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ALK, ROS1, MET

Target
ALK, ROS1, MET
Molecular classification
Receptor tyrosine kinase (RTK), Enzyme, Receptor
01

Overview

Anaplastic lymphoma kinase (ALK), ROS proto-oncogene 1 receptor tyrosine kinase (ROS1), and MET proto-oncogene receptor tyrosine kinase (MET) are single-pass transmembrane proteins with intrinsic tyrosine kinase activity. All three play important roles in cellular signaling pathways controlling proliferation, differentiation, and survival. Genetic alterations in these genes—including fusions, amplifications, and mutations—are oncogenic drivers in several malignancies, most notably subsets of non-small cell lung cancer. Crizotinib and other tyrosine kinase inhibitors (TKIs) targeting these receptors have demonstrated substantial clinical activity. Resistance to these agents can arise via secondary mutations in the kinase domain or activation of bypass signaling pathways, underscoring the need for continued molecular testing and therapy optimization[1][2][3].

Other names
CD246anaplastic lymphoma kinaseROS1MCF3c-ros oncogene 1c-Methepatocyte growth factor receptor (HGFR)MET
02

Mechanism of action

Inhibition of kinase activity: Small-molecule inhibitors bind the ATP-binding site or allosteric pockets, preventing receptor autophosphorylation and downstream signaling, thus inhibiting cell proliferation and survival

03

Biological functions

Signal transductionCell proliferationCell growth and survivalCell differentiation
04

Disease associations

Cancer (notably non-small cell lung cancer (NSCLC))Anaplastic large cell lymphomaPapillary renal cell carcinomaDeregulation of these kinases (by gene fusion, overexpression, or mutation) is a key oncogenic driver in disease
05

Safety considerations

Off-target toxicity: e.g., hepatic toxicity, interstitial lung disease, cardiac toxicity, edema, vision disordersDrug resistance: acquired mutations can lead to resistance to kinase inhibitors, requiring next-generation inhibitors or combination therapyPotential for overlapping toxicities when inhibiting multiple kinases simultaneously
06

Interacting drugs

Crizotinib

8 more in the full profile.

07

Biomarkers

ALK rearrangement (by FISH, IHC, or NGS)ROS1 rearrangement (by FISH, IHC)MET amplification or exon 14 skipping mutation (by NGS)The presence of these alterations is used to guide patient selection for targeted therapies

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