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RET and neuroendocrine tumors
Yoshiki Murakumo1, Mayumi Jijiwa, Naoya Asai
1Department of Pathology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, Japan. murakumo@med.nagoya-u.ac.jp
Abstract:
The RET proto-oncogene encodes a receptor tyrosine kinase that is a main component of the signaling pathway activated by the glial cell line-derived neurotrophic factor family ligands. Gene targeting studies revealed that signaling through RET plays a crucial role in neuronal and renal organogenesis. It is well-known that germline mutations in RET lead to the human inherited diseases, multiple endocrine neoplasia type 2 (MEN 2) and Hirschsprung's disease, and that somatic rearrangements of RET cause papillary thyroid carcinoma. Due to marked advances in understanding of the molecular mechanisms of the development of MEN 2, a consensus on MEN 2 management associated with RET status is being reached and currently put into general use as a guideline. In this review, we summarize progress in the study of RET from bench to bedside, focusing on pathophysiology of neuroendocrine tumors.
Insights
The RET proto-oncogene is vital for development and linked to diseases like MEN 2 and Hirschsprung's. Advances in understanding RET are improving neuroendocrine tumor management.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- The RET proto-oncogene encodes a receptor tyrosine kinase crucial for signaling pathways.
- RET signaling is essential for neuronal and renal organogenesis.
- Germline mutations in RET cause MEN 2 and Hirschsprung's disease; somatic rearrangements cause papillary thyroid carcinoma.
Purpose of the Study:
- To review the progress in RET gene research from basic science to clinical applications.
- To focus on the pathophysiology of neuroendocrine tumors related to RET.
- To highlight the development of clinical guidelines for MEN 2 management based on RET status.
Main Methods:
- Literature review of studies on RET proto-oncogene.
- Analysis of gene targeting studies and clinical data.
- Synthesis of information on molecular mechanisms and disease associations.
Main Results:
- RET signaling is fundamental to organ development.
- RET mutations and rearrangements are key drivers of specific cancers and developmental disorders.
- Understanding RET pathophysiology has led to consensus-based clinical guidelines for MEN 2.
Conclusions:
- RET gene research has significantly advanced our understanding of neuroendocrine tumors.
- Clinical management of MEN 2 is increasingly guided by RET genetic status.
- Further research into RET holds promise for improved diagnostics and therapeutics.
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