly reduced levels. PTEN S380D , however, was also expressed at subnormal levels which at the surface seems inconsistent with what has been previously reported on PTEN C-tail phosphorylation. However, these earlier studies only tested PTEN stability of combination D mutants of S380/T382/383 (D3) or S380/ T382/383/S385 (D4) and did not include D mutants for the individual residues. Furthermore, it is important to consider that our experimentation was conducted in vivo, under physiological conditions with Article https://doi.org/10.1038/s41467-023-38740-x endogenous mutants, whereas the earlier work on C-tail phosphorylation was done in cancer cell lines with ectopically expressed PTEN variants. It should also be noted that even though A and D substitutions are the best available approaches to studying the different phosphorylation states of serine residues, these substitutions carry the risk that they may not accurately model PTEN's actual phosphorylation states. Assuming they are accurate, our observations in our studies of S380 mutant mice suggest that dynamic phosphorylationdephosphorylation of S380 is critical for PTEN stability and PI3K-AKT inhibition. Unlike PTEN, PTENα and PTENβ do not appear to be unstable further indicating that their post-translational regulation is distinct from canonical PTEN 56,57 . Whether PTEN stability and PI3K-AKT inhibition are similarly regulated by C-tail T382, T383 and S385 remains to be determined as the phosphorylation status of these residues did not seem to be impacted by S380 mutation.
PTEN stability is considered an important requirement for its tumor suppressive ability. On the surface, our results showing that mice with low PTEN levels retain the ability to suppress tumorigenesis seems to argue against this idea. However, a model that distinguishes between low amounts of wildtype PTEN and low amounts of mutant PTEN with or without the presence of wildtype PTEN has the potential to unify all the data. Specifically, because PTEN homodimerizes, the amount of functional complex may be low due to the dominantnegative actions of certain mutants, as was elegantly demonstrated in PTEN strains heterozygous for C124S or G129E 17 . The same may hold true in instances where a wildtype allele is paired with one of the many nonsense mutants found in human cancers. In our experiments, mice express low amounts of mutant PTEN protein in the absence of its wildtype counterpart, which is a different setting then low amounts of wildtype PTEN. Although the mutations we introduced do not mimic mutations found in human cancers, they provide important insights into the mechanisms of PTEN-mediated tumorigenesis that could be explored further as entry points for the development of new therapeutics tailored to a mainstream tumor suppressor. For instance, by interfering with C-tail phosphorylation, it may be possible to potentiate the tumor-suppressive potential of any residual PTEN present in cancer cells, thereby perhaps limiting their ability to survive and proliferate.
Homozygous inactivation of conditional Pten knockout alleles with a wide variety of Cre drivers has firmly established that complete loss of PTEN results in neoplastic transformation and robust constitutive PI3K-AKT-mTORC1 signaling 23 . However, Pten heterozygous mice often form tumors without evidence of sustaining loss of the wildtype Pten allele 8,18,19 , which led to the idea that PTEN is a haploinsufficient tumor suppressor, with partial reduction in wildtype PTEN level driving neoplastic transformation. However, a similar reduction in wildtype PTEN caused by homozygosity for a hypomorphic Pten allele did not replicate the robust tumor phenotype observed in Pten haploinsufficient prostates, which prompted us to further investigate the mechanism of prostate tumorigenesis in Pten +/mice. We demonstrate that neoplastic growth in Pten +/prostates is consistently associated with robust AKT S473 phosphorylation, which is a characteristic of complete PTEN loss 7 . We find that early-stage lesions consisting of small numbers of cells always exhibit robust AKT S473 phosphorylation. Importantly, such hyperactivity reliably coincides with a decline in PTEN immunofluorescence signal. These data indicate that a second event that compromises the function of the remaining wildtype Pten allele is a requirement for initiation of neoplastic growth. The finding that a knockout Pten allele in combination with a Pten S380D allele which affects PTEN stability and has protumorigenic properties seems to require a further loss of PTEN catalytic function to robustly initiate of PIN lesion formation further supports this conclusion.
