Brain patterning perturbations following PTEN loss

This review will consider the impact of compromised PTEN signaling in brain patterning. We approach understanding the contribution of PTEN to nervous system development by surveying the findings from the numerous genetic loss-of-function models that have been generated as well as other forms of PTEN inactivation. By exploring the developmental programs influenced by this central transduction molecule, we can begin to understand the molecular mechanisms that shape the developing brain. A wealth of data indicates that PTEN plays critical roles in a variety of stages during brain development. Many of them are considered here including: stem cell proliferation, fate determination, polarity, migration, process outgrowth, myelination and somatic hypertrophy. In many of these contexts, it is clear that PTEN phosphatase activity contributes to the observed effects of genetic deletion or depletion, however recent studies have also ascribed non-catalytic functions to PTEN in regulating cell function. We also explore the potential impact this alternative pool of PTEN may have on the developing brain. Together, these elements begin to form a clearer picture of how PTEN contributes to the emergence of brain structure and binds form and function in the nervous system.


INTRODUCTION
Phosphatase and TENsin homolog (PTEN) is a protein/lipid phosphatase that is responsible for regulating a myriad of signal transduction events in the brain including those essential for central nervous system patterning. It is an ancient component of many highly conserved signaling pathways including most notably the Phosphatidyl Inositide 3-Kinase (PI3K)/mammalian Target Of Rapamycin Complex 1 (mTORC1) pathway for which PTEN serves as a major antagonist (Figure 1). This article will explore the roles of this enzyme based on findings made primarily using genetic loss-of-function studies within the developing and adult nervous system and disciplines beyond where appropriate. Recent reviews have addressed the general cell biological functions of PTEN as well as the regulatory mechanisms controlling its activity and expression (Song et al., 2012;Ortega-Molina and Serrano, 2013). Many of its roles in mature nervous system physiology and pathology are tackled by other articles within this Research Topic. Here, we explore diverse aspects of brain development influenced by PTEN including progenitor cell proliferation, cell fate determination, migration, polarity, axon-dendrite morphogenesis, cell soma size, and myelination (Figure 2). The observations discussed in this review reveal PTEN's key roles in cellular signaling that have the potential to be harnessed via cellular, pharmacologic and genetic strategies to improve disease outcomes (Yang et al., 2009;Ortega-Molina and Serrano, 2013;Maire et al., 2014).

CELL PROLIFERATION/CELL FATE
The control of cell cycle timing and differentiation in the developing brain are essential elements for populating the nervous system with the appropriate numbers and types of cells. Multiple studies have demonstrated a key role for PTEN in stem cell maintenance and fate specification utilizing Cre recombinase mouse strains to conditionally knockout (cKO) PTEN expression in various populations of cells in the embryonic retina and brain, early post-natal, and adult brain regions including the cerebellum, cortex, hippocampus. We have included an accompanying table listing the Cre lines discussed in this review along with their primary reference and expression patterns ( Table 1). Examination of regulated loss-of-function models has resulted in many unifying themes of PTEN function and observations that implicate extra-cellular, trans-cellular or cell-type specific roles for PTEN. While Cre recombinases offer a tremendous asset for understanding tissue and cell-type specific gene function, it is important to consider that recent work indicates that the timing of recombination may not correspond with the expected promoter-based expression pattern (Liang et al., 2012;Harno et al., 2013).

