A high-sensitivity TIE2-GRB2 BRET platform for functional and pharmacologic profiling of pathogenic variants

Hitomi Matsutani1,2, Atsuro Oishi3,4, Takuya Izumi-Tamura5

  • 1Department of Anatomy, Kyorin University School of Medicine, 181-8611, Tokyo, Japan.

Angiogenesis
|August 13, 2026
PubMed

Insights

A new BRET biosensor effectively measures TIE2 receptor activation, aiding the development of targeted therapies for vascular malformations like venous malformations (VMs) and Blue Rubber Bleb Nevus Syndrome (BRBNS). This tool identifies potential drug candidates for these challenging conditions.

Area of Science:

  • Biochemistry and Molecular Biology
  • Vascular Biology
  • Drug Discovery

Background:

  • TIE2 receptor tyrosine kinase (RTK) is crucial for vascular integrity, with active mutants linked to venous malformations (VMs).
  • Current treatments for VMs, including Blue Rubber Bleb Nevus Syndrome (BRBNS), are limited, and scalable assays for TIE2 activation are lacking.
  • Existing methods like immunoblotting are not high-throughput, hindering pharmacological evaluation.

Purpose of the Study:

  • To develop a novel bioluminescence resonance energy transfer (BRET) biosensor for quantifying TIE2 activation.
  • To establish a high-throughput screening method for identifying TIE2-targeting drugs.
  • To validate the biosensor's efficacy in identifying therapeutic candidates for VM-associated TIE2 mutants.

Main Methods:

  • Developed a BRET biosensor to monitor TIE2 activation via GRB2 recruitment, a key RTK signaling adaptor.
  • Utilized HEK293T cells for primary BRET screening and HUVEC-derived cells for endothelial validation.
  • Assessed downstream signaling (AKT/ERK) and functional assays (tube formation) to confirm BRET findings.

Main Results:

  • The BRET biosensor accurately detected angiopoietin-1 (ANG-1) and captured constitutive TIE2 mutant activity.
  • Identified regorafenib and lenvatinib as potential inhibitors for the T1105N-T1106P BRBNS-associated TIE2 mutant.
  • Endothelial cell assays corroborated BRET findings, confirming drug efficacy at receptor, signaling, and functional levels.

Conclusions:

  • The BRET biosensor provides a scalable, two-step framework for efficient primary profiling and orthogonal validation of TIE2-targeting drug candidates.
  • This approach facilitates the prioritization of pharmacological agents for further preclinical and clinical development in vascular malformations.
  • The developed biosensor represents a practical strategy for advancing therapeutic options for conditions driven by aberrant TIE2 signaling.

Related Concept Videos