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. 2022 Feb 2;14(3):779. doi: 10.3390/cancers14030779

Figure 6.

Figure 6

Model summarising the relationship between ALK signalling and MT dynamics in EML4-ALK V3. Schematic model showing the proposed drug resistance mechanism of EML4-ALK V3. EML4-ALK variants, the protein exists as a trimer via the dynamic interactions of the EML4 trimerization domain that drive ALK activation and signalling, but only EML4-ALK V3 associates efficiently with microtubules to enhance stability and confer resistance to vincristine. The inactivation of ALK kinase via ALK-TKIs sequesters EMl4-ALK V3 to microtubules, promoting tubulin acetylation and chemoresistance. Additionally, EML4-ALK V3 maintains an active JAK/STAT3 pathway in the presence of ALK-TKIs. Taken together, these drug-resistance mechanisms allow EML4-ALK V3 to escape cell death.