Related Experiment Video
Updated: Aug 9, 2026

Diagnosis of Hirschsprung's Disease by Immunostaining Rectal Suction Biopsies for Calretinin, S100 Protein and Protein Gene Product 9.5
Published on: April 26, 2019
The RET proto-oncogene induces apoptosis: a novel mechanism for Hirschsprung disease
M C Bordeaux1, C Forcet, L Granger
1Laboratoire Apoptose et Différenciation, label La Ligue contre le Cancer et Laboratoire de Génétique Humaine - Centre de Génétique Moléculaire et Cellulaire, CNRS UMR 5534, Université Lyon 1, 69622 Villeurbanne, France.
Abstract:
The RET (rearranged during transfection) proto-oncogene encodes a tyrosine kinase receptor involved in both multiple endocrine neoplasia type 2 (MEN 2), an inherited cancer syndrome, and Hirschsprung disease (HSCR), a developmental defect of enteric neurons. We report here that the expression of RET receptor induces apoptosis. This pro-apoptotic effect of RET is inhibited in the presence of its ligand glial cell line-derived neurotrophic factor (GDNF). Furthermore, we present evidence that RET induces apoptosis via its own cleavage by caspases, a phenomenon allowing the liberation/exposure of a pro-apoptotic domain of RET. In addition, we report that Hirschsprung-associated RET mutations impair GDNF control of RET pro-apoptotic activity. These results indicate that HSCR may result from apoptosis of RET-expressing enteric neuroblasts.
Insights
The rearranged during transfection (RET) receptor normally induces cell death (apoptosis), but its ligand, glial cell line-derived neurotrophic factor (GDNF), inhibits this. Hirschsprung-associated RET mutations disrupt this control, potentially causing enteric neuroblast apoptosis.
Area of Science:
- Molecular Biology
- Developmental Biology
- Oncology
Background:
- The RET proto-oncogene encodes a tyrosine kinase receptor crucial for development and implicated in cancer.
- RET is associated with inherited cancer syndromes like multiple endocrine neoplasia type 2 (MEN 2) and developmental defects such as Hirschsprung disease (HSCR).
Purpose of the Study:
- To investigate the role of RET receptor expression in apoptosis.
- To determine the effect of glial cell line-derived neurotrophic factor (GDNF) on RET-induced apoptosis.
- To examine the impact of Hirschsprung-associated RET mutations on GDNF's modulation of RET's pro-apoptotic activity.
Main Methods:
- Investigating RET receptor expression and its effect on apoptosis.
- Analyzing the interaction between RET, its ligand GDNF, and caspase activity.
- Studying the functional consequences of specific RET mutations found in Hirschsprung disease.
Main Results:
- RET receptor expression was found to induce apoptosis.
- The pro-apoptotic effect of RET is inhibited by its ligand, GDNF.
- RET undergoes caspase-mediated cleavage, releasing a pro-apoptotic domain.
- Hirschsprung-associated RET mutations impair GDNF's ability to inhibit RET-induced apoptosis.
Conclusions:
- RET-induced apoptosis is a regulated process modulated by GDNF.
- Caspase-mediated cleavage of RET is a key mechanism in its pro-apoptotic function.
- Dysregulation of RET-induced apoptosis due to specific mutations may underlie the pathogenesis of Hirschsprung disease.
Related Concept Videos
Cancer-Critical Genes I: Proto-oncogenes
When the function of certain critical genes, especially those involved in cell cycle regulation and cell growth signaling cascades, gets disrupted, it upsets the cell cycle progression. Such cells with unchecked cell cycles start proliferating uncontrollably and eventually develop into tumors.
Such genes that act...
Cancer-Critical Genes II: Tumor Suppressor Genes
When the function of certain critical genes, especially those involved in cell cycle regulation and cell growth signaling cascades, gets disrupted, it upsets the cell cycle progression. Such cells with unchecked cell cycles start proliferating uncontrollably and eventually develop into tumors.
Such genes that act...
The Retinoblastoma Gene
The first-ever tumor suppressor gene called Rb was identified in retinoblastoma - a rare eye tumor in children. In inherited forms of the disease, a child inherits one defective copy of the Rb gene, which predisposes them to retinoblastoma. However,...
Cancer-Critical Genes I: Proto-oncogenes
When the function of certain critical genes, especially those involved in cell cycle regulation and cell growth signaling cascades, gets disrupted, it upsets the cell cycle progression. Such cells with unchecked cell cycles start proliferating uncontrollably and eventually develop into tumors.
Such genes that act...
The Retinoblastoma Gene
The first-ever tumor suppressor gene called Rb was identified in retinoblastoma - a rare eye tumor in children. In inherited forms of the disease, a child inherits one defective copy of the Rb gene, which predisposes them to retinoblastoma. However,...
Role Of Notch Signalling In Intestinal Stem Cell Renewal
Direct cell-to-cell contact is needed for the activation of Notch signaling. The signal is initiated when a notch ligand binds to a receptor on an adjacent cell, also...