DEVELOPING RETINA/OLFACTORY BULB
Conditional removal of PTEN expression in the developing retina in Paired box 6 (Pax6)-Cre or CEH10 Homeodomain Containing Homolog promoter-driven Cre (Chx10 Cre ) mice results in alterations in progenitor maintenance and specification/differentiation (Cantrup et al., 2012;Sakagami et al., 2012). Pax-6-Cre-mediated deletion results in accelerated neurogenesis and premature loss of retinal progenitor cells accompanied by tissue hypertrophy not attributed to excessive stem cell production (Cantrup et al., 2012). This is in contrast to observations from other neuronal progenitor populations (see below) and illustrates the importance of spatio-temporal context in determining the cellular consequence to PTEN loss. Interestingly, recent evidence also from the developing retina indicates that PTEN is necessary in Notch-coordinated neurogenesis by downregulating Akt/protein kinase B signaling and allowing the intracellular domain of Notch to form a transcriptionally active complex in the nucleus (Jo et al., 2012). In contrast, increased PTEN expression in the developing retina of mice lacking the transcriptional repressive orphan nuclear receptor TLX/NR2E1 has been proposed to contribute to decreased proliferation and increased apoptosis . Similar progenitor cell alterations in the cerebral cortex of TLX-null mice are thought to be due to parallel perturbations in PTEN signaling as well as in expression of cyclins and cyclin regulatory proteins (Li et al., 2008a). Given the broad scope of genomic loci potentially targeted by the TLX repressor complex, more work remains to resolve the relationships between the phenotypes such as altered cell proliferation and apoptosis observed following loss of either PTEN or TLX/NR2E1. Olfactory bulb (OB) progenitor cells exhibit both similar and distinct responses to PTEN modulation. In this case, expression of a catalytically inactive form of PTEN led to increased differentiation, and over-expression of PTEN in OB progenitors was observed to inhibit differentiation without affecting cell survival or proliferation (Otaegi et al., 2006). Treatment with insulin-like growth factor 1 (IGF1) was able to overcome this suppression, reinforcing the importance of extra-cellular influences on PTEN's impact on transduction. This effect of insulin-like growth factor on progenitor proliferation is reinforced by a recent study exploring the genetic interaction of the apical complex protein Pals1 and PTEN (Lehtinen et al., 2011). This study showed that PTEN enhances signaling of insulin-like growth factors present within cerebrospinal fluid through regulation of the IGF1 receptor expression.

EMBRYONIC NEURAL STEM CELLS
Embryonic studies using various Cre recombinase deletion lines share the common feature that elimination of PTEN expression results in alterations in stem cell niche maintenance and proliferation (Backman et al., 2001;Groszer et al., 2001;Kwon et al., 2001;Fraser et al., 2004;Kwon et al., 2006a;Fraser et al., 2008;Gregorian et al., 2009). Similar observations have been made regarding adult neurogenesis in the hippocampus and subependymal zone (SEZ)/sub-ventricular zone (SVZ) (Bonaguidi et al., 2011;Amiri et al., 2012;Zhu et al., 2012). The observations that PTEN loss accelerates G1/S transition (Sun et al., 1999) and promotes G0 exit into the cell cycle (Groszer et al., 2006) provide an excellent backdrop to consider the effects of PTEN deletion in neural progenitors. Given the early lethality of whole-body PTEN deletion, Nestin-Cre provided one of the first avenues into how neural progenitors respond to loss of this key regulatory molecule (Groszer et al., 2001). An increase in Bromodeoxyuridine (BrdU)-labeled cells in the telencephalic ventricular zone coupled with reduced TUNEL staining indicated a derangement in the normal balance of neural progenitors. Embryonic day 14.5 neurosphere cultures from PTEN mutant mice displayed an increase in proliferative capacity compared to controls. Postnatal analysis of mice expressing a version of glial fibrillary acidic protein (GFAP) promoter-directed Cre did not detect significant alterations in cell proliferation, but observed other phenotypes including seizures, ataxia, and macrocephaly (Backman et al., 2001;Kwon et al., 2001). Prenatal loss of PTEN, mediated by Human GFAP (hGFAP) promoterregulated Cre, results in a significant increase in the number of astrocytes following deletion (Fraser et al., 2008). This difference in the effect of PTEN loss highlights cell-type specific responses and sensitivity to the timing of the Cre recombination deletion during development. Cre recombinase regulated by the dorsal telencephalon-restricted transcription factor Emx1 promoter also reveals an expanded progenitor proliferation following embryonic deletion of PTEN (Lehtinen et al., 2011). Conditional cerebellar PTEN deletion using Engrailed 2 (En2)-Cre revealed decreased proliferation and cell death (Marino et al., 2002). Premature differentiation of Bergmann glia has been detected by studies focused on the cerebellum of floxed PTEN mice either using hGFAP-Cre, or mice injected with virally encoded Cre (Yue et al., 2005). Together, these studies place PTEN as a modulator of proliferative/apoptotic balance during embryonic brain development.

