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The Oncologist, Vol. 10, No. 9, 758-759, October 2005; doi:10.1634/theoncologist.10-9-758
© 2005 AlphaMed Press

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Fundamentals of Cancer Medicine

The Molecular Perspective: c-Abl Tyrosine Kinase

David S. Goodsell

Correspondence: David S. Goodsell, Ph.D., Associate Professor, The Scripps Research Institute, Department of Molecular Biology, 10550 North Torrey Pines Road, La Jolla, CA 92037, USA. Telephone: 858-784-2839; Fax: 858-784-2860; e-mail: goodsell{at}scripps.edu; Web-site: http://www.scripps.edu/pub/goodsell

Received August 18, 2005; accepted for publication August 18, 2005.


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After completing this course, the reader will be able to:

  1. Discuss c-Abl and Bcr-Abl and their role in cancer chemotherapy.

Access and take the CME test online and receive 1 hour of AMA PRA category 1 credit at CME.TheOncologist.com

Phosphate groups are widely used for transmitting signals inside cells. Phosphate has a number of advantages in molecular signaling. With its strong charge and numerous opportunities for hydrogen bonding, it is particularly easy to recognize. Phosphate groups are also readily added to and removed from signaling molecules, using the cell’s ready supply of ATP to power the process. Phosphate groups may be added to small molecules to create characteristic molecules like cyclic AMP. They may also be added to proteins, changing their surface features or even modulating the activity of an enzyme.

As you can imagine, however, one phosphate group looks much like every other one. To be useful in signaling, the phosphate groups must be attached in the proper place and at the proper time. To perform this function, our cells have more than 500 different protein kinases, each designed to add phosphates to a different set of proteins. These many kinases are involved in a complex, interconnected network of signaling, requiring careful control so that each kinase is activated only when its particular signal is needed.

The c-Abl tyrosine kinase, shown in Figure 1Go, transmits messages about the adhesion of cells to their neighbors and messages indicating when it is time to grow or move to a new location. Like other members of the src family of protein kinases, c-Abl uses a complex conformational change to turn its kinase activity on and off. It is comprised of several domains connected by flexible linkers, including two small regulatory domains, a larger kinase domain, and several additional domains that bind to DNA and actin. In the inactive form, the protein folds into a tight ball with regulatory domains bound to the back of the kinase domain. Because kinases typically must open and close during their catalytic cycles to allow substrates to enter the active site, this compact structure shuts down the enzyme. c-Abl is activated by other proteins in the signaling pathway that interact with the regulatory domains and release them from the kinase domain. Then the kinase is free to move and start adding phosphate groups to its signaling recipients.



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Figure 1. c-Abl tyrosine kinase. The inactive c-Abl tyrosine kinase is shown at the top, with the regulatory domains in tan and the kinase in green. A long flexible arm (shown schematically because it was not seen in the structure) reaches around, inserting a myristoyl group (red) into a small pocket in the kinase domain and locking the tightly closed complex in place. The site of binding of imatinib is shown in blue, in the kinase domain. At the bottom, the active form is shown. The regulatory domains have been released through binding to other signaling partners (not shown here). Note that this crystal structure does not include the DNA-binding and actin-binding domains found at the C-terminal end of the protein chain. Coordinates were taken from entry 1opk at the Protein Data Bank (http://www.pdb.org).

 
The messages carried by c-Abl are carefully regulated because they carry important information on the proper size and shape of the whole organism. If these messages are corrupted, this balance is destroyed. Chronic myelogenous leukemia is an example of what can go wrong. In most cases, this leukemia is caused when a chromosomal translocation occurs, trading pieces between two chromosomes to form an oddly small chromosome termed the "Philadelphia chromosome." The site where these chromosomes break and reform is in the middle of the c-abl gene on one chromosome and the bcr gene on the other. The result is a fusion of the two genes in the aberrant chromosome, forming the Bcr-Abl oncoprotein, shown in Figure 2Go.



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Figure 2. Bcr-Abl in action. The large tetrameric complex of Bcr-Abl is shown at the center, with the Bcr portion in purple and the Abl portion in red. Both the Bcr and Abl kinases are shown acting on other signaling proteins (shown in yellow). A normal, inactive Abl protein is shown at upper right for comparison.

 
The Bcr-Abl protein has much of the functionality of both proteins, but with some unfortunate differences. The end of the Bcr protein has a tetramerization domain, so the Bcr-Abl oncoprotein associates into tetramers. The Bcr protein has a kinase domain, so the fusion protein can phosphorylate certain proteins at serine or threonine sites. Most of the Abl protein is also present, including the regulatory domains, the kinase, and the DNA- and actin-binding domains.

The unfortunate aspects are twofold. First, because there is a huge new piece of protein appended to the end of c-Abl, the regulatory domains don’t work any longer, and the kinase is allowed to function without control. Second, because four Bcr-Abl chains are tethered in close proximity, it is easy for the kinase domains to add phosphates to neighboring Bcr-Abl chains in the tetramer, further activating them. The result is a hyperactive kinase that sends a continuous signal. In leukemia, this promotes the uncontrolled growth of blood cells.

Fortunately, this system is perfect for control by chemotherapy. The disease state is caused (in large part) by an overactive enzyme, so a drug that blocks this enzyme will fight the disease. The drug imatinib was designed for exactly this function—to block the overactive Bcr-Abl fusion protein. When it was tested, it did just that. Butnature always throws hurdles in the path; in advanced cases, these leukemias multiply so quickly that they are able to build up mutations to block the binding of the drug, developing resistant strains.


    DISCLOSURE OF POTENTIAL CONFLICTS OF INTEREST
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The author indicates no potential conflicts of interest.


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