Molecular and Cellular Biology, October 2001, p. 6719-6730, Vol. 21, No. 20
INSERM U 364, IFR50, Faculté de
Médecine Pasteur, Nice,1 and Unit
of Genetic Cancer Susceptibility, International Agency for Research
on Cancer, Lyon,3 France, and
Laboratorio di Genetica Molecolare, Istituto Giannina
Gaslini, Genoa, Italy2
Received 31 January 2001/Returned for modification 13 March
2001/Accepted 30 June 2001
Hirschsprung's disease (HSCR), a frequent developmental defect of
the enteric nervous system is due to loss-of-function
mutations of RET, a receptor tyrosine kinase essential for
the mediation of glial cell-derived neurotrophic factor
(GDNF)-induced cell survival. Instead, gain-of-function Cys mutations
(e.g., Cys609, Cys620, and Cys634)
of the same gene are responsible for thyroid carcinoma (MEN2A/familial medullary thyroid carcinoma) by causing a covalent Ret
dimerization, leading to ligand-independent activation of its tyrosine
kinase. In this context, the association of Cys609- or
Cys620-activating mutations with HSCR is still an
unresolved paradox. To address this issue, we have compared these two
mutants with the Cys634 Ret variant, which has never been
associated with HSCR, for their ability to rescue neuroectodermic cells
(SK-N-MC cells) from apoptosis. We show here that despite their
constitutively activated kinase, the mere expression of these three
mutants does not allow cell rescue. Instead, we demonstrate that like
the wild-type Ret, the Cys634 Ret variant can trigger
antiapoptotic pathways only in response to GDNF. In contrast,
Cys609 or Cys620 mutations, which impair the
terminal Ret glycosylation required for its insertion at the plasma
membrane, abrogate GDNF-induced cell rescue. Taken together, these data
support the idea that sensitivity to GDNF is the mandatory condition,
even for constitutively activated Ret mutants, to rescue
neuroectodermic cells from apoptosis. These findings may help
clarify how a gain-of-function mutation can be associated with a
developmental defect.
0270-7306/01/$04.00+0 DOI: 10.1128/MCB.21.20.6719-6730.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.
The Sensitivity of Activated Cys Ret Mutants to Glial Cell
Line-Derived Neurotrophic Factor Is Mandatory To Rescue Neuroectodermic
Cells from Apoptosis

*
Corresponding author. Mailing address: INSERM U 364, Faculté de Médecine Pasteur, Ave. de Valombrose, 06107 Nice
Cedex 02, France. Phone: 33 04 93 37 77 02. Fax: 33 04 93 81 94 56. E-mail: rossi{at}unice.fr.
Present address: EMI 00-09, IFR50, Faculté de Médecine
Pasteur, Nice, France.
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