ADULT NEURAL STEM CELLS
Adult neurogenesis is believed to represent a continuation or recapitulation of embryonic programs in privileged cellular niches, namely the subgranular zone of the dentate gyrus and SEZ/SVZ. The role of PTEN in this progenitor population has been pursued using four distinct Cre mouse lines, including a third version of GFAP driven Cre (mGFAP) with expression limited to postnatal progenitors (Gregorian et al., 2009). The mGFAP line was used to delete PTEN and determine the effect in SEZ progenitors. Neurospheres derived from these animals demonstrated an enhanced ability for self-renewal (Gregorian et al., 2009), a result paralleling previous observations in neurospheres derived from embryonic tissue (Groszer et al., 2001(Groszer et al., , 2006. The effect of PTEN loss in the SEZ/SVZ progenitors has also been explored using three estrogen receptor T2 (tamoxifen-inducible) Cre (ERT2-Cre) lines controlled by the Nestin promoter (Nestin-ERT2) (Bonaguidi et al., 2011;Amiri et al., 2012;Zhu et al., 2012) but no significant difference in proliferating progenitors of the SVZ was found . However, an expanded SEZ/SVZ and rostral migratory stream (RMS) of cells migrating to the OBs was noted, similar to that observed using mGFAP-Cre (Gregorian et al., 2009) or Olig2 Cre (Maire et al., 2014) deletion of PTEN, both of which eliminate PTEN in the SVZ. The expansion in the case of the Nestin-ERT2 animals was found to be due, in part, to ectopically differentiated neurons in both locations as opposed to the typical neuroblasts found in these regions, consistent with perturbed differentiation following PTEN ablation. The SVZ expansion in this particular model was also shown to be dependent on mTORC1 signaling as rapamycin treatment was able to prevent it . A role for PTEN in the adult neurogenic niche of the dentate gyrus where stem cells exist at various stages of lineage from neural stem cells to intermediate progenitors and finally nascent neuroblasts has also been explored using cre mouse strains. This cell population was also targeted by using Nestin-ERT2 Cre in which either single clonal cells (Bonaguidi et al., 2011) (Zong et al., 2005). This approach permitted lineage tracing from particular progenitors to detect proliferation and differentiation of individual clonal populations. Three distinct observations were made from these clones one month after labeling and deletion of PTEN: (1) There was a reduction in quiescent progenitors, (2) clones had predominately undergone symmetric division-based stem cell expansion and (3) clones had depleted their progenitors and consisted of astrocytes, cells transitioning into astrocytes, or neurons (Bonaguidi et al., 2011). The majority of clones fell into the last category, indicating a failure to maintain stem cell identity by those progenitors that lacked PTEN expression. This parallels the findings of Amiri et al. that neurospheres derived from PTEN-null progenitors had an increased propensity to undergo differentiation following growth factor withdrawal (Amiri et al., 2012). Similarly, using BrdU to fate map the progeny following acute deletion of PTEN, it was revealed that progenitor depletion followed an early surge of neuro/glio-genesis, with a bias toward astrocyte generation similar to that observed by Bonaguidi et al.