Two observations argue against a critical tumor suppressive role for the PTEN C-tail domain. The first is our finding here that deletion of a relatively large portion of the C-tail (Δ4) does not promote tumor formation. The second comes from the analysis of COSMIC mutational signatures of human cancers showing that the C-terminal tail domain is rarely a direct mutational target. However, in gastric cancers C-tail hyperphosphorylation correlates with increased AKT phosphorylation, thus presenting a C-tail-related mechanism by which PTEN may lose its tumor suppressive ability 27,28 . Although tumor promoting effects of excessive C-tail phosphorylation could, in principle, also be accomplished by mutation of S380 or other phospho-residues to phosphomimetics, such conversions would each require multiple nucleotide substitutions and would therefore be unlikely. Aberrant kinase activity, on the other hand, is a much more realistic scenario for hyperphosphorylation of PTEN C-tail residues given that the main kinase involved, CK2, is frequently overexpressed or otherwise hyperactivated in human cancers 58 . Although uncontrolled C-tail phosphorylation may drive tumorigenesis through loss of PTEN catalytic activity, our discovery that PTEN S380D in mice drives neoplastic growth through hyperactivation of the WNT/β-catenin pathway, implies that excessively phosphorylated PTEN can also act in an oncogenic manner. The concept that tumor suppressors can serve as macromolecular double agents with tumor suppressive and oncogenic functions is not new. For instance, for p53 it has been reported that several tumor-associated p53 mutants lack key tumor-suppressive functions while gaining new activities to promote tumorigenesis 59,60 . In this context, it is important to emphasize that although we find that oncogenic β-catenin/WNT signaling is critically required for PIN formation in Pten S380D/D mice, it is well possible that the observed partial loss of tumor suppressive PTEN functions (as reflected in the increase in PI3K-AKT signaling and mitotic errors) cooperates with aberrant β-catenin/WNT signaling.
In probing the potential clinical relevance of this oncogenic PTEN mechanism, we obtained transcriptomic evidence suggesting that WNT/β-catenin activity is indeed elevated in gastric tumors with increased PTEN C-tail phosphorylation due to PDZK1 insufficiency. Interestingly, Heliobacter (H.) pylori infection, the primary known risk factor of gastric cancer, yields malignancies that are characterized by elevated WNT/β-catenin signaling and increased PTEN phosphorylation at S380, T382 and T383 29,61 . This, together with the observation that H. pylori induces phosphorylation at these same residues in cultured gastric epithelial cells 32 , raises the possibility that bacterially induced PTEN C-tail phosphorylation drives aberrant WNT signaling during gastric tumorigenesis. The benefits of H. pylori eradication to gastric cancer patients 62,63 may thus in part be attributable to normalization of PTEN C-tail phosphorylation. In extending our transcriptomic analysis to human prostate cancers, we found low PDZK1 to also correlate with hyperactivation of the WNT/β-catenin pathway in this tumor type. It should be noted that low PDZK1 expression is likely to also affect the phosphorylation status of proteins other than PTEN. Anyways, our experiments set the stage for future immunostaining experiments examining whether PTEN C-tail hyperphosphorylation correlates with nuclear accumulation of β-catenin. For this purpose, we will be using samples of prostate cancer patients that have previously been characterized for PTEN expression status 64 . Also, given the mounting evidence for pro-tumorigenic effects of PTEN C-tail phosphorylation, it will be interesting to further explore the therapeutic relevance of CK2 inhibitors such as CX-4945 (Silmitasertib) for the treatment of gastric cancers and other malignancies characterized by CK2 overexpression and elevated PTEN-Ctail phosphorylation 65 .

Methods
The research presented complies with all relevant ethical regulations. Studies involving laboratory mice were reviewed and approved by the Mayo Clinic Institutional Animal Care and Use Committee, in compliance with national ethical guidelines. The study has been reviewed by the Mayo Clinic Conflict of Interest Review Board and is being conducted in compliance with Mayo Clinic Conflict of Interest policies.

