The ALK gene, an attractive target for inhibitor development
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Carmen J Tartari1, Leonardo Scapozza, Carlo Gambacorti-Passerini
1Department of Clinical Medicine, University of Milano-Bicocca, Italy. carlo.gambacorti@unimib.it
Abstract:
Anaplastic Lymphoma Kinase (ALK) is a receptor tyrosine kinase that belongs to the Insulin receptor subfamily involved as full length receptor in neural development. Even if the expression of ALK protein is down-regulated in the adults, the ALK full length is expressed in different types of tumors. Moreover, chromosomal rearrangements, involving the alk gene, can occur leading the formation of different ALK fusion proteins characterized by the kinase domain of ALK fused to several partners that determine cellular localization. Structural investigation and characterization of the ALK kinase domain in absence of its crystal structure constituted the basis of development of ALK small molecule inhibitors. Here, we described normal function of the ALK receptor and its role in tumors; formation of the constitutively activated ALK fusion proteins and we reported an update of developed small molecule inhibitors of the ALK kinase activity.
Insights
Anaplastic Lymphoma Kinase (ALK) is crucial in neural development and tumors. Small molecule inhibitors targeting ALK kinase activity are being developed to combat cancers driven by ALK fusion proteins.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Anaplastic Lymphoma Kinase (ALK) functions as a receptor tyrosine kinase in neural development.
- ALK is aberrantly expressed in various tumors, often due to chromosomal rearrangements creating oncogenic fusion proteins.
- These fusion proteins feature the ALK kinase domain, leading to constitutive activation and driving tumorigenesis.
Purpose of the Study:
- To elucidate the normal function of the ALK receptor.
- To detail the role of ALK and its fusion proteins in tumorigenesis.
- To provide an updated overview of small molecule inhibitors targeting ALK kinase activity.
Main Methods:
- Literature review and synthesis of existing research on ALK.
- Analysis of structural and functional data of the ALK kinase domain.
- Compilation of information on ALK fusion proteins and their inhibitors.
Main Results:
- ALK plays a role in neural development and its dysregulation contributes to cancer.
- Chromosomal rearrangements lead to constitutively active ALK fusion proteins.
- Development of small molecule inhibitors targeting ALK kinase activity is a key therapeutic strategy.
Conclusions:
- Understanding ALK's normal function and oncogenic roles is critical for cancer therapy.
- ALK fusion proteins represent important therapeutic targets in various cancers.
- Ongoing development of ALK inhibitors offers promising treatment avenues for ALK-driven malignancies.
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