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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
Tyrosine kinase gene rearrangements in epithelial malignancies
Alice T Shaw1, Peggy P Hsu, Mark M Awad
1Massachusetts General Hospital Cancer Center, Boston, Massachusetts 02114, USA.
Abstract:
Chromosomal rearrangements that lead to oncogenic kinase activation are observed in many epithelial cancers. These cancers express activated fusion kinases that drive the initiation and progression of malignancy, and often have a considerable response to small-molecule kinase inhibitors, which validates these fusion kinases as 'druggable' targets. In this Review, we examine the aetiologic, pathogenic and clinical features that are associated with cancers harbouring oncogenic fusion kinases, including anaplastic lymphoma kinase (ALK), ROS1 and RET. We discuss the clinical outcomes with targeted therapies and explore strategies to discover additional kinases that are activated by chromosomal rearrangements in solid tumours.
Insights
Chromosomal rearrangements activate oncogenic kinases like ALK, ROS1, and RET in epithelial cancers. Targeted therapies show promise, validating these fusion kinases as key targets for cancer treatment.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Chromosomal rearrangements frequently activate oncogenic kinases in epithelial cancers.
- Activated fusion kinases drive cancer initiation, progression, and are often druggable targets.
Purpose of the Study:
- To review the etiology, pathogenesis, and clinical features of cancers with oncogenic fusion kinases.
- To discuss clinical outcomes of targeted therapies for anaplastic lymphoma kinase (ALK), ROS1, and RET.
- To explore strategies for identifying new fusion kinases in solid tumors.
Main Methods:
- Literature review of existing studies on oncogenic fusion kinases.
- Analysis of clinical data regarding targeted therapy responses.
- Exploration of methods for novel kinase target discovery.
Main Results:
- Fusion kinases such as ALK, ROS1, and RET are critical drivers in various epithelial cancers.
- Small-molecule inhibitors targeting these kinases demonstrate significant clinical efficacy.
- Targeted therapies offer a validated approach for treating cancers with specific kinase fusions.
Conclusions:
- Oncogenic fusion kinases are important therapeutic targets in epithelial cancers.
- Understanding the clinical features and outcomes associated with these kinases is crucial for treatment.
- Continued research is needed to discover and target additional fusion kinases in solid tumors.
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