COMMENTARY
COMMENTARY
Adopting ALK and LTK
Greg Lemke1
Molecular Neurobiology Laboratory, The Salk Institute for Biological Studies, La Jolla,
CA 92037
RTKs and Their Ligands
Aberrant, uncontrolled activation of receptor
tyrosine kinases (RTKs) is the “original sin”
of many human cancers, in that this activation can both initiate and drive the evolution
of tumors (1). Mutation and overexpression
of the multiple members of the epidermal
growth factor/ErbB receptor family, to cite
only a single example, constitute cancer drivers
that have been clinically targeted by a panoply
of biologic and small-molecule inhibitors for
more than a decade (2, 3). Given the consequences of their activation, RTKs are always
tightly regulated: their steady-state enzymatic
(tyrosine kinase) activity is very low in the
absence of activation, which is normally triggered by the binding of a protein ligand to the
RTK extracellular domain (4). This aspect has
made the identification of RTK ligands an
especially important goal, and studies over the
last three decades have uncovered the ligands
for nearly all of the 58 RTKs encoded in the
human genome. Two closely related RTKs—
the anaplastic lymphoma kinase (ALK) and the
leukocyte tyrosine kinase (LTK)—have
been notable holdouts, in that they have
remained receptor “orphans” without a ligand. This is no longer the case. In PNAS,
Reshetnyak et al. (5) identify “family with
sequence similarity” (FAM) 150A and 150B—
rechristened augmentor-β and augmentor-α,
respectively, by the authors—as protein ligands
for ALK and LTK.
These two RTKs share distinctive structural
features, including highly conserved tyrosine
kinase domains and unusual glycine-rich
regions in their ligand-binding extracellular
domains (ectodomains) that exhibit 55%
amino acid identity between the receptors.
ALK has been very widely studied in cancer
(6), particularly in nonsmall-cell lung carcinoma, neuroblastoma, and anaplastic largecell lymphoma, with which it was first
associated (7). ALK-driven cancers have
been seen to arise from gene fusion events
between the ALK kinase domain and various
protein-coding domains, by mutations in fulllength ALK, or via overexpression of the ALK
protein. Crizotinib, ceritinib, and other smallmolecule ALK inhibitors are now used as
therapies for nonsmall-cell lung carcinoma
www.pnas.org/cgi/doi/10.1073/pnas.1521923113
(8). This clinical activity notwithstanding, the
biological roles that ALK plays in either
vertebrate development or mature physiology
are not well understood. ALK knockout mice
do not display strong phenotypes, although
defects in mature brain (cortical and hippocampal) function have been reported (9).
LTK is murkier still: experiments in zebrafish
Reshetnyak et al. identify
“family with sequence
similarity” (FAM)
150A and 150B—
rechristened augmentor-β
and augmentor-α, respectively, by the
authors—as protein
ligands for ALK and LTK.
are consistent with a role in neural crest cell
development (10), and genome-wide association studies have linked polymorphisms in the
human LTK gene to lupus (11), but its role in
cancer remains unclear.
”De-Orphaning“ LTK and ALK
The first identification of the FAM 150A/B
proteins as LTK ligands was made last year
by Zhang et al. in the Williams group (12), who
used a proteome screening assay to identify
FAM150A as a protein that bound to the
extracellular domain of LTK and activated
the endogenous receptor expressed by SKN-SH neuroblastoma cells. Following up on
this work, Reshetnyak et al. in the Schlessinger
laboratory now identify FAM150A (augmentor-β
or AUG-β, in their new nomenclature) as a
single-specificity ligand for LTK, and
FAM150B (AUG-α) as a dual-specificity
ligand that binds and activates both ALK
and LTK (5). The new work was greatly facilitated by the ability of Reshetnyak et al. to
produce and purify relatively large amounts
of recombinant AUG-α and AUG-β, which
was not possible in the earlier study. Abundant ligand expression was achieved only
through the clever coexpression of recombinant Ig Fc fusion proteins for both AUG-α/β
and LTK/ALK extracellular domains in
the same HEK293 cells. Protein A-based
chromatographic purification of the ligand–
ectodomain complexes from conditioned
medium followed by proteolytic cleavage
to remove the Fc domain resulted in a
highly pure ligand that could be used for
extensive cell-based activation and binding assays.
