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Updated: May 15, 2026

Characterization of Cell Membrane Extensions and Studying Their Roles in Cancer Cell Adhesion Dynamics
Published on: March 26, 2018
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.
Abstract:
Truncated ANKRD26 fused with the kinase domain of the protooncogene product RET had been linked to papillary thyroid carcinoma. Yet, its pathomechanisms remained elusive. Commonly, loss of membrane association is considered as characteristic for pathology of RET fusions. We found that for ANKRD261-1405-RET713-1114 the opposite was true. Derailed RET signaling was strongly promoted by ANKRD26-mediated plasma membrane anchoring. Additionally, ANKRD26's coiled coil domain fragment included in ANKRD261-1405-RET713-1114 was still able to self-associate and interlinked ANKRD261-1405-RET713-1114. Only together, these ANKRD26-mediated molecular functions led to increased RET Y905, Y981, Y1015 and Y1062 phosphorylations. ANKRD261-1405-RET713-1114 severely and constitutively propagated intracellular RET signaling and thereby strongly increased cell proliferation and colony formation. Our results revealed an unfortunate combination of three aspects, membrane-association and self-association provided by ANKRD26 as well as RET kinase domain functionality, as important molecular mechanisms underlying ANKRD261-1405-RET713-1114 signaling and pathophysiology. These findings provide insights into how derailed and constitutively overactivated RET signaling originating from the plasma membrane instead from the cytoplasm, as for other longer-known RET fusions, leads to cell proliferation. Different RET pathogenic variants were reported to show specific efficacy outcomes for RET inhibitors in patients. Our results demonstrate that the enhanced colony formation caused by the distinct ANKRD261-1405-RET713-1114 pathomechanism was fully suppressible by RXDX-105/agerafenib and BLU-667/pralsetinib treatments but the increased cell proliferation responded merely moderately. This may suggest that the ANKRD261-1405-RET713-1114-intrinsic pathomechanisms may not be solely brought about by aberrant RET kinase activity but that putative therapeutic interventions may additionally need to focus on ANKRD26 dysfunctions.
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.
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