The results discussed above indicate the importance of PTEN expression and emerging data from microRNA studies indicate that cells have mechanisms to post-transcriptionally regulate PTEN levels. Recent evidence implicating the miR-17-92 microRNA cluster in regulating neural progenitor expansion and differentiation also demonstrates that targeting PTEN expression is one mechanism involved via miR-19, a microRNA encoded within the miR-17-92 cluster (Figure 1) (Bian et al., 2013). Interestingly, an additional level of regulation may exist for PTEN based on the discovery that a processed pseudogene RNA, PTENP1, can act as a microRNA decoy or competing endogenous RNA (ceRNA) (Figure 1)  to negate or modulate the effect of microRNAs on PTEN expression (Poliseno et al., 2010). Future studies will be required to define the developmental, cell-type and species-specific expression patterns for this pseudogene in the nervous system, as one study found that mice lack PTEN pseudogenes (Kwabi-Addo et al., 2000). Similarly, the transcriptional co-activator Yes-associated protein (YAP) has been shown to negatively regulate PTEN levels by controlling microRNA miR-29a transcription (Figure 1) (Tumaneng et al., 2012). Remarkably, overexpression of YAP and its co-activator TEAD, through upregulation of cell cycle genes such as Cyclin D1 increases neural progenitor proliferation (Lavado et al., 2013). However, Cyclin D1 expression does not appear to account for the effect of YAP/TEAD. It is possible that miR-29a may mediate these effects by lowering PTEN levels, contributing to increased progenitor proliferation. Telencephalic deletion of the tumor suppressor Neurofibromatosis 2 (NF2)/Merlin increases transcription of YAP/TEAD targets (Figure 1), resulting in increased progenitor proliferation in the cortex and hippocampus (Lavado et al., 2013) similar to that seen in PTEN loss. This observation represents a tantalizing link between PTEN and NF2, two proteins previously described as tumor suppressors. These data regarding microRNAs, along with a wealth of data demonstrating that PTEN is regulated at both transcriptional and post-translation levels (Song et al., 2012;Ortega-Molina and Serrano, 2013), indicate the tremendous amount of cellular resources dedicated to regulating PTEN expression, localization and enzymatic activity. It is unknown what portion of the cell cycle/differentiation alterations following deletion of PTEN in the nervous system are the result of disregulated signal transduction related to the PI3K/mTORC1 pathway. Recent discoveries offer the possibility that additional, non-phosphatase dependent modes of action may exist for PTEN in the nucleus contributing to cell fate.
An emerging aspect of PTEN regulation of cell fate arises from the nuclear pool of PTEN first observed by Lachyankar et al. in nerve growth factor-treated PC12 cells and brain-derived neurotrophic factor-treated neurospheres (Lachyankar et al., 2000), and since that time a neuronal role for this component of PTEN has been sought. One function for nuclear PTEN is the regulation of the Anaphase-Promoting Complex (APC)/CDH1 complex through a protein-protein interaction yet independent of PTEN's phosphatase activity (Figure 1) (Song et al., 2011). Importantly, APC/Cdh1 has been previously shown to transcriptionally regulate genes associated with neuronal differentiation (De La Torre-Ubieta and Bonni, 2011). The nucleo-cytoplasmic shuttling of PTEN is regulated by the deubiquitinating enzyme HAUSP/USP7 (Figure 1), and cKO of HAUSP in the brain demonstrated profound phenotypes that may involve the loss of cytoplasmic PTEN (Kon et al., 2011). This possibility awaits further experiments as Kon et al. focused on the role of HAUSP regulation of p53. Their results indicated that p53 loss did not completely rescue the loss of HAUSP, leaving open a role for PTEN in HAUSP-cKO mice. A nuclear function for PTEN presents an intriguing link between the observed progenitor cell phenotypes in models of PTEN loss. This includes the observation that PTEN over-expression inhibits the induction of gene expression profiles consistent with neuronal differentiation in PC12 cells and that the effect is not due exclusively to perturbing growth factor signal, as PI3K and MAPK inhibitors were insufficient to replicate this effect (Musatov et al., 2004). This may indicate that excess PTEN protein may have sequestered crucial nuclear co-factors such as APC/CDH1 from their appropriate cellular locations and targets.
