Related Experiment Video
Updated: May 23, 2026

Assessing Cellular Target Engagement by SHP2 (PTPN11) Phosphatase Inhibitors
Published on: July 17, 2020
ROS1 as a 'druggable' receptor tyrosine kinase: lessons learned from inhibiting the ALK pathway
Sai-Hong Ignatius Ou1, Jackie Tan, Yun Yen
1Chao Family Comprehensive Cancer Center, University of California Irvine Medical Center, Orange, CA 92868, USA. ignatius.ou@uci.edu
Abstract:
ROS1 is one of 58 receptor tyrosine kinases, and one of two orphan receptor tyrosine kinases where its ligand is unknown. ROS1 is evolutionarily related to ALK. ROS1 rearrangement was discovered in glioblastoma in 1987, in non-small-cell lung cancer (NSCLC) in 2007, and in cholangiocarcinoma in 2011. While the clinicopathologic characteristics of ROS1-rearranged glioblastoma and cholangiocarcinoma patients remain to be defined, the clinicopathologic characteristics of ROS1-rearranged NSCLC patients have recently been described. Although ROS1 shares only 49% amino acid sequence homology with ALK in the kinase domains, several ALK inhibitors have demonstrated in vitro inhibitory activity against ROS1. With the recent US approval of crizotinib, a multi-targeted ALK/MET kinase inhibitor, for the treatment of ALK-rearranged NSCLC, attention has turned to ROS1-rearranged tumors, especially NSCLC. The next few years should witness a rapid pace of clinical research in ROS1-rearranged tumors utilizing available ALK inhibitors.
Insights
ROS1 rearrangements are found in various cancers, including non-small-cell lung cancer (NSCLC). Existing ALK inhibitors show promise for treating ROS1-rearranged tumors, particularly NSCLC.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- ROS1 is an orphan receptor tyrosine kinase, evolutionarily related to ALK.
- ROS1 rearrangements have been identified in glioblastoma, non-small-cell lung cancer (NSCLC), and cholangiocarcinoma.
- Clinicopathologic features of ROS1-rearranged NSCLC are increasingly understood, while those in other cancers require further definition.
Purpose of the Study:
- To review the current understanding of ROS1 rearrangements in cancer.
- To explore the potential of ALK inhibitors for treating ROS1-rearranged malignancies.
- To highlight the emerging clinical research landscape for ROS1-driven cancers.
Main Methods:
- Literature review of ROS1 rearrangements and their clinical implications.
- Analysis of existing data on ALK inhibitors' efficacy against ROS1.
- Synthesis of information on clinicopathologic characteristics of ROS1-rearranged cancers.
Main Results:
- ROS1 rearrangements occur in glioblastoma, NSCLC, and cholangiocarcinoma.
- Despite limited homology, ALK inhibitors demonstrate in vitro activity against ROS1.
- Crizotinib, an approved ALK/MET inhibitor, offers a potential therapeutic avenue for ROS1-rearranged NSCLC.
Conclusions:
- ROS1-rearranged NSCLC is a distinct clinicopathologic entity.
- Available ALK inhibitors represent a promising therapeutic strategy for ROS1-driven tumors.
- Accelerated clinical research is anticipated for ROS1-rearranged cancers using existing ALK inhibitors.
Related Concept Videos
Transducer Mechanism: Enzyme-Linked Receptors
Major types that are helpful drug targets include:
Receptor Tyrosine Kinases
Enzyme-linked Receptors
Neurotrophin (NT) receptors are a family of RTKs, including trkA, trkB, and trkC (tropomyosin-related kinase) receptors. TrkA is specific for nerve growth factor (NGF), neurotrophin-6, and neurotrophin-7. TrkB binds...
PI3K/mTOR/AKT Signaling Pathway
mTOR Signaling and Cancer Progression
The mTOR pathway or the...
Interactions Between Signaling Pathways
Convergence and divergence, and cross-talk between signaling pathways
Two distinct signaling pathways can converge on a single functional unit, which may either be a single protein or a complex of proteins. The response is either functionally distinct or synergistic between the two pathways but different from the response...
