Cancer-linked ANKRD26-RET uses an unusual combination of pathomechanisms leading to strongly increased cell

Anna S Englisch1, Sarah A Hofbrucker-MacKenzie1, Klara Metzner1

  • 1Institute of Biochemistry I, Jena University Hospital, Friedrich Schiller University Jena, 07743 Jena, Germany.

Insights

Papillary thyroid carcinoma involves ANKRD26-RET fusions that promote cancer by anchoring to the membrane and self-associating. Targeting ANKRD26 dysfunction alongside RET kinase activity may improve therapeutic outcomes.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cellular Signaling

Background:

  • Papillary thyroid carcinoma (PTC) is associated with ANKRD26-RET fusions, but their pathomechanisms are not fully understood.
  • RET fusions typically involve loss of membrane association; however, ANKRD26-RET exhibits increased plasma membrane anchoring.

Purpose of the Study:

  • To elucidate the molecular mechanisms underlying the pathomechanisms of the ANKRD26-RET fusion.
  • To investigate the role of ANKRD26 in RET signaling and its contribution to PTC.

Main Methods:

  • Investigated the ANKRD26(1-1405)-RET(713-1114) fusion protein.
  • Analyzed ANKRD26-mediated membrane association and self-association.
  • Assessed RET phosphorylation, cell proliferation, and colony formation.
  • Evaluated the efficacy of RET inhibitors (RXDX-105/agerafenib and BLU-667/pralsetinib).

Main Results:

  • ANKRD26-RET promotes aberrant RET signaling through plasma membrane anchoring and self-association.
  • This leads to constitutive RET phosphorylation (Y905, Y981, Y1015, Y1062), increased cell proliferation, and colony formation.
  • While RET inhibitors suppressed colony formation, they only moderately affected cell proliferation, suggesting ANKRD26 dysfunction also contributes.

Conclusions:

  • The ANKRD26-RET fusion drives PTC through a unique mechanism involving membrane association and self-association, distinct from other RET fusions.
  • Therapeutic strategies may need to target both RET kinase activity and ANKRD26 dysfunction for effective PTC treatment.

Related Concept Videos

Abnormal Proliferation02:23

Abnormal Proliferation

Under normal conditions, most adult cells remain in a non-proliferative state unless stimulated by internal or external factors to replace lost cells. Abnormal cell proliferation is a condition in which the cell's growth exceeds and is uncoordinated with normal cells. In such situations, cell division persists in the same excessive manner even after cessation of the stimuli, leading to persistent tumors. The tumor arises from the damaged cells that replicate to pass the damage to the daughter...
Abnormal Proliferation02:23

Abnormal Proliferation

Under normal conditions, most adult cells remain in a non-proliferative state unless stimulated by internal or external factors to replace lost cells. Abnormal cell proliferation is a condition in which the cell's growth exceeds and is uncoordinated with normal cells. In such situations, cell division persists in the same excessive manner even after cessation of the stimuli, leading to persistent tumors. The tumor arises from the damaged cells that replicate to pass the damage to the daughter...
mTOR Signaling and Cancer Progression03:03

mTOR Signaling and Cancer Progression

The mammalian target of rapamycin or mTOR protein was discovered in 1994 due to its direct interaction with rapamycin. The protein gets its name from a yeast homolog called TOR. The mTOR protein complex in mammalian cells plays a major role in balancing anabolic processes such as the synthesis of proteins, lipids, and nucleotides and catabolic processes, such as autophagy in response to environmental cues, such as availability of nutrients and growth factors.
The mTOR pathway or the...
Cancers Originate from Somatic Mutations in a Single Cell02:21

Cancers Originate from Somatic Mutations in a Single Cell

Cancer arises from mutations in the critical genes that allow healthy cells to escape cell cycle regulation and acquire the ability to proliferate indefinitely. Though originating from a single mutation event in one of the originator cells, cancer progresses when the mutant cell lines continue to gain more and more mutations, and finally, become malignant. For example, chronic myelogenous leukemia (CML) develops initially as a non-lethal increase in white blood cells, which progressively...
Cancer02:18

Cancer

Cancers arise due to mutations in genes involved in the regulation of cell division, which leads to unrestricted cell proliferation. Modern science and medicine have made great strides in the understanding and treatment of cancer, including eradicating cancer in some patients. However, there is still no cure for cancer. This is largely due to the fact that cancer is a large group of many diseases.
The Ras Gene02:38

The Ras Gene

The Ras-gene-encoded proteins are regulators of signaling pathways controlling cell proliferation, differentiation, or cell survival. The Ras-gene family in humans constitutes three primary members—the HRas, NRas, and KRas. These genes code for four functionally distinct yet closely related proteins—the HRas, NRas, KRas4A, and KRas4B. The involvement of mutant Ras genes in human cancer was first discovered in 1982 and is among the most common causes of human tumorigenesis.
Ras is a superfamily...