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Anaplastic lymphoma kinase receptor tyrosine kinase fusion protein EML4–ALK variant 1 fusion protein (ALK)

Target
ALK
Molecular classification
Receptor Tyrosine Kinase, Fusion Protein
01

Overview

The EML4–ALK variant 1 fusion protein is an oncogenic chimeric protein resulting from a chromosomal rearrangement that fuses the echinoderm microtubule-associated protein-like 4 (EML4) gene with the anaplastic lymphoma kinase (ALK) gene. This fusion is most commonly found in non-small cell lung cancer (NSCLC), where it acts as a key driver mutation. The EML4 portion enables constitutive dimerization, leading to persistent activation of ALK’s tyrosine kinase activity, driving uncontrolled cellular proliferation and inhibiting apoptosis. Resistance often develops through secondary mutations within the ALK kinase domain or through activation/bypass via alternative signaling pathways.

Other names
EML4-ALK variant 1EML4-ALK v1
02

Mechanism of action

Small-molecule inhibitors targeting ALK's tyrosine kinase activity.

03

Biological functions

Cell proliferationCell survivalSignal transductionAnti-apoptosisTyrosine kinase activity
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Disease associations

CancerNon-small cell lung cancer (NSCLC)
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Safety considerations

Resistance development through secondary mutations in ALK kinase domainResistance development through activation/bypass via alternative signaling pathwaysVariable drug response based on EML4-ALK variant
06

Interacting drugs

ALK inhibitors (e.g., Crizotinib, Ceritinib, Alectinib, Brigatinib, Lorlatinib)
07

Biomarkers

EML4-ALK fusion protein (detection in NSCLC tissue)EML4-ALK variant 1 status

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