Mouse strains
All mice were housed in a pathogen-free barrier environment with ad libitum access to food and water and 12 h light and dark cycles. The temperature was kept between 68 and 79°F, with an average of 71°F, and a humidity target range between 30 and 70%, with an average of 45%. Mice were euthanized by CO2 inhalation. According to Mayo Clinic Institutional Animal Care and Use Committee policy, a mouse with a tumor meeting any of the following criteria requires immediate euthanasia: size being 10% of body weight, ulceration, or interference with vital functions. No animal in this study exceeded or violated these conditions. All non-purchased mouse strains were created by Mayo Clinic's Gene Knockout and Transgenics core facility. Standard gene targeting and embryonic stem cell technology was used to create Pten TKV mice 26 .
Pten S380A mice were generated by CRISPR-Cas9-mediated gene editing in FVB zygotes (Envigo) by injecting Cas9 mRNA, a gRNA 5′-TCAGAATATCTATAA TGATC-3′ (guide target sequence) and a singlestrand oligodeoxynucleotide (ssODN) 5′-GGTTCATTCTCTGGATCAG AGTCAGTGGTGTCGGCATATCTAT AATGATCAGGTTCATGTCACTAA CATCTGGAGTCACAGAAGTTGAACTGCTA GCCT-3′ ( Supplementary  Fig. 1a). The same Cas9 mRNA, gRNA and ssODN were used to obtain Pten S380A mice on a C57BL/6 background, but here the injections were in C57BL/6 zygotes. Pten S380D mice were directly generated in C57BL/6 background with the same gRNA as for Pten S380A but with the following ssODN, 5′-AAACAGTAGAGGAGC CAT CAAA TCCA GAGGCTAGCAGT TCAACTTCTGTGACTCCAGATGTTAGTGACAATG AACCTGATCATTAT AGATATGACGACACCACTGACTCTGATCCAGAGAATGAACCTTTTGAT GAAGATCAGCATTC ACAAATTACAAAAGTCTGA-3′. For each of these strains we obtained multiple independent founder lines. DNA sequencing confirmed that they contained the anticipated nucleotide changes designed to create the S380 to A or D substitutions. To minimize the risk of off-target genetic alterations introduced with CRISPR/CAS9 mediated mutagenesis that could impact PTEN function beyond the S380D substitution, we backcrossed the initial FVB and C57BL/6 founder mice two times to wildtype FVB and C57BL/6 mice, respectively, before intercrossing them to generate the homozygous animals. To further minimalize the risk for off-target alterations we performed complementary transcript and protein analysis.
Western blot analysis, cell fractionation, immunoprecipitations and cycloheximide chase Western blot analysis and immunoprecipitation were carried out according to standard procedures. Tissue and MEF lysates were prepared in NP40 lysis buffer with protease inhibitors, mixed with Laemmli Sample Buffer and boiled for 10 min prior to gel loading. Subcellular fractionation was performed using the protein fractionation kit (78840 and 87790; Thermo-Fisher) according to manufacturer's instructions. In vitro protein binding studies were conducted in 100 µl PBS at RT using recombinant human PTEN (R&D systems Cat. #847-PN) and recombinant human β-catenin (Sino Biological Cat. #11279-H20B). 250 ng PTEN and 500 ng β-catenin were incubated for 60 min after which 1 µg rabbit polyclonal antibodies against C-terminal human PTEN (Invitrogen Cat.

