Part 3 · Chapter 3.3
Tyrosine Kinases
Receptor tyrosine kinases (RTKs) are the second-largest receptor family after GPCRs. They transduce growth-factor and cytokine signals through ligand-induced dimerisation, trans-autophosphorylation, and SH2-domain-mediated recruitment of downstream effectors — most famously the Ras–Raf–MEK–ERK MAPK cascade. 58 RTK genes in humans; drug targets include EGFR (lung cancer), HER2 (breast), VEGFR (anti-angiogenic), KIT (GIST).
1. RTK Activation Mechanism
RTKs are single-pass transmembrane proteins with an intracellular tyrosine-kinase domain. Ligand binding drives dimerisation (occasionally higher oligomers for some IR/IGFR); dimer brings kinase domains into proximity; each phosphorylates tyrosines on the other (trans-autophosphorylation). Phosphotyrosines recruit SH2-domain adaptors (Grb2, SHC, PI3K-p85), building a membrane-localised signalling complex.
2. The MAPK Cascade
Ras activation initiates the canonical Raf → MEK → ERK cascade:
\[ \text{Ras-GTP} \;\to\; \text{Raf} \;\to\; \text{MEK} \;\to\; \text{ERK} \;\to\; \text{nuclear TFs} \]
Huang & Ferrell 1996 showed this triple-kinase architecture produces ultrasensitivity: a graded input converts to a switch-like output. Three sequential steps with moderate Hill coefficients compound into an effective Hill coefficient of n ∼ 5 — the cellular equivalent of a digital decision gate between quiescence and mitosis.
Simulation: MAPK Ultrasensitivity
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3. JAK-STAT & Cytokine Receptors
Cytokine receptors (IL-6, interferon, leptin, erythropoietin) lack intrinsic kinase activity but associate with soluble JAK kinases. Ligand binding brings two JAKs together; cross-phosphorylation activates them, and phosphorylated JAKs recruit STAT transcription factors. Dimerised STATs translocate to nucleus and drive target transcription. JAK inhibitors (tofacitinib, ruxolitinib) are major immunology drugs.
4. Clinical Relevance
Activating mutations in RTKs drive many cancers: EGFR exon 19/21 mutations (NSCLC), HER2 amplification (breast), BCR-ABL fusion (CML). Tyrosine-kinase inhibitors (TKIs) — imatinib, gefitinib, erlotinib, crizotinib — transformed oncology from toxic chemotherapy to targeted therapy. BCR-ABL inhibition by imatinib made chronic-phase CML a manageable chronic disease.
Key References
• Lemmon, M. A. & Schlessinger, J. (2010). “Cell signaling by receptor tyrosine kinases.” Cell, 141, 1117–1134.
• Huang, C.-Y. & Ferrell, J. E. (1996). “Ultrasensitivity in the MAPK cascade.” Proc. Natl. Acad. Sci., 93, 10078–10083.
• Druker, B. J. et al. (2001). “Efficacy and safety of a specific inhibitor of the BCR-ABL tyrosine kinase in CML.” N. Engl. J. Med., 344, 1031–1037.