Reshetnyak et al.’s (5) conclusions with
respect to receptor specificity for AUG-α and
AUG-β are based on both differential receptor activation (stimulation of receptor
autophosphorylation) and differential receptor binding. AUG-α was seen to stimulate
the autophosphorylation of both ALK and
LTK, individually expressed in NIH 3T3
cells, at high picomolar concentrations. (The
preparation of pure recombinant ligands
allowed for precise quantification.) In contrast, AUG-β was an equivalently strong
activator of LTK—but a very weak (albeit
detectable) activator of ALK—in the same
cells. Similarly, in surface plasmon resonance assays of the binding of AUG-α and
AUG-β to immobilized LTK or ALK Fc
fusion proteins, AUG-α bound equally well
to both receptor ectodomains [equilibrium
dissociation constants (KDs) of 11.4 and
7.1 nM], whereas AUG-β displayed a ∼20-fold
binding preference for LTK over ALK (KDs of
3.7 versus 74.3 nM).
Related experiments, with similar but not
identical conclusions, were recently published
by Guan et al. of the Palmer group (13). These
investigators also identified the FAM150A/B
proteins as ligands for ALK and LTK, but
concluded that both FAM150A and FAM150B
are activating ligands for ALK. The two sets
of analyses used different cells for assay and
ligand/receptor expression, and in most of
the experiments of Guan et al. the expression
levels of the recombinant ligands and receptors
were unknown. (Ligands were assayed from
conditioned media, or were coexpressed with
receptors in cell lines at unmeasured levels.)
Guan et al. used surface plasmon resonance
methods similar to those of Reshetnyak et al.
(5) to quantify FAM150A (AUG-β) binding
to the ALK ectodomain, but measured a
somewhat lower KD (∼20 nM) for binding.
Author contributions: G.L. wrote the paper.
The author declares no conflict of interest.
See companion article on page 15862.
1
Email: lemke@salk.edu.
PNAS | December 29, 2015 | vol. 112 | no. 52 | 15783–15784
Guan et al. (13) also coexpressed human ALK
with either FAM150A or FAM150B in vivo, in
the developing Drosophila eye. Expression
of FAM150A, FAM150B, or human (wild-type)
ALK alone yielded no perturbation of fly
eye development, but expression of either
FAM150A or FAM150B together with human
ALK resulted in a rough eye phenotype (13).
Again, however, the expression levels of the
ligands and the receptors were uncontrolled,
and it is possible that these levels were
anomalously high.
An additional unresolved issue with respect
to ALK activation specifically relates to the role
of heparin and heparan sulfate proteoglycans
(HSPGs) in the modulation of ALK signaling.
In studies published earlier this year, Murray
et al., also in the Schlessinger group, identified
heparin as an activating ligand for ALK in NB-1
neuroblastoma cells (14). These investigators
found that acidic sulfated glycosaminoglycan
polymers bound to the very basic amino
terminus of ALK, and strongly potentiated
ALK autophosphorylation in NB-1 cells.
This was of particular interest because HSPGs
are well-known modulators of FGF binding
and signaling through FGF receptors (15).
Heparin activation of ALK raised the possibility that HSPGs were interacting with
an at-the-time unknown protein ligand
(FAM150A or B?) for this receptor (16).
15784 | www.pnas.org/cgi/doi/10.1073/pnas.1521923113
When Reshetnyak et al. (5) examined this
issue, they found that heparin potentiated
ALK signaling in NB-1 cells when coapplied
together with a very low concentration
(0.064 nM) of AUG-α, but that at higher
concentrations this potentiation was overshadowed by the effect of AUG-α alone; and
similar activation of ALK by heparin was seen
neither in NIH 3T3 cells stably expressing
ALK, nor by the Palmer group (13) (who
found that heparin indeed binds to FAM150A)
in IMR-32 cells. The exact position of HSPGs
in the hierarchy of ALK signaling, therefore,
awaits further functional, biochemical, and
structural analyses.
Although there is still work to be done, the
studies of Zhang et al. (12), Guan et al. (13), and
Reshetnyak et al. (5) unambiguously position
AUG-α/β (FAM150B/A) as protein ligands
for the ALK/LTK family. These analyses reflect
the closing of an era, in that we can soon look
forward to the day when the RTK orphanage is
finally shuttered.
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Lemke