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Glial cell line-derived neurotrophic factor family receptor alpha-2–Ret proto-oncogene receptor complex (GFRα2-RET receptor complex)

Target
GFRα2-RET receptor complex
Molecular classification
Receptor tyrosine kinase (RET component), Co-receptor (GFRα2 component), Receptor complex
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Overview

The GFRα2-RET receptor complex is a membrane-bound multi-protein assembly required for signaling by specific members of the glial cell line-derived neurotrophic factor (GDNF) ligand family, notably neurturin (NRTN). In this complex, GFRα2 acts as a glycosylphosphatidylinositol (GPI)-anchored co-receptor, binding to its ligand (neurturin) and presenting it to the RET proto-oncogene protein, a receptor tyrosine kinase. The extracellular RET region consists of four cadherin-like domains (CLD1-4) and a cysteine-rich domain (CRD), which, together with GFRα2, is essential for ligand-induced activation. Ligand binding induces assembly into a higher-order structure (heterohexamer), leading to dimerization and activation of the intracellular RET kinase domains and subsequent signal transduction involved in neuronal development, survival, and disease. Pathologically, aberrant RET signaling (often via mutation or gene fusion) is implicated in multiple cancers and some neurodevelopmental and neurodegenerative disorders. Selective RET kinase inhibitors are approved therapeutics for certain RET-driven cancers, but careful consideration of neurological and developmental side effects is necessary due to the physiological roles of this pathway[1][2][3][5][6].

Other names
RET–GFRα2 complexGDNF family receptor alpha-2–RET complexNeurturin–GFRα2–RET complex
02

Mechanism of action

Inhibition of RET kinase activity (for RET inhibitors); Blockade of RET dimerization/activation (experimental approaches); Modulation of neurotrophic signaling pathways

03

Biological functions

Signal transductionNeuronal development and maintenanceCell survivalCell proliferation
04

Disease associations

CancerNeurodegenerative diseaseOther neurological disorders
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Safety considerations

On-target toxicity related to neural/neuroendocrine functionPotential for off-target kinase inhibition (with multi-kinase inhibitors)Developmental toxicity (due to RET’s role in organogenesis)Resistance mutations in cancer therapy
06

Interacting drugs

Selpercatinib

3 more in the full profile.

07

Biomarkers

RET mutations or fusions (particularly in cancer)GFRα2 expression (potential prognostic/diagnostic marker in certain neurological/neuroendocrine diseases)Phosphorylated RET (activity marker)

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