Target intelligence / Profile preview

Rearranged during Transfection Receptor Tyrosine Kinase (RET)

Target
RET
Molecular classification
Receptor tyrosine kinase, RTK, Single-pass transmembrane protein
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Overview

RET (Rearranged during Transfection) is a receptor tyrosine kinase crucial for cell proliferation, differentiation, survival, migration, and metabolism. It is essential for the development of the nervous system. RET is activated upon binding of GDNF family ligands to GFRα co-receptors, leading to receptor dimerization and autophosphorylation, activating downstream signaling pathways like MAPK/ERK, PI3K/AKT, and JAK/STAT. Mutations and aberrant activation of RET are implicated in various cancers, including thyroid cancers, and Hirschsprung disease. Therapeutic targeting includes small-molecule inhibitors for cancer therapy, with ongoing interest in agonists for neurodegenerative conditions.

Other names
RET proto-oncogeneProto-oncogene c-RetCDHF12MEN2AMEN2BMTC1PTC2RET51Multiple endocrine neoplasia type 2
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Mechanism of action

Small molecule inhibitors bind to the ATP-binding pocket of the RET kinase domain, preventing autophosphorylation and downstream signaling.

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Biological functions

Signal transductionCell proliferationCell differentiationCell survivalCell migrationRegulation of appetiteWeight gain controlNeural developmentNeuron maintenance
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Disease associations

Medullary thyroid carcinomaPapillary thyroid carcinomaMultiple endocrine neoplasia types IIa/bHirschsprung diseaseNeurodevelopmental disordersLung adenocarcinoma
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Safety considerations

HypertensionHepatotoxicityQTc prolongationTumor lysis syndromeBleeding
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Interacting drugs

RET inhibitors (e.g., Selpercatinib, Pralsetinib)
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Biomarkers

RET mutations (e.g., M918T in MTC)RET fusions (e.g., KIF5B-RET)RET expression levels

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