Prostate cancer (PCa) is the second most commonly diagnosed cancer worldwide, with 1,467,854 new cases (14.2%) and approximately 397,430 deaths (7.3%) per year, according to GLOBOCAN 2022 (Bray et al., 2024). In Mexico, more than 26,565 new cases are registered annually, making PCa the most frequent cancer among men (27.7% of all male cancers) and causing around 7,358 deaths per year (Bray et al., 2024). In particular, Sinaloa reports the highest incidence of PCa cases nationwide (Ertay, 2023), representing a significant public health challenge.
PCa arises from abnormal prostate growth due to uncontrolled proliferation of malignant cells (Moradi, 2022). It mainly affects men over 65 years, as the disease progresses slowly and is often asymptomatic. When present, symptoms may include fatigue, anemia, skeletal complications such as pain, fractures, or spinal cord compression, and kidney failure caused by bilateral ureteral obstruction. Diagnosis is primarily based on prostate-specific antigen (PSA) testing and biopsies, while treatment options include androgen-blocking drugs, chemotherapy, radiotherapy, and prostatectomy (Morote et al., 2016; Pérez et al., 2020; Savón Moiran, 2019). Although its etiology is not fully understood, several factors have been implicated, including age, ethnicity, diet, inflammation, lifestyle, family history, and genetic alterations in genes such as ATM, BRCA1, BRCA2, RAS, HOXB13, and PTEN (Pérez et al., 2020; Sekhoacha et al., 2022; Pejčić et al., 2023).
PTEN is a tumor suppressor gene located at 10q23 that encodes a 403-amino-acid protein expressed in all tissues. It contains two main domains: a catalytic phosphatase domain (PTP) spanning amino acids 22–185, which removes phosphate groups, and a C2 domain (amino acids 190–351) that anchors the protein to membranes (Mirantes, 2015; Ortega-Molina & Serrano, 2013; Sotelo, 2011).
Structurally, the phosphatase domain has five central β-sheets flanked by α-helices and contains the characteristic HCXXGXXR motif found in protein tyrosine phosphatases (PTPs) and dual-specificity phosphatases (DSPs) (Mirantes, 2015; Persad et al., 2000; Sotelo, 2011). It can dephosphorylate phosphotyrosine, phosphothreonine, and the D3 position of PIP3 (phosphatidylinositol 3,4,5-triphosphate) (Mirantes, 2015; Persad et al., 2000). The C2 domain has a β-sandwich structure formed by two antiparallel β-sheets and two α-helices, enabling Ca²⁺-independent membrane binding (Castiblanco, 2006; Torrecillas Sánchez, 2010; Sotelo, 2011).
As a tumor suppressor, PTEN antagonizes the PI3K/AKT signaling pathway. It acts as a lipid phosphatase, converting PIP3 into PIP2 to regulate cell proliferation, differentiation, and apoptosis (Ho, 2020). PTEN is frequently mutated in human tumors, and these mutations can impair protein stability and function. The most commonly reported PTEN mutations—R130X, R233X, and R335X—occur in glioblastoma, endometrial cancer, and PCa (Yehia, 2020; Ertay, 2023). Studying PTEN alterations, its interactions, and their role in PCa is therefore crucial.
In silico studies provide valuable insights into PTEN’s structure and interactions, enabling predictions of functional consequences and guiding subsequent in vitro experiments (Calabrese, 2009).
The present study aimed to analyze the structural effects of reported PTEN mutations in silico and their potential relationship with PCa. Additionally, these mutations are proposed as targets for future in vitro studies, which may identify molecular markers for PCa diagnosis.