Mitotic analyses
All mitotic analyses have been previously described 26 . Briefly, chromosome counts were performed on metaphase spreads from colcemid-treated MEFs. Chromosome segregation errors were tabulated by following live MEFs (at least 28 cells per cell line), transduced with lentiviral TSIN-histone 2b-mRFP to mark DNA red, through mitosis via live cell imaging with a microscope system (Axio Observer; (Carl Zeiss) with CO 2 Module S, TempModule S, Heating Unit XL S, a plan Apo 63× NA 1.4 oil differential interference contrast III objective (Carl Zeiss), camera (AxioCam MRm; Carl Zeiss), and Zen Blue software (Carl Zeiss). For spindle geometry analysis, γ-tubulin/α-tubulinstained MEFs in metaphase, with centrosomes in the same focal plane, were imaged using a confocal laser-scanning microscope (LSM 880; Carl Zeiss) on an Axio Observer Z1 inverted microscope with spectral detectors (32ch 2PMT GaAsP; Carl Zeiss) and a water-immersion lens (C-Apochromate 40x/1.2 NA Korr. FCS; Carl Zeiss). ZEN Black v.14.0.24.201 software (Zeiss) was used to measure the angle between the spindle and the metaphase plate (DNA marked with Hoechst). Cells that had an acute angle between the spindle pole axis and the metaphase plate of <85°or more than 95°were considered asymmetrical. For centrosome distance measurements in prophase, cells were stained for pH3 S10 /γ-tubulin/Hoechst, and images were taken by laserscanning microscopy as described above of cells with centrosomes in the same focal plane. The distance between centrosomes (γ-tubulin signals) was measured using ZEN Black software (Zeiss). Prophases with centrosome distance/nuclear diameter ratio ≤0.5 were considered delayed.

Histopathology and immunostaining
For prostate sectioning and PIN lesion scoring, whole prostates were typically isolated at 6 months, formalin-fixed and paraffin-embedded with the anterior lobes flattened at the bottom of the block (come across first while sectioning). The entire prostate was then sectioned in 5 µm sections, collecting two sections per slide and 5 slides per level. After each level we skipped 150 µm, before collecting at the following level. The first slide at each level was used for H&E staining and PIN lesion scoring according to Park et al. 66 , which meant that we analyzed every 200 µm. Per level we counted the total number of tubules and the total number of each type of PIN. In the end, all levels would be added together, and the percentage of PIN-positive tubules calculated.
For immunostaining of tissue, tissues were collected, formalinfixed, paraffin-embedded and sectioned at 5 µm thickness. According to standard technique, paraffin sections were rehydrated prior to antigen retrieval with low pH citrate buffer (Vector labs) for 20 min in a pressure cooker, followed by treatment with Image-It FX Signal enhancer (Invitrogen), blocking and antibody incubation overnight at 4°C. Alexa Fluor-conjugated goat-anti-rabbit, goat-anti-mouse or isotype-specific goat-anti-mouse secondary antibodies were used followed by Hoechst staining to mark DNA. In the case of double staining with PTEN and P-AKT S473 -conjugated Alexa fluor 488, the slides were first stained for PTEN, washed, incubated with secondary antibody, washed, blocked and then incubated with the conjugated P-AKT S473 antibody. In the case of the TCF/LEF reporter mice, tissues were fixed in 4% PFA for 2 h, followed by 30% sucrose in PBS overnight before being snap frozen in OCT in cryomolds. Cryosections were cut and DNA was marked with Hoechst staining, while cells expressing the reporter gene were marked by endogenous GFP.
For immunostaining of MEFs, in case of Eg5, γand α-tubulin staining, cells were fixed in PBS/1% paraformaldehyde (PFA) for 5 min at RT, followed by ice-cold methanol for 10 min and permeabilization with 0.2% Triton X-100 for 10 min at RT. For PTEN staining, MEFs were fixed in 3% PFA for 12 min at RT, followed by permeabilization with 0.2% Triton X-100 for 10 min at RT.
PTEN rabbit polyclonal antibody 2551 for immunostaining of tissue was generated by immunizing a rabbit with GST-tagged recombinant C-domain mouse PTEN (amino acids 239-403) expressed in Escherichia Coli, purifying the IgG from antisera, and testing specificity by immunoblotting against whole cell lysates from MEFs positive and negative for PTEN ( Supplementary Fig. 5c). Antibodies were further tested by IF on immortalized Pten Flox/Flox MEFs with stably transfected lentivirus TSIN-empty vector or TSIN-Cre ( Supplementary Fig. 5d).
Cells and tissue were imaged with a laser-scanning microscope (LSM880, Carl zeiss) as described under "Mitotic Analyses" with either a 40× water-immersion lens or a 100× Alpha Plan-APO 100×/1.46 Oil DIC VIS lens, or with a fluorescent microscope (Olympus BX63, with standard 10×, 20× and 40× lenses).