One of the mechanisms for PTEN nuclear import is through the action of the Nedd4 family-interacting protein 1 (Ndfip1) (Figure 1) , a protein that has been shown to regulate PTEN in part through controlling ubiquitination, and by regulating PTEN secretion (Putz et al., 2012;Hopkins et al., 2013). This pool of extracellular and potentially trans-cellular PTEN offers attractive and yet-to-be-tested possibilities regarding non-cell autonomous roles for PTEN signaling during brain development. Interestingly, Ndfip1 is expressed in the developing brain, and conditional deletion of Ndfip1 in embryonic cerebral cortex using Emx1 Cre results in alterations of neuronal morphology, but does not impact neuronal number or specification Hammond et al., 2013). While this work did not directly explore the impact of Ndfip1 loss on the subcellular distribution of PTEN, it did show that total PTEN levels appeared unchanged. However, studies of PTEN redistribution to the nucleus following ischemia find that Ndfip1-deficient animals do not import PTEN following anoxic injury, and that over-expression of Ndfip1 increased PTEN import into the nucleus . Additional studies will be required to determine which of the observed phenotypes in the Ndfip1 null brain may be attributable to a lack of nuclear PTEN or perhaps other Ndfip1 targets. It is important to note that neither the nuclear nor cytoplasmic pool of PTEN alone can explain the observed deficits in the animal models we have discussed, but rather it is the concerted efforts of both pools of PTEN that orchestrate appropriate nervous system development.

CELL MIGRATION
The appropriate localization and distribution of stem cell progeny make cell migration a key event in proper brain formation. Given the central role of PTEN in the transduction of many pathways that shape cellular responses to chemo-attractant or -repellent cues, it would be reasonable to expect that certain aspects of cell migration would be perturbed following the loss of PTEN. Many studies of the developing brain find little indication of massive alterations in migration, but lamination defects have been observed following Nestin-Cre deletion (Groszer et al., 2001). However, it is unclear if this observation reflects defects in migration or in progenitor proliferation.
Neuronal helix-loop-helix protein-1 (Nex1) Cre (Table 1) deletion of PTEN only targets neurons that have left the cell cycle and become fated as neurons. Immunohistochemical staining for lamination markers such as Tbr1 (early born neurons) indicated a less compact cerebral cortex with some Tbr1 + cells near the marginal zone, and labeling of later born neurons using BrdU birthdating or Cux1 staining appeared to have normal placement, indicating no major defect in migration or positioning (Kazdoba et al., 2012). Somewhat surprisingly, these mice did display an increased expression of Reelin, a secreted regulator of migration, relative to controls. It is possible that the lack of effect on migration could be due to inefficient NEX1 Cre -mediated deletion of PTEN in these cells. Additional analyses of cortical structure using Cre recombinases that target earlier steps in neurogenesis (Emx1 Cre and hGFAP-Cre) do find significant alterations in cortical organization and hippocampal radial glial persistence, respectively (Lehtinen et al., 2011;Wen et al., 2013).
As described above, PTEN-null cells migrating from the SVZ/SEZ along the RMS have been observed to fall into two subsets of cells-those that prematurely differentiate within the SVZ/SEZ, and those that continue to migrate to the OB . Live imaging studies of this second group of cells indicated that their migratory speed was not statistically distinguishable from wild-type cells. The identity of the factors that distinguish these two classes of migrating cells may hold a wealth of information regarding chemotactic strategies employed by various RMS-transiting neuroblasts.
Early studies of conditional PTEN loss in the brain detected migration defects in the granule cells of the cerebellum (Backman et al., 2001;Kwon et al., 2001). Interestingly, while deletion of the Akt-activating kinase, Phosphoinositide-dependent kinase-1 (Pdk1), reverses some phenotypes observed in GFAP Cre /PTEN cKO mice (see Somal Hypertrophy below), it does not rescue cerebellar granule cell migration defects (Chalhoub et al., 2009). Experiments using L7/PCP2-cre to target PTEN deletion in Purkinje cells of the cerebellum did not detect a major alteration in cell placement, but ablation of PTEN by En2-Cre resulted in a significant alteration in organization involving essentially all constituent cells of the cerebellum (Marino et al., 2002). Later work using hGFAP-Cre and viral delivery of Cre suggested that the migration defect observed for granule cells is the result of premature differentiation of Bergmann glia rather than a cell autonomous effect (Yue et al., 2005). Taken together, these results highlight the intrinsic diversity related to cell migration cues, cellular responses and the multivalent ways in which PTEN may shape them.

