Target intelligence / Profile preview

Receptor tyrosine kinase RET (RET)

Target
RET
Molecular classification
Receptor tyrosine kinase, Enzyme, Cell surface receptor, Growth factor receptor
01

Overview

Receptor tyrosine kinase RET is a **transmembrane protein** encoded by the *RET* proto-oncogene. It functions as a receptor for glial cell line-derived neurotrophic factor family ligands (GFLs), which require co-receptors from the GDNF receptor-alpha family for activation. Upon ligand binding and complex formation at the cell surface, two molecules of RET dimerize and undergo autophosphorylation on specific intracellular tyrosine residues within their kinase domains. This phosphorylation event initiates multiple downstream signaling cascades regulating essential cellular processes such as proliferation, differentiation, migration, metabolism regulation, and neuronal survival. RET plays a critical role in embryonic development—especially of neural crest-derived tissues—and remains important throughout life for neuronal maintenance. Pathogenic gain-of-function mutations lead to various cancers including medullary thyroid carcinoma; loss-of-function mutations cause developmental diseases like Hirschsprung disease[1][4]. Selective inhibition of aberrant RET signaling has become an important therapeutic strategy in oncology. Key interacting proteins include DOK1/5, GDNF family receptor alpha subunits (GFRα1–4), GRB10/7/2 adaptor proteins, SHC1 adaptor protein, STAT3 transcription factor among others[1]. In summary: **Receptor tyrosine kinase RET** is a validated therapeutic target implicated in cancer biology as well as neurodevelopmental processes; it is targeted by several approved drugs based on its genetic status within tumors or other pathologies[1][4].

Other names
Rearranged during transfectionRET proto-oncogeneProto-oncogene c-RET
02

Mechanism of action

Drugs targeting RET typically act as small molecule inhibitors that block its intracellular tyrosine kinase activity, thereby inhibiting downstream signaling pathways involved in cell growth and survival. Some experimental agents may act as agonists to promote neurotrophic effects[4].

03

Biological functions

Signal transductionCell proliferationCell differentiationCell survivalCell migrationMetabolism regulation
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Disease associations

Cancer (notably medullary thyroid carcinoma, multiple endocrine neoplasia type 2, papillary thyroid carcinoma)Neurodegenerative disease (e.g., retinitis pigmentosa)Obesity and metabolic disorders (via appetite and weight control)Developmental disorders (e.g., Hirschsprung disease)
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Safety considerations

Potential off-target effects leading to hypertensionDiarrheaHepatotoxicityQT prolongationOther adverse events associated with kinase inhibitionResistance mutations can also develop during therapy
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Interacting drugs

Selpercatinib (LOXO‑292)

3 more in the full profile.

07

Biomarkers

RET gene mutations or fusions serve as biomarkers for patient selection in certain cancers, especially medullary thyroid carcinoma and non-small cell lung cancer.

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