RNAseq library preparation, sequencing and bioinformatic analyses
RNA extraction from prostates (RNeasy Mini kit, #74104, QIAGEN) was performed according to the manufacturer's instructions. RNA quality and quantity were assessed using Agilent Bioanalyzer RNA 6000 Pico chips (5067-1513, Agilent Technologies). Equal amounts (300 ng) of high-quality RNA were subjected to library preparation using the TruSeq RNA Library Prep kit v2 (RS-122-2001, Illumina) according to the manufacturer's instructions. Libraries were sequenced following Illumina's standard protocol using the Illumina cBot and HiSeq 3000/ 4000 PE Cluster Kit. Flow cells were sequenced as 100 × 2 paired-end reads on an Illumina HiSeq 4000 using HiSeq 3000/4000 sequencing kit and HCS v.3.3.20 collection software. Base-calling was performed using Illumina's RTA v.2.5.2 software. RNA sequencing was performed at the Mayo Clinic Center for Individualized Medicine Medical Genomics Facility (Mayo Clinic, Rochester, Minnesota). Fastqfiles of pairedend RNA-Seq reads were aligned with Tophat v.2.0.14 67 against the UCSC reference genome mm10 (http://genome.ucsc.edu/cgi-bin/ hgGateway?db=mm10) using Bowtie v.2 2.2.6 with default settings. Gene level counts from read pairs were obtained using FeatureCounts v.1.4.6 from the SubRead package 68 and gene models from the UCSC mm10 annotation. Differential expression analysis was performed using R package DESeq2 v.1.10.1 after removing genes with average raw counts <10 69 . Genes with lfcMLE (unshrunken maximum likelihood estimate of log 2 fold change produced by DESeq2) >0.45 or <-0.45, and FDR < 0.05 were considered significantly differentially expressed. Gene Set Enrichment Analysis (GSEA) 70 was performed to detect enriched pathways against mouse gene sets from Enrichment Map using gene lists ranked by lfcMLE, in descending order. Overrepresentation analysis for transcription regulatory targets of individual TFs was performed using the Fisher's exact test method for selected gene lists against the mouse gene sets from ENCODE (https://www.encodeproject.org/) and MSigDB (https://www.gseamsigdb.org/gsea/msigdb/mouse/collections.jsp) collections. For over-representation analysis on gastric and prostate cancers in the TCGA database, we obtained transcriptomic data from the GDC portal by using R package TCGABiolinks as raw counts. Samples were normalized using DESeq2 and grouped based on normalized PDZK1 expression: samples with PDZK1 level lower than 15 percentiles were considered low-PDZK1 and those higher than 85 percentiles high-PDZK1. Differential PTEN expression analysis between these two groups was performed using DESeq2. For assessing enrichment of LEF1-activated genes between the two groups, the Fisher's exact test was used to determine overrepresented gene sets in significantly upregulated genes (p < 0.05 and log fold change ≥ 1) in the PDZK1-low group. Morpheus (Broad Institute) was used to generate heatmaps.

Statistical analyses
GraphPad Prism software version 9.3.1 was used for statistical analyses. Error bars represent error of the mean. Statistical significance was determined using two-tailed Fisher's exact test, two-tailed unpaired ttest, one-way analysis of variance (ANOVA) with Dunnett's or Tukey's multiple comparisons test. P values are indicated in the figures and can also be found in the Source Data file. Sample sizes for all animal studies were chosen based on previously published studies in which differences were observed. The experiments were not randomized, and the investigators were not blinded.

Reporting summary
Further information on research design is available in the Nature Portfolio Reporting Summary linked to this article.

Data availability
The RNAseq data generated in this study have been deposited in the NCBI GEO database under accession code GSE206157. Open access transcriptomic data for our over-representation analyses on gastric and prostate cancers were obtained via Genomic Data Commons Data Portal (NCI) and downloaded as raw counts using R package TCGA-Biolinks. All remaining data are available within the paper, Supplementary Information, or Source data file. Source data are provided with this paper. Biological materials generated in this paper are available from the corresponding author. Source data are provided with this paper.