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AXL Tyrosine Kinases: A Growing Isoform Family That Promotes Cancer Pathogenesis
May Eriksen Gjerstad1,2, Pia Aehnlich1,2, Pascal Gelebart1,2,3
1Department of Clinical Science, Precision Oncology Research Group, University of Bergen, Bergen, Norway.
Abstract:
The AXL receptor tyrosine kinase is implicated in various cancers, and its expression is linked with poor survival and resistance to therapy. In this review, we overview the complexity of AXL receptor signaling, emphasizing the distinctions between the AXL isoforms. Recent studies have identified a third AXL isoform, AXL3, which lacks the growth arrest-specific 6-binding domains found in AXL1 and AXL2. This unique structure of AXL3 suggests alternative activation and signaling mechanisms. Activation of AXL1/2 typically occurs through ligand binding, dimerization, and phosphorylation, leading to downstream signaling via pathways including PI3K/AKT, MAPK/ERK, JAK/STAT, and NF-κB. Unlike other oncogenic kinases, in which overexpression and overactivation can be attributed to genomic alterations, AXL upregulation is generally caused by nongenetic mechanisms. Analysis of the promoter region of AXL3 reveals potential binding sites for transcription factors such as KLF16 and MEIS3, which are linked to oncogenic pathways. AXL signaling in cancer promotes cell survival, proliferation, migration, and immune evasion. Therefore, inhibiting AXL by therapeutic approaches has been explored with varying results. Elucidating the functions and regulatory mechanisms of the different AXL isoforms is imperative for developing effective targeted therapies that improve outcomes in AXL-driven cancers.
Insights
The AXL receptor tyrosine kinase (RTK) is involved in cancer progression and therapy resistance. Understanding its distinct isoforms, including the novel AXL3, is crucial for developing targeted cancer treatments.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- AXL receptor tyrosine kinase (RTK) is a key player in various cancers, correlating with poor prognosis and treatment resistance.
- AXL signaling pathways, including PI3K/AKT, MAPK/ERK, JAK/STAT, and NF-κB, drive cancer cell survival, proliferation, migration, and immune evasion.
Purpose of the Study:
- To review the complex signaling mechanisms of AXL receptor tyrosine kinase (RTK).
- To highlight the distinctions between AXL isoforms, particularly the newly identified AXL3.
- To emphasize the importance of understanding AXL isoform functions for developing effective cancer therapies.
Main Methods:
- Literature review of recent studies on AXL receptor tyrosine kinase (RTK) signaling.
- Analysis of AXL isoform structures and their implications for activation and signaling.
- Examination of AXL promoter region for potential transcription factor binding sites.
Main Results:
- A third AXL isoform, AXL3, has been identified, lacking the GAS6 binding domains present in AXL1 and AXL2, suggesting unique activation pathways.
- AXL upregulation in cancer is typically mediated by non-genetic mechanisms, unlike other oncogenic kinases.
- Transcription factors KLF16 and MEIS3 show potential binding to the AXL3 promoter, linking it to oncogenic pathways.
Conclusions:
- Differentiating between AXL isoforms is essential for understanding their roles in cancer.
- Targeted inhibition of AXL shows promise but requires further refinement based on isoform-specific functions.
- Further research into AXL isoform regulation and signaling is critical for advancing targeted cancer therapies.
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