Target intelligence / Profile preview

Neurotrophin receptor (NTR)

Target
NTR
Molecular classification
Receptor, Receptor tyrosine kinase, Tumor necrosis factor receptor superfamily
01

Overview

Neurotrophin receptors are a family of cell surface receptors that mediate the biological effects of neurotrophins, such as nerve growth factor (NGF) and brain-derived neurotrophic factor (BDNF), which are critical for the development and maintenance of the nervous system (Huang & Reichardt, 2003, PMID: 12932330). This family is divided into two main classes: the tropomyosin receptor kinases (TrkA, TrkB, and TrkC) and the p75 neurotrophin receptor (p75NTR) (Bothwell, 1995, PMID: 7670306). Trk receptors are high-affinity tyrosine kinases that activate intracellular signaling cascades, including the PI3K/Akt and MAPK pathways, to promote neuronal survival, differentiation, and synaptic plasticity (Kaplan & Miller, 2000, PMID: 10906341). In contrast, p75NTR is a member of the tumor necrosis factor receptor superfamily and can either facilitate Trk signaling or independently trigger apoptosis depending on the presence of specific ligands and co-receptors (Roux & Barker, 2002, PMID: 12185850). In clinical medicine, neurotrophin receptors have gained significant prominence as therapeutic targets, particularly in oncology, where chromosomal rearrangements involving the NTRK genes lead to oncogenic Trk fusion proteins (Amatu et al., 2019, PMID: 30832334). This discovery led to the development of pan-Trk inhibitors like larotrectinib and entrectinib, which are approved as histology-agnostic therapies for patients with NTRK fusion-positive cancers (Drilon et al., 2018, PMID: 29466156). Beyond cancer, these receptors are being explored as targets for neurodegenerative conditions like Alzheimer's disease and for the management of chronic pain (Mantyh et al., 2011, PMID: 21441497).

Other names
Neurotrophic receptorTrk receptorTropomyosin receptor kinaseNeurotrophic receptor tyrosine kinaseNTRKp75 neurotrophin receptorp75NTRLow-affinity nerve growth factor receptor
02

Mechanism of action

Inhibition of the intracellular tyrosine kinase domain of tropomyosin receptor kinases (TrkA, TrkB, and TrkC) to block downstream oncogenic signaling pathways in cells harboring NTRK gene fusions.

03

Biological functions

Signal transductionCell survivalNeuronal developmentSynaptic plasticityApoptosisAxonal growthCell differentiation
04

Disease associations

CancerNeurodegenerative diseaseNeuropathic painAlzheimer's diseaseParkinson's disease
05

Safety considerations

DizzinessAtaxiaCognitive impairmentWeight gainHepatotoxicityTRK-inhibitor withdrawal painParesthesia
06

Interacting drugs

Larotrectinib

7 more in the full profile.

07

Biomarkers

NTRK1/2/3 gene fusionsTrk protein expression (IHC)NTRK gene amplificationNTRK point mutations

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