CELL POLARITY
PTEN plays a role in acquisition of polarity by augmenting signal transduction from extracellular cues. Much of the work exploring the role of PTEN in polarity and axon outgrowth has focused on its phosphatase activity during membrane receptor signaling. Experiments specifically exploring the ability of PTEN to alter axon specification place it as a key element of axogenesis. Over-expression of PTEN results in a failure of axon formation and neurite outgrowth (Shi et al., 2003;Jiang et al., 2005). Conversely, RNA interference (RNAi) blockade of PTEN expression leads to the formation of multiple axon projections (Jiang et al., 2005). Caenorhabditis elegans PTEN ortholog daf-18 mutant neurons fail to properly polarize and extend axons (Adler et al., 2006), demonstrating the high degree of conservation across species. Additionally, in vivo loss-of-function studies using Neural Specific Enolase (NSE)-Cre to generate cKO PTEN mice indicate exuberant axon projections in the dentate gyrus (Kwon et al., 2006a). It will be important in future studies to assess whether these axonal defects are due to axon mis-targeting or altered neuronal polarity, but it is clear that axonal development is significantly altered following PTEN ablation in many types of neurons. While these studies make a compelling case for PTEN requirement during axon formation, these results do not delineate a specific role for PTEN in the early asymmetry events in axon specification or a role in regulation of axon outgrowth. Clarity for this morphologic aspect of PTEN function will await further investigation and new tools to probe the earliest events in neuronal polarization.

AXON/DENDRITE OUTGROWTH
Beyond affecting early neurite specification, PTEN loss has been associated with alterations in both axonal and dendritic structure. The nuclear pool of PTEN may contribute to this process as well through its interaction with APC/CDH1. This complex has been shown to regulate axon formation and outgrowth by targeting transcriptional components for degradation. As described earlier, PTEN could be contributing to the timing of axon specification/outgrowth by increasing the association of APC and CDH1 (Lasorella et al., 2006;Stegmuller et al., 2006). The related complex of APC/CDC20 has been implicated in axonal outgrowth (De La Torre-Ubieta and Bonni, 2011), but whether PTEN associates with this complex as well remains to be determined. PTEN/daf-18 has also been shown in multiple species to be crucial for shaping of neuronal morphology by regulating the transcription factor FoxO/daf-16 (Christensen et al., 2011) and by controlling the PI3K-Akt signaling pathway.
Work in Xenopus spinal neurons using pharmacologic inhibition of PTEN by Bisperoxo (1, 10-phenanthroline) oxovanadate, morpholino knock-down, or catalytically-inactive PTEN overexpression enhances axon growth when encountering target muscle tissue (Li and Peng, 2012). This suggests a role for PTEN in target recognition or down-regulation of axon growth signaling. Furthermore, spinal neuron growth cone chemotaxis has been shown to utilize PTEN selectively in response to chemorepulsive cues, demonstrating a potential context-dependent difference in PTEN modulated responses (Henle et al., 2013). Loss of the spinal motor neuron 1 gene (SMN1) leads to spinal motor atrophy and the axon outgrowth and growth cone defects associated with the loss of the SMN1 gene expression can be rescued by siRNA knockdown of PTEN (Ning et al., 2010). As the SMN1 protein plays a role in both small nuclear ribonucleic particle regulation and axonal RNA transport, this result may indicate that PTEN contributes to the regulation of SMN1-regulated translation for axonal RNA through regulation of mTOR signaling, or that the local translation of PTEN itself may be increased following the loss of SMN1, or both. During axon growth, PTEN may be the target of mRNA stability/translational regulation via the microRNA cluster 17-92 member miR19 (Figure 1) (Zhang et al., 2013), as described above in the regulation of neural stem cells.
