Target intelligence / Profile preview

RET Proto-oncogene Receptor Tyrosine Kinase (RET)

Target
RET
Molecular classification
Receptor, Receptor Tyrosine Kinase
01

Overview

The RET proto-oncogene encodes a receptor tyrosine kinase essential for neural crest-derived tissue development. It is activated by GDNF family ligands and GFRα co-receptors, leading to downstream signaling via RAS-MAPK/ERK and PI3K/AKT pathways. Mutations or rearrangements in RET are implicated in Hirschsprung's disease (loss-of-function) and various cancers (gain-of-function), including MEN2 and MTC. RET is a therapeutic target, and selective RET inhibitors are being developed for cancer treatment.

Other names
MEN2AMEN2BMTC1PTC2CDHF12RET51RET43RET9
02

Mechanism of action

Small-molecule inhibitors that bind to and inhibit the RET kinase domain, preventing autophosphorylation and downstream signaling.

03

Biological functions

Signal transductionCell proliferationCell survivalCell differentiationEmbryonic development (ENS, kidney)Neuron function
04

Disease associations

Hirschsprung's diseaseMultiple endocrine neoplasia type 2A (MEN2A)Multiple endocrine neoplasia type 2B (MEN2B)Medullary thyroid carcinoma (MTC)PheochromocytomaParathyroid hyperplasiaPapillary thyroid carcinomaNon-small cell lung cancerColorectal cancerBreast cancerSalivary gland cancers
05

Safety considerations

Off-target effects of multikinase inhibitorsDevelopment of resistance to RET inhibitorsSpecific toxicities associated with individual inhibitors (e.g., hypertension, QT prolongation)Drug-drug interactions
06

Interacting drugs

Sorafenib

3 more in the full profile.

07

Biomarkers

RET mutations (e.g., M918T, C634R) in MEN2 and MTCRET fusions in NSCLC and other cancersRET protein expression levels

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