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TAM receptor tyrosine kinase family (TAM)

Target
TAM
Molecular classification
Receptor tyrosine kinase, Enzyme, Receptor
01

Overview

The TAM receptor family consists of three closely related receptor tyrosine kinases: Tyro3, Axl, and MerTK [UniProt: Q06418, P30530, Q12866]. These receptors are characterized by a unique extracellular structure containing two immunoglobulin-like domains and two fibronectin type III domains, which bind to their primary vitamin K-dependent ligands, Gas6 and Protein S [PMID: 23948671]. Biologically, TAM receptors are essential for efferocytosis—the process of clearing apoptotic cells—and act as critical negative regulators of the innate immune response by inhibiting Toll-like receptor (TLR) and cytokine receptor signaling [PMID: 25264244]. In the context of oncology, TAM receptors, particularly Axl and MerTK, are frequently overexpressed or activated, promoting tumor cell survival, metastasis, and the creation of an immunosuppressive tumor microenvironment [PMID: 27141665]. Consequently, they have emerged as significant therapeutic targets, with various small molecule inhibitors and biologics currently in clinical development to overcome drug resistance and enhance anti-tumor immunity [ClinicalTrials.gov: NCT02488291].

Other names
Tyro3-Axl-MerTK familyTAM subfamily of RTKsTAMRTKTyro3, Axl, and MerTK receptors
02

Mechanism of action

Inhibition of the intracellular tyrosine kinase domain to prevent autophosphorylation and downstream signaling (e.g., PI3K/Akt, MAPK/ERK), or competitive blockade of ligand binding (Gas6/PROS1) to the extracellular domain to prevent receptor activation [PMID: 25264244, PMID: 27141665].

03

Biological functions

Efferocytosis (clearance of apoptotic cells) [PMID: 23948671]Immune homeostasis [PMID: 25264244]Negative regulation of innate immune response [PMID: 23948671]Cell survival and proliferation [PMID: 27141665]Platelet aggregation [PMID: 23948671]Signal transduction [UniProt: P30530]Epithelial-mesenchymal transition (EMT) [PMID: 27141665]
04

Disease associations

Cancer (metastasis and drug resistance) [PMID: 27141665]Autoimmune disease (e.g., Systemic Lupus Erythematosus) [PMID: 23948671]Chronic inflammation [PMID: 25264244]Viral infection (entry factors for Zika, Ebola, and AXL-mediated entry) [PMID: 27141665]Retinal degeneration (Retinitis pigmentosa) [UniProt: Q12866]
05

Safety considerations

Systemic autoimmunity due to loss of immune tolerance [PMID: 23948671]Exacerbated inflammatory responses [PMID: 25264244]Retinal toxicity and degeneration (specifically associated with MerTK inhibition) [UniProt: Q12866]Off-target effects from multi-kinase inhibitionImpaired clearance of apoptotic debris leading to secondary necrosis
06

Interacting drugs

Bemcentinib (BGB324)

7 more in the full profile.

07

Biomarkers

AXL expression levels (IHC) [PMID: 27141665]Soluble AXL (sAXL) [PMID: 25264244]Gas6 plasma levels [PMID: 23948671]MerTK expression in tumor-associated macrophages [PMID: 27141665]PROS1 expression [PMID: 23948671]

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