Experiments directed at understanding the ubiquitin proteasome system in neurons led to the finding that the ubiquitin ligase NEDD4 is capable of targeting PTEN for degradation (Figure 1) (Drinjakovic et al., 2010). This work also demonstrated that PTEN degradation is crucial for the regulation of axon branching. Recently, adult dorsal root ganglion axons were also shown to utilize NEDD4 to regulate PTEN during axon growth (Christie et al., 2012). This work highlights the significance of localized regulation of protein expression and signaling responsiveness of cellular compartments such as growth cones.
Similarly, dendrites are also affected by loss of PTEN. Most studies of PTEN deletion in the nervous system that detected changes in somatic size (see below) also report primary dendrites of enlarged caliber. A systematic study of the PI3K-Akt-mTOR signaling cascade in dendrite development found that shRNA reduction of PTEN resulted in increased branching consistent with increased activity in this transduction cascade (Jaworski et al., 2005).

SOMATIC HYPERTROPHY
The importance of the mTORC1 signaling pathway and its regulation by PTEN are apparent in the cellular hypertrophy that results from PTEN loss (Backman et al., 2001). This effect is reversed in neurons by inhibitors of mTOR kinase activity (Kwon et al., 2003;Ljungberg et al., 2009;Zhou et al., 2009). Similar hypertrophy is also observed in astrocytes (Fraser et al., 2004), but there is some indication that this phenotype may be sensitive to the timing of PTEN loss. Embryonic deletion in post-mitotic neurons using NEX1 Cre (Kazdoba et al., 2012) as well as DAT Cre mice (Diaz-Ruiz et al., 2009;Domanskyi et al., 2011;Inoue et al., 2013) resulted in somatic hypertrophy, but deletion in mature, post-natal forebrain neurons using CaMKIIα-Cre did not have this effect (Sperow et al., 2012). Paralleling this result, virallymediated shRNA knock-down of PTEN in adult born dentate gyrus neurons resulted in somatic hypertrophy, but this effect is delayed relative to neonatally injected animals (Luikart et al., 2011). Epistasis experiments pursuing the components of the pathway responsible for hypertrophy have shown that loss of the kinase Pdk1 leads to reversal of hypertrophy in GFAP Cre ; PTEN fl/fl mice (Chalhoub et al., 2009). Loss of S6K1, a key downstream effector of mTORC1 linking it to protein translation regulation, did not have the same effect (Chalhoub et al., 2006). The disruption of the regulated transport of PTEN in neurons by the motor protein Myosin V has also been shown to result in somatic hypertrophy (Figure 1) (Van Diepen et al., 2009). In this case, a direct interaction between these two proteins was shown to exist and to be regulated by either casein kinase 2 or glycogen synthase kinase 3 beta (GSK3β). These two studies demonstrate that a number of PTEN regulatory pathways can contribute to hypertrophy. An exact delineation of the mechanisms capable of influencing somatic hypertrophy await further studies to dissect the individual contributions of each PTEN regulator.

PTEN AND MYELINATION
An important corollary to PTEN's effect on neuronal process outgrowth is the observation of myelination defects following PTEN loss (Fraser et al., 2008) and the hypermyelination by oligodendrocytes and Schwann cells lacking PTEN following deletion by oligodendrocyte transcription factor 2 (Olig2) Cre (Harrington et al., 2010;Maire et al., 2014). 2 , 3 -cyclic nucleotide 3 phosphodiesterase (CNP1) Cre or Proteolipid protein 1 (Plp1) ERT2-Cre (Goebbels et al., 2010). Interestingly, rapamycin treatment of animals exhibiting altered myelination resulted in amelioration of the phenotype (Goebbels et al., 2010). This points to the lipid phosphatase activity of PTEN, and its antagonism of the PI3 kinase/mTOR pathway. A recent report has implicated PTEN as a key component of the polarized growth and wrapping of the myelin sheath at its inner tongue via regulation of the maturation state of the myelinating cell (Snaidero et al., 2014). Conditional deletion of PTEN using the Plp1-ERT2-Cre line resulted in a larger inner tongue and more cytoplasmic channels relative to controls, a sign of less mature myelinating sheets. Cytoplasmicrich edges of the sheath in longitudinal sections that were absent in controls either 23 or 60 days post-natally were also seen (Goebbels et al., 2010;Snaidero et al., 2014). Deletion of PTEN at postnatal day 100 led to the reappearance of cytoplasmic myelin transport channels and increased myelination, relative to controls (Snaidero et al., 2014). These data indicate that it is possible to reinitiate the myelination program, even in mature animals, by increasing PI(3,4,5)P3 levels through loss of PTEN activity. This establishes PTEN both as a key regulator of embryonic development, and as a potential therapeutic target for myelination disorders and demyelinating diseases.
The profound effect on the inner tongue may be related to the localization of PTEN within the myelin sheet through interaction with scaffolding proteins such as Discs large homology 1 (Dlg1) or PAR-3. Reduction of Dlg1 has been shown to increase myelination and decrease levels of PTEN, suggesting a reciprocal stabilizing relationship between these two proteins (Cotter et al., 2010). However, neither Olig2 Cre nor CNP1 Cre PTEN cKO mice exhibit alterations in Dlg1 levels (Maire et al., 2014), (Goebbels et al., 2010), but there may be small, but significant, changes in signaling in these mice. Alternatively, the observed hypermyelination may reflect an alternate PTEN partner since myelination is also coordinated by a complex of the polarity protein PAR-3 and the neurotrophin receptor p75NTR (Chan et al., 2006). PTEN binds PAR-3 (Von Stein et al., 2005;Wu et al., 2007;Feng et al., 2008), and p75NTR receptor stimulation can increase PTEN activity (Song et al., 2010), thus it is possible that together as a tripartite complex these proteins could regulate axon ensheathment. However, much like Dlg1, localization of PAR-3 was not altered in CNP1 Cre ; PTEN flox/flox mice (Goebbels et al., 2012). While the identity of the molecules targeting PTEN within myelinating cells may not be resolved, the important role for PTEN/PI3K/mTOR signaling is clear.

CONCLUSIONS AND FUTURE DIRECTIONS
Since its discovery almost 20 years ago, PTEN has remained a centerpiece of inquiry into signal transduction for a vast array of disciplines including tumor biology, metabolism, and neuroscience.
Work over the last decade and a half has significantly strengthened our understanding of the major neurodevelopmental roles for PTEN. Going forward, a clearer understanding of the catalytic and non-catalytic functions of PTEN during brain development will be crucial, particularly in terms of transcriptional regulation. Similarly, the phosphatase activity linked to protein versus lipid dephosphorylation will expand our compendium of targets regulated by PTEN during nervous system patterning. Systematically perturbing PTEN interacting partners during brain development will allow us to begin to form a holistic view of how PTEN loss leads to the brain phenotypes observed.
It will also be important to develop "next-generation" tools with which to interrogate PTEN function in the developing brain. These might include chemical genetic variants of PTEN for rapid and specific elimination of phosphatase activity either in cell lines or mouse models, and inducible transgenic lines that permit cell-type specific rescue either with a doxycycline-regulated system or Cre-induced expression. To define functionality and understand the consequence of PTEN interacting with binding partners, point mutant variants should be developed that remove binding sites for particular partner proteins. Alternatively, systems can be devised that permit pharmacologic regulation of PTEN association with partner molecules. Forms of PTEN that are inducibly targeted to the sub-cellular locales known to be key sites of action for PTEN would also provide a mechanism to discern the various roles of PTEN within cellular compartments. Combinations of these and other future technologies will permit us to further delineate the PTEN-dependent mechanisms responsible for sculpting the developing and adult brain. Furthermore, the continued synergy with other disciplines that have already contributed significantly to our understanding of PTEN will continue to shape the field and provide new insights into PTEN biology enhancing our awareness of the role of PTEN in the brain.