Anaplastic lymphoma kinase

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Anaplastic lymphoma kinase

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Anaplastic lymphoma receptor tyrosine kinase

Rendering based on PDB 2KUP.
Identifiers
Symbols ALK; CD246; NBLST3
External IDs OMIM105590 MGI103305 HomoloGene68387 GeneCards: ALK Gene
EC number 2.7.10.1
RNA expression pattern
PBB GE ALK 208211 s at tn.png
PBB GE ALK 208212 s at tn.png
More reference expression data
Orthologs
Species Human Mouse
Entrez 238 11682
Ensembl ENSG00000171094 ENSMUSG00000055471
UniProt Q9UM73 P97793
RefSeq (mRNA) NM_004304 NM_007439.2
RefSeq (protein) NP_004295 NP_031465.2
Location (UCSC) Chr 2:
29.42 – 30.14 Mb
Chr 17:
72.22 – 72.95 Mb
PubMed search [1] [2]

Anaplastic lymphoma kinase (ALK) also known as ALK tyrosine kinase receptor or CD246 (cluster of differentiation 246) is an enzyme that in humans is encoded by the ALK gene.[1][2]

Contents

Function

ALK plays an important role in the development of the brain and exerts its effects on specific neurons in the nervous system.[2]

The deduced amino acid sequences reveal that ALK is a novel receptor tyrosine kinase having a putative transmembrane domain and an extracellular domain. These sequences are absent in the product of the transforming NPM-ALK gene. ALK shows the greatest sequence similarity to LTK (leukocyte tyrosine kinase).

Pathology

The ALK gene can be oncogenic in two ways – first, by forming a fusion gene with any of several other genes, and second, with mutations of the actual DNA code for the gene itself.

Anaplastic large-cell lymphoma

The 2;5 chromosomal translocation is associated with approximately 60% anaplastic large-cell lymphomas (ALCLs). The translocation creates a fusion gene consisting of the ALK (anaplastic lymphoma kinase) gene and the nucleophosmin (NPM) gene: the 3' half of ALK, derived from chromosome 2, is fused to the 5' portion of NPM from chromosome 5. The product of the NPM-ALK fusion gene is oncogenic.

Non-small-cell lung cancer

The EML4-ALK fusion gene is responsible for approximately 3-5% of non-small-cell lung cancer(NSCLC). The vast majority of cases are adenocarcinomas. The standard test used to detect this gene in tumor samples is fluorescence in situ hybridization (FISH), but other techniques such as immunohistochemistry (IHC) and reverse-transcriptase PCR (RT-PCR) can also be used to detect lung cancers with an ALK gene fusion. ALK lung cancers are found in patients of all ages, although on average these patients may be somewhat younger. ALK lung cancers are more common in never or light cigarette smokers, but a significant number of patients with this disease are current or former cigarette smokers.

Familial neuroblastoma

Recent study shows that mutation of ALK "are linked to 10-15% of "neuroblastoma", a deadly childhood form of cancer.[3]

Gene rearrangements in tumours

Treatment

Xalkori (crizotinib), produced by Pfizer, was approved by the FDA for treatment of late stage lung cancer on August 26, 2011.[4] Early results of an initial Phase I trial with 82 patients with ALK induced lung cancer showed a overall response rate of 57%, a disease control rate at 8 weeks of 87% and progression free survival at 6 months of 72%.

See also

References

  1. ^ Morris SW, Kirstein MN, Valentine MB, Dittmer KG, Shapiro DN, Saltman DL, Look AT (Apr 1994). "Fusion of a kinase gene, ALK, to a nucleolar protein gene, NPM, in non-Hodgkin's lymphoma". Science 263 (5151): 1281–4. doi:10.1126/science.8122112. PMID 8122112. 
  2. ^ a b "Entrez Gene: ALK anaplastic lymphoma kinase (Ki-1)". http://www.ncbi.nlm.nih.gov/sites/entrez?Db=gene&Cmd=ShowDetailView&TermToSearch=238. 
  3. ^ Mossé YP, Laudenslager M, Longo L, Cole KA, Wood A, Attiyeh EF, Laquaglia MJ, Sennett R, Lynch JE, Perri P, Laureys G, Speleman F, Kim C, Hou C, Hakonarson H, Torkamani A, Schork NJ, Brodeur GM, Tonini GP, Rappaport E, Devoto M, Maris JM (October 2008). "Identification of ALK as a major familial neuroblastoma predisposition gene". Nature 455 (7215): 930–5. doi:10.1038/nature07261. PMC 2672043. PMID 18724359. http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=2672043. Lay summary – PRNewswire-USNewswire. 
  4. ^ "Xalkori Approved for Lung Cancer". FDA. http://www.accessdata.fda.gov/scripts/cder/drugsatfda/index.cfm?fuseaction=Search.DrugDetails. 

Further reading

External links


This article incorporates text from the United States National Library of Medicine, which is in the public domain.


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