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Assessment of Resistance to Tyrosine Kinase Inhibitors by an Interrogation of Signal Transduction Pathways by Antibody Arrays
Published on: September 19, 2018
RET tyrosine kinase signaling in development and cancer
Elena Arighi1, Maria Grazia Borrello, Hannu Sariola
1Developmental Biology, Institute of Biomedicine, Biomedicum Helsinki, University of Helsinki, Finland.
Abstract:
The variety of diseases caused by mutations in RET receptor tyrosine kinase provides a classic example of phenotypic heterogeneity. Gain-of-function mutations of RET are associated with human cancer. Gene rearrangements juxtaposing the tyrosine kinase domain to heterologous gene partners have been found in sporadic papillary carcinomas of the thyroid (PTC). These rearrangements generate chimeric RET/PTC oncogenes. In the germline, point mutations of RET are responsible for multiple endocrine neoplasia type 2 (MEN 2A and 2B) and familial medullary thyroid carcinoma (FMTC). Both MEN 2 mutations and PTC gene rearrangements potentiate the intrinsic tyrosine kinase activity of RET and, ultimately, activate the RET downstream targets. Loss-of-function mutations of RET cause Hirschsprung's disease (HSCR) or colonic aganglionosis. A deeper understanding of the molecular signaling of normal versus abnormal RET activity in cancer will enable the development of potential new treatments for patients with sporadic and inherited thyroid cancer or MEN 2 syndrome. We now review the role and mechanisms of RET signaling in development and carcinogenesis.
Insights
RET receptor tyrosine kinase mutations cause diverse diseases, including cancers and Hirschsprung's disease. Understanding RET signaling is key to developing new treatments for thyroid cancer and MEN 2 syndrome.
Area of Science:
- Oncology
- Genetics
- Molecular Biology
Background:
- RET receptor tyrosine kinase mutations are linked to various human diseases, demonstrating significant phenotypic heterogeneity.
- Gain-of-function RET mutations are implicated in human cancers, while loss-of-function mutations cause Hirschsprung's disease.
Purpose of the Study:
- To review the role and mechanisms of RET signaling in both normal development and carcinogenesis.
- To highlight the importance of understanding RET signaling for potential therapeutic development.
Main Methods:
- Literature review of studies on RET receptor tyrosine kinase mutations and signaling pathways.
- Analysis of genetic rearrangements and point mutations associated with specific diseases.
Main Results:
- RET gene rearrangements create chimeric RET/PTC oncogenes in sporadic papillary thyroid carcinoma (PTC).
- Germline RET point mutations cause multiple endocrine neoplasia types 2A and 2B (MEN 2A/2B) and familial medullary thyroid carcinoma (FMTC).
- Both mutation types enhance RET tyrosine kinase activity, activating downstream targets.
Conclusions:
- Dysregulation of RET signaling contributes to various cancers, particularly thyroid cancer.
- Targeting RET signaling pathways offers potential therapeutic strategies for sporadic and inherited thyroid cancers and MEN 2